Home|Journals|Articles by Year

Directory for Medical Articles
 

Case Report



Seven Years Old Girl With Ductal Carcinoma In Situ – A Case Report

Prihantono Prihantono, Yendri Januardi, Salman Ardi Syamsu, Haryasena Haryasena.


Abstract

Background
Breast cancer in very young women is very rare, usually have more aggressive biological characteristics, present at a later stage and is associated with a poor prognosis. It is hard to diagnosis and often late to be diagnosed. We reported a case of breast cancer in 7 years old girl who was accidentally found in operation expected to be a benign lesion.

Case Summary
A female, Asian, 7-years old complaining of a mass and enlargement in her left breast since one year prior came to the hospital. No family history of breast or ovarian cancer in primary relatives. Previous excisional biopsy in a rural hospital six months earlier revealed a 3.2 cm ductal carcinoma in situ (DIN2)with differential diagnosis of papillary ductal carcinoma. Estrogen, progesterone and Her2 receptors were negatives. Physical examination found enlargement of the left breast, unclear tumor boundaries, Ultrasound demonstrated a 4-cm mass in her upper lateral of the left breast (ACR BIRADS 5 - highly suspicious of malignancy, while no findings in her right breast. No findings on chest X-ray and abdominal ultrasound. The patient was diagnosed with ductal carcinoma of the left breast, cTisN0M0, Stage 0, karnofsky 80%. She was offered modified radical mastectomy, no chemotherapy and neither radiation therapy performed. Routine follow-up every three months was done. There were no findings on physical, chest X-ray, and abdominal ultrasound, CEA & Ca 15-3 level were average. Two years follow up remains free of recurrence.

Conclusion
Sufficient resection margins need for treatment of breast cancer in young women because it has a higher rate of local recurrence. Adjuvant treatment options may different compared with older women; there need judgment and tailoring of the treatment.

Key words: breast cancer, young women, carcinoma in situ






Full-text options


Share this Article



Online Article Submission
• ejmanager.com
• ojshosting.net







Do you want to use OJS for your journal ?
work with an experienced partner
www.OJSHosting.net

eJManager.com
Review(er)s Central
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.