Saudi Journal of Pathology and Microbiology (SJPM)
Volume-3 | Issue-10 | 361-364
Case Report
Breast Stromal Periductal Sarcoma: A Case Report
Amine Kessab, Mustapha Azzakhmam, Habiba Kadiri, Salma Bakkarsabein, Basma El Khannoussi
Published : Oct. 30, 2018
Abstract
Periductal stromal sarcoma is a rare lesion. It was considered to be a variant
of phyllode tumor whereas they are morphologically different. Our patient was a 39
years old, with no previous history, who presented a nodular formation at the level of
the inferior-internal quadrant of the right breast operated in 2015 with the realization of
a nodule excision. The histological examination carried out was in favor of the
diagnosis of a periductal stromal sarcoma with tumoral surgical excision limits. 2 years
later, she presented a recurrence at the level of the tumor scar. A bilateral digital
mammography was performed which showed an appearance in favor of a tumor
recurrence of 63 mm of major axis at the level of the inferior-internal quadrant of the
right breast. She was given a biopsy excision communicated to our structure. The
diagnosis of the recurrence of a periuctal stromal sarcoma has been retained. The
number of studies available on periductal stromal sarcoma (SPP/PSS) is currently
limited and a therapeutic strategy for the PSS has not yet been determined. The
histological diagnosis of PSS is based on the criteria established by the AFIP, and
surgery with significant margins is the cornerstone of treatment.