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KMID : 1134120190220030491
Journal of Breast Cancer
2019 Volume.22 No. 3 p.491 ~ p.496
Primary Histiocytic Sarcoma Presenting as a Breast Mass: A Case Report
Bang Seong-Sik

Kim Ye-Seul
Chung Min-Sung
Park Jeong-Seon
Choi Yun-Young
Shin Su-Jin
Abstract
Histiocytic sarcoma is a rare hematologic malignancy, with very few cases of primary histiocytic sarcoma of the breast described in English scientific literature. Herein, we describe a case of primary histiocytic sarcoma of the breast in a 75-year-old woman, with no clinical history of malignant tumors, who presented with a palpable solitary breast mass. Microscopically, the resected breast mass showed large pleomorphic cells, some multinucleated giant cells, and admixed inflammatory components. The pleomorphic tumor cells further showed a diffuse, noncohesive growth pattern, an abundant eosinophilic cytoplasm, and strong and diffuse immunoreactivity for cluster of differentiation (CD) 68 and CD163. Furthermore, a whole-body positron-emission tomography/computed tomography using deoxy-2-[18F]fluoro-D-glucose performed after surgery showed no other masses or lesions. After surgical excision, the patient was followed up, and no evidence of tumor recurrence or metastasis was noted.
KEYWORD
Breast, Histiocytes, Histiocytic sarcoma, True histiocytic lymphoma
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