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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

Periductal stromal sarcoma in a child: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Ouafae Masbah, Issam Lalya, Nawfel Mellas, Iman Bekkouch, Mohamed Allaoui, Khalid Hassouni, Tayeb Kebdani, Asmaa Regragui, Noureddine Benjaafar, Brahim Khalil Elgueddari
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-249) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

OM and IL contributed equally to this manuscript. OM and IL analyzed and interpreted the patient data regarding the breast disease, performed the literature research, and wrote the manuscript. NM, IB, and MA made contributions to the conception and design of the report and to the acquisition of data. KH and TK were involved in drafting the manuscript and revising it critically for important intellectual content. AR performed the histological examination of the breast and was a major contributor to the writing of the manuscript. NB and BE gave their final approval of the version to be published. All authors read and approved the final manuscript.

Abstract

Introduction

Periductal stromal sarcoma is an extremely rare malignant fibroepithelial tumor of the breast which is characterized by its biphasic histology with benign ductal elements and a sarcomatous stroma made of spindle cells and lacking phyllodes architecture. Its therapeutic management is based on wide surgery with free margins. Adjuvant therapies are not needed. Periductal stromal sarcoma may evolve into a phyllodes tumor with time, as well as a specific soft-tissue sarcoma. To the best of our knowledge, this tumor has never been described in a child.

Case presentation

A 14-year-old Arabic boy was presented to our hospital one year ago with a nodule of the right breast that was gradually increasing in size without signs of inflammation. The histological examination after lumpectomy revealed a periductal stromal sarcoma with free surgical margins. No adjuvant treatment was given. At 50 months of close follow-up, no recurrence was observed.

Conclusion

Periductal stromal sarcoma in a child is a very rare disease which has the same indolent behavior as it does in adults. Therefore, close follow-up is required.

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