Rare Reversed-Polarity Breast Cancer in a 69-Year-Old Woman

This breast cancer diagnosis at a glance

Biomarkers
ER-negative, PR-negative, HER2-negative, IDH2 mutation, PIK3CA mutation | triple negative
Sex
Female
Treatment
surgery
Outcome
Cancer-Free / NED

Treatment course, step by step

  1. Underwent breast-conserving surgery with sentinel lymph node biopsy.
  2. No adjuvant chemotherapy or radiation was given.

What happened, in summary

A 69-year-old woman presented with a lump in the upper inner area of her left breast. Ultrasound and MRI showed a suspicious lesion measuring about 1.5 to 1.6 cm, and needle sampling confirmed malignant cells. She underwent breast-conserving surgery with sentinel lymph node biopsy.

Pathology confirmed tall cell carcinoma with reversed polarity, a rare breast cancer subtype. The final tumor measured 2.5 cm, and all 5 sentinel lymph nodes were negative for cancer. Biomarker testing showed that the tumor was negative for estrogen receptor, progesterone receptor, and HER2. Molecular testing identified IDH2 and PIK3CA mutations, which supported the diagnosis.

She did not receive chemotherapy or radiation after surgery. At 13 months after surgery, she was alive and disease-free.

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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