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The Korean Journal of Pathology 1996;30(4): 347-350.
Secretory Carcinoma of the Breast: A case report.
Kyu Rae Kim, Jung Hyun Yang, Yeon Lim Seo, Howe Jung Ree
1Department of Diagnostic Pathology, Samsung Medical Center, Seoul Hospital, 135-230 Seoul, Korea.
2Department of General Surgery, Samsung Medical Center, Seoul Hospital, 135-230 Seoul, Korea.
We report a case of secretory carcinoma with axillary lymph node metastasis in a 21-year old woman. She was aware of a mass in her breast for 10 years and noticed a rapid growth of the preexisting mass during the last years. Histologically, the tumor was composed of micropapillary and microcystic or cribriform glandular structures which contained eosinophilic, mucinous, intraluminal secretions. The center had a dense hyalinized strama with a solid infiltrative growth of tumor cells with intracytoplasmic secretory vacuoles at the periphery. In addition, marked intraductal papillary epithelial proliferations were present at the superficial portions of the tumor near the nipple. Prognostic factors and their relationship to juvenile papillomatosis are discussed with a review of the literature.
Key Words: Secretory carcinoma; Juvenile papillomatosis; Lymph node metastasis; Breast cancer