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Periductal stromal sarcoma in a child: a case report
Ouafae Masbah1, Issam Lalya, Nawfel Mellas
1Department of Radiotherapy, National Institute of Oncology, Allal fassi Street, Rabat 10100, Morocco. issamlalya@yahoo.fr.
Journal of Medical Case Reports
|July 1, 2011
Summary
Periductal stromal sarcoma, a rare breast tumor, was diagnosed in a 14-year-old boy. Surgical removal with clear margins resulted in no recurrence after 50 months, indicating an indolent course in pediatric patients.
Area of Science:
- Oncology
- Pediatric Surgery
- Pathology
Background:
- Periductal stromal sarcoma is an extremely rare malignant fibroepithelial breast tumor.
- It presents biphasic histology with benign ductal elements and a sarcomatous stroma.
- This tumor has not been previously described in pediatric patients.
Purpose of the Study:
- To report the first known case of periductal stromal sarcoma in a child.
- To describe the clinical presentation, management, and outcome of this rare tumor in a pediatric patient.
- To evaluate the behavior of periductal stromal sarcoma in a pediatric population.
Main Methods:
- A case presentation of a 14-year-old boy with a growing right breast nodule.
- Histological examination after lumpectomy confirmed periductal stromal sarcoma with free surgical margins.
- Close follow-up for 50 months without adjuvant therapy.
Main Results:
- The pediatric patient presented with a gradually enlarging breast nodule.
- Histopathology confirmed periductal stromal sarcoma with complete surgical resection.
- No recurrence was observed during a 50-month follow-up period.
Conclusions:
- Periductal stromal sarcoma in children is exceedingly rare.
- The tumor exhibits an indolent behavior in pediatric patients, similar to adults.
- Close monitoring is essential for pediatric patients diagnosed with periductal stromal sarcoma.
