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Multimodal approach to differential diagnosis of breast cancer metastatic lesions: case report

https://doi.org/10.18027/2224-5057-2017-3-31-36

Abstract

Modern complex and morphological diagnostics are important conditions for optimal therapeutic algorithm development if breast cancer relapse is suspected. This article shows the importance of a multimodal approach to the differential diagnostics of secondary tumor lesions. Modern clinical and radiologic evaluation, interventional technologies, trustworthy morphological investigstion and multidisciplinary teamwork facilitated to make correct diagnosis of sarcoidosis in patient with lesions suspicious for breast cancer relapse and schedule correct treatment.

 

About the Authors

I. V. Kolyadina
Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation; N. N. Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation
Russian Federation
PhD, MD, Professor, Department of Oncology


A. G. Abdullaev
N. N. Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation
Russian Federation
PhD, MD, Head of the Surgical Department of the Tumor Diagnostic


N. B. Tanishina
N. N. Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation
Russian Federation
PhD, Researcher, Department of Positron Emission Tomography of the Research Institute of Clinical and Experimental Radiology


I. B. Perfiliev
N. N. Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation
Russian Federation
PhD, Head of the Endoscopic Department


M. B. Dolgushin
N. N. Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation
Russian Federation
PhD, MD, Head of the Department of Positron Emission Tomography of the Research Institute of Clinical and Experimental Radiology


A. A. Odzharova
N. N. Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation
Russian Federation
PhD, Researcher, Department of Positron Emission Tomography of the Research Institute of Clinical and Experimental Radiology


N. A. Kozlov
N. N. Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation
Russian Federation
PhD, Head of the Department of Pathological Human Anatomy


I. P. Ganshina
N. N. Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation
Russian Federation
PhD, MD, Department of Chemotherapy and Combined Treatment of Malignant Tumors


O. V. Chistyakova
N. N. Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation
Russian Federation
PhD, Researcher, Clinical Cytology Laboratory


I. V. Poddubnaya
Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation; N. N. Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation
Russian Federation
PhD, MD, Academician of RAS, Professor, Head of the Department of Oncology


O. A. Pavlikova
Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation; N. N. Blokhin Russian Cancer Research Center of the Ministry of Health of the Russian Federation
Russian Federation
PhD student, Department of Oncology


References

1. NCCN Clinical Practice Guidelines in Oncology. Version 2.2017, www.nccn.org.

2. Diagnosis and Treatment of patients with Primary and Metastatic Breast Cancer Guidelines Breast. Version 2016.1, www.ago-online.de.

3. Cardoso F., Costa A., Senkus E. et al. 3rd ESO – ESMO International Consensus Guidelines for Advanced Breast Cancer (ABC 3), Annals of Oncology, 2017, Vol. 28, pp. 16–33. DOI: 10.1093 / annonc / mdw544.

4. Практические рекомендации RUSSCO по лекарственному лечению инвазивного рака молочной железы. 2016. URL: www.rosoncoweb.ru. DOI: 10.18027 / 2224-5057-2016-4s2-97-122. [Prakticheskie rekomendatsii RUSSCO po lekarstvennomu lecheniyu invazivnogo raka molochnoi zhelezy, 2016, www.rosoncoweb.ru. DOI: 10.18027 / 2224-5057-2016-4s2-97-122].

5. Altinkaya M., Altinkaya N., Hazar B. et al. Sarcoidosis mimicking metastatic breast cancer in a patient with early-stage breast cancer, Ulus. Cerrahi Derg., 2015 Jul, Vol. 32 (1), pp. 71–74. DOI: 10.5152 / UCD. 2015.2989.

6. Kim H. S., Lee S. Y., Oh S. C. et al. Case Report of Pulmonary Sarcoidosis Suspected to be Pulmonary Metastasis in a Patient with Breast Cancer, Cancer Res. Treat., 2014 Jul, Vol. 46 (3), pp. 317–321. DOI: 10.4143 / crt. 2014.46.3.317.


Review

For citations:


Kolyadina I.V., Abdullaev A.G., Tanishina N.B., Perfiliev I.B., Dolgushin M.B., Odzharova A.A., Kozlov N.A., Ganshina I.P., Chistyakova O.V., Poddubnaya I.V., Pavlikova O.A. Multimodal approach to differential diagnosis of breast cancer metastatic lesions: case report. Malignant tumours. 2017;(3):31-36. (In Russ.) https://doi.org/10.18027/2224-5057-2017-3-31-36

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ISSN 2224-5057 (Print)
ISSN 2587-6813 (Online)