Complete response after chemotherapy for metaplastic breast cancer

This breast cancer diagnosis at a glance

Subtype
Squamous Cell Carcinoma
Biomarkers
ER-negative; weak PR-positive; HER2-negative
Sex
Female
Treatment
chemotherapy and surgery
Outcome
Cancer-Free / NED

Treatment course, step by step

  1. She received 4 cycles of chemotherapy followed by 8 additional cycles.
  2. She then had breast-conserving surgery with lymph-node sampling.

What happened, in summary

A 54-year-old woman sought care after feeling a lump in her left breast for about a month. Mammogram and ultrasound showed a 2 cm mass, and a core biopsy confirmed a high-grade breast cancer with squamous features. Further pathology supported metaplastic breast carcinoma. The tumor was estrogen-receptor negative, weakly progesterone-receptor positive, and HER2-negative.

She received chemotherapy before surgery, completing 4 cycles followed by 8 additional cycles. Imaging after treatment still showed a smaller mass, suggesting that some tumor might remain.

She then had breast-conserving surgery with lymph-node sampling. When the surgical tissue was examined, no viable invasive or in situ breast cancer was found. The tissue that had looked like residual tumor on imaging was made up of treatment-related keratin debris and scar-like changes rather than living cancer cells. All 3 sentinel lymph nodes were also negative.

The final pathology therefore showed a complete response to treatment.

Where this story comes from

This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full

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