Metaplasia of the breast bone sarcoma type 1 case of lung metastasis.doc

 PAGE \* MERGEFORMAT 8 Metaplasia of the breast bone sarcoma type 1 case of lung metastasis Keywords: breast cancer; sarcoma; carcinosarcoma Carcinosarcoma is the epithelium and stroma have the characteristics of a malignant tumor. This mixture of malignant cancer and sarcoma is very rare in the breast, metaplastic breast carcinoma is a subtype. It is reported that breast cancer accounted for 0.08% and 0.2% 1,2. The composition of the tumor and percentage of different clinical behavior and prognosis quite different. Reported in this type of metaplasia of the breast bone sarcoma and lung metastasis in 1 case, and reported in the literature review a number of key content to help increase awareness of the diseases in order to improve prognosis. 1 Case Summary Patients, female, 60 years, mainly due to intermittent cough, sputum 1 w I admitted. Admission examination: the body does not touch the superficial lymph nodes; thoracic symmetry no deformity, absent the right breast and right chest wall, saw a 18 cm long surgical scar, does not touch the local mass, did not check the left breast and abnormal; right lung percussion slightly turbid, reduced breath sounds, I did not check and abnormal; limb movement, and no tenderness. Laboratory examination revealed: alkaline phosphatase normal. Plain film, CT said: right middle lobe giant massive high density, right pleural effusion and pleural thickening. Percutaneous transthoracic needle biopsy showed: irregular-shaped tumor cells, and a large deep-dyed, shaped clear visibility into the bone tumor, osteosarcoma-like changes found. No abnormal bone scan. 18 months ago and in patients with painless right breast mass, suspected breast, right breast section of the resection line of the right modified radical mastectomy. Pathological examination showed: a variety of tumor cells in tumor tissue elements visible to the majority of bone-like tumor cells, followed by spindle cells, fibrous cells, round cells,