Poorly differentiated neuroendocrine carcinoma of the breast with Merkel cell features

Breast J. 2018 Jul;24(4):644-647. doi: 10.1111/tbj.12969. Epub 2018 Feb 19.

Abstract

Neuroendocrine carcinoma of the breast is a rare tumor subtype comprising less than 1% of breast cancers in the United States. Merkel cell features within this rare subtype are even rarer. We report a neuroendocrine breast carcinoma with Merkel cell features. The patient underwent breast conservation therapy and a sentinel lymph node biopsy. Unfortunately, the tumor was extremely aggressive and at 5 weeks postoperatively she presented with widely metastatic disease. Due to the aggressive nature of this tumor, we reviewed the literature and treatment options for this rare variant of a rare subtype.

Keywords: Merkel cell carcinoma; breast neoplasms; neuroendocrine tumors.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged, 80 and over
  • Biopsy, Large-Core Needle
  • Breast Neoplasms / diagnostic imaging
  • Breast Neoplasms / pathology*
  • Breast Neoplasms / surgery
  • Carcinoma, Neuroendocrine / diagnostic imaging
  • Carcinoma, Neuroendocrine / pathology*
  • Carcinoma, Neuroendocrine / surgery
  • Fatal Outcome
  • Female
  • Humans
  • Mammography
  • Merkel Cells / pathology*
  • Sentinel Lymph Node Biopsy
  • Tomography, X-Ray Computed
  • Whole Body Imaging