an intracystic papillary carcinoma of the breast

intracystic carcinoma of the breast is a rare form of breast carcinoma. among all malignant breast tumors, this lesion has an incidence of 0.2-0.5%. these neoplasms have certain characteristic imaging findings which help to differentiate these lesions from other focal breast abnormalities. this report is on the case of a 48-year-old woman with a palpable, painless lump in her right breast. mammography demonstrated an oval well-circumscribed mass without calcification. breast ultrasonography showed a cystic lesion with an intracystic solid component projecting from its posterior wall. cyst aspiration revealed a hemorrhagic fluid and a suspicious cytology. excisional biopsy revealed papillary carcinoma suggesting of intracystic papillary carcinoma. please cite this article as: farrokh d, abedi m, fallah rastegar y. an intracystic papillary carcinoma of the breast. iran j cancer prev. 2013; 6(2):118-21. references 1. ganesan s, karthik g, joshi m, damodaran v. ultrasound spectrum in intraductal papillary neoplasm of breast. br jradiol. 2006; 79 (946): 843-9. 2. amemiya t, oda k, satakeh, ichihara s, sawaki a, schimoyama y, et al. a case of intracystic papillary carcinoma accompanying widespread ductal carcinoma in situ. breast cancer. 2007; 14 (3): 312-6. 3. fisher er, palkar as, redmond c, barton b, fisher b. pathologic findings from the national surgical adjuvant breast project (protocol no.4).vi. invasive papillary cancer. am j clinpathol.1980; 73: 313-22. 4. carter d. intraductal papillary tumors of the breast: a study of 78 cases. cancer. 1977; 39(4): 1689-92. 5. ohlinger r, frese h, schwesinger g, schimming a, kohler g. papillary intracystic carcinoma of the female breast; role of ultrasonogrophy. ultraschall med. 2005; 26 (4): 325-8. 6. lefkowitz m, lefkowitz w, wargotz es. intraductal papillary carcinoma of the breast and its variants: a clinicopathological study of 77 cases. hum pathol. 1994; 25(8):802-9. 7. leal c, costa i, fonseca d, lopes p, bento mj, lopes c. intracystic (encysted) papillary carcinoma of the breast: a clinical, pathological, and immunohistochemical study. hum pathol. 1998; 29(10): 1097-104. 8. wanger ae, middelton lp, whitman gj. intracystic papillary carcinoma of the breast with invasion. ajr am j roentgenol.2004; 183 (5):1516. 9. solorzano cc, middleton lp, hunt kk, mirza n, meric f, kuerer hm, et al. treatment and outcome of patients with intracystic papillary carcinoma of the breast. am j surg. 2002; 184 (4): 364-8. 10. okita r, ohsumi s, takashima s, saeki t, aogi k, nishimura r. synchronous liver metastases of intracystic papillary carcinoma with invasion of the breast. breast cancer. 2005; 12(4):327-30. 11. harris kp, faliakou ec, exon dj, nasiri n, sacks np, gui gp. treatment and outcome of intracystic papillary carcinoma of the breast. br j surg. 1999; 86(10): 1274. 12. knelson mh, el yousef sj, goldberg re, ballance w. intracystic papillary carcinoma of the breast:mammographic, sonographic and mr appearance with pathologic correlation. j comput assist tomogr. 1987; 11(6): 1074-6. 13. lam ww, tang ap, tse g, chu wc. radiology-pathology conference: papillary carcinoma of the breast. clin imaging. 2005; 29 (6): 396-400. 14.  yang wt, suen m, metrewell c. sonographic features of benign papillary neoplasm of the breast: review of 22 patients. j ultrasound med. 1997; 16(3): 161-8. 15. boonjunwetwat d, prathombutr a. imaging of benign papillary neoplasm of the breast: mammographic, galactographic and sonographic findings. j med assoc thai. 2000; 83(8): 832-8. 16. ohlingrt r, frese h, schwesinger g, schimming a, kohler g. papillary intracystic carcinoma of the female breast: role of ultrasonography. ultraschall med.2005; 26 (4): 325-8. 17. dragoumis dm, assimaki as, tsiftsoglou ap. solid variant of a pure intracystic papillary carcinoma of the breast: case report. eur j gynaecol oncol. 2008; 29 (5):545-7. 18. soo ms, williford me, walsh r, bentley rc, kornguth pj. papillary carcinoma of the breast: imaging findings. ajr. 1995; 164(2): 321-6. 19. schimauchi a, yamadat, sato a, takase k, usami s, ischida t, et al. comparison of mdct and mri for evaluating the intraductal components of breast cancer. am j roentgenol. 2006; 187(2): 322-9. 20.  linda a, londero v, mazzarella f, zuiani c, bazzocchi m. rare breast neoplasms: is there any peculiar feature on magnetic resonance mammography. radiol med. 2007; 112 (6): 850-62. 21.  shin hj, kim hh, kim sm, yang hr, sohn jh, kwon gy, et al. papillary lesions of the breast diagnosed at percutaneous sonographically guided biopsy: comparison of sonographicfeatures and biopsy methods. ajr am j. roentgenol. 2008; 190 (3): 930-6. 22. calderaro j, espie m, duclos j, giachethi s, wehrer d, sandid w, et al. breast intracystic papillary carcinoma: an update. breast j. 2009; 15 (6): 639-44.