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Oprean CM, Segarceanu NA, Stan A, Suciu CS, Grujic D, Rivis IA, Dema ALC, Bredicean AC. Carcinomatous-like mastitis due to axillary lymphadenopathy in a case of nasopharyngeal carcinoma: A case report. Exp Ther Med 2021; 22:1026. [PMID: 34373712 PMCID: PMC8343883 DOI: 10.3892/etm.2021.10458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Accepted: 06/01/2021] [Indexed: 11/11/2022] Open
Abstract
Nasopharyngeal carcinoma (NPC) is a rare form of malignancy, accounting for 2% of all cancers of the head and neck in Europe. Axillary lymph node metastases are very rare in these cases. This is a case report of a 40-year-old premenopausal woman diagnosed in May 2015 with T1N2M0 stage III NPC, treated with induction chemotherapy, followed by chemo-radiotherapy. Post-therapeutic computed tomography (CT) scan showed partial response (PR) on the primary tumor and complete response (CR) on the latero-cervical lymph nodes. In 2017, our patient developed left carcinomatous-like mastitis with axillary lymphadenopathy. This raised suspicions of a carcinomatous mastitis. The pathology report with immunohistochemistry (IHC) of the third biopsy highlighted axillary metastasis of a non-keratinizing squamous cell carcinoma (NSCC). There are very few references in the literature regarding axillary metastases from squamous cell carcinoma of the head and neck (HNSCC). As far as we know, this is the first case report of mastitis due to NPC. To conclude, treatment consisted of two surgical excisions of axillary lymphadenopathy associated with local radiotherapy and chemotherapy (neo-adjuvant, adjuvant). The second surgery, performed after radiotherapy, required plastic surgery. A psychiatric evaluation was necessary, revealing a reactive anxiety disorder. This case required multidisciplinary management, where oncology, plastic surgery, pathology and psychiatric specialists collaborated in deciding the therapeutic approach.
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Affiliation(s)
- Cristina Marinela Oprean
- Discipline of Morpho-Pathology, 'Victor Babes' University of Medicine and Pharmacy of Timisoara, 300041 Timisoara, Romania.,Department of Oncology, OncoHelp Hospital, 300239 Timisoara, Romania.,Department of Oncology, Oncomed Outpatient Unit, 300239 Timisoara, Romania
| | - Nusa Alina Segarceanu
- Department of Oncology, OncoHelp Hospital, 300239 Timisoara, Romania.,Department of Oncology, Oncomed Outpatient Unit, 300239 Timisoara, Romania
| | - Alexandra Stan
- Department of Oncology, Emergency City Hospital, 300254 Timisoara, Romania
| | - Cristian Silviu Suciu
- Discipline of Histology, 'Victor Babes' University of Medicine and Pharmacy of Timisoara, 300041 Timisoara, Romania
| | - Daciana Grujic
- Department of Plastic and Reconstructive Surgery, 'Victor Babes' University of Medicine and Pharmacy of Timisoara, 300041 Timisoara, Romania.,Clinic of Burns, Plastic and Reconstructive Surgery, 'Pius Branzeu' Emergency County Hospital, 300041 Timisoara, Romania
| | - Ioana Alexandra Rivis
- Neurosciences Department, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.,NEUROPSY-COG Center for Cognitive Research in Neuropsychiatric Pathology, Neurosciences Department, 'Victor Babes' University of Medicine and Pharmacy of Timisoara, 300041 Timisoara, Romania
| | - Alis Liliana Carmen Dema
- ANAPATMOL Research Center, 'Victor Babes' University of Medicine and Pharmacy of Timisoara, 300041 Timisoara, Romania
| | - Ana Cristina Bredicean
- NEUROPSY-COG Center for Cognitive Research in Neuropsychiatric Pathology, Neurosciences Department, 'Victor Babes' University of Medicine and Pharmacy of Timisoara, 300041 Timisoara, Romania.,Psychiatry Compartment, 'Dr Victor Popescu' Emergency Hospital, 300080 Timisoara, Romania
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Chen WX, Li JG, Wan XH, Zou XS, Qi SY, Zhang YQ, Weng QM, Li JY, Xiong WM, Xie C, Cheng WL. Design of a microfluidic chip consisting of micropillars and its use for the enrichment of nasopharyngeal cancer cells. Oncol Lett 2019; 17:1581-1588. [PMID: 30675216 PMCID: PMC6341559 DOI: 10.3892/ol.2018.9771] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Accepted: 11/20/2018] [Indexed: 01/01/2023] Open
Abstract
The aim of the present study was to discuss the design of a microfluidic chip consisting of columns, and its use for the enrichment of nasopharyngeal cancer (NPC) cells. A microfluidic chip experiment was simulated using FLUENT software. Within the microfluidic chip, aptamers were bound to the reaction chamber (consisting of columns) using a biotin-avidin system. Cell suspension was introduced into the reaction chamber to capture NPC cells. NPC cells were subsequently eluted, and the capture rate of the cells was calculated. The modified aptamer-bound microfluidic chip was able to capture NPC cells with a capture rate of ~90%. The modified aptamer-bound microfluidic chip has a wide range of potential applications for the diagnosis of NPC.
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Affiliation(s)
- Wen-Xue Chen
- Department of Clinical Laboratory, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, P.R. China
| | - Jin-Gao Li
- Department of Radiotherapy, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, P.R. China
| | - Xiang-Hui Wan
- Department of Clinical Laboratory, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, P.R. China
| | - Xue-Sen Zou
- Department of Clinical Laboratory, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, P.R. China
| | - Shu-Yi Qi
- Department of Clinical Laboratory, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, P.R. China
| | - Yu-Qing Zhang
- Department of Clinical Laboratory, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, P.R. China
| | - Qiu-Min Weng
- Department of Radiotherapy, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, P.R. China
| | - Jun-Yu Li
- Department of Radiotherapy, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, P.R. China
| | - Wen-Min Xiong
- Department of Radiotherapy, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, P.R. China
| | - Chen Xie
- Department of Radiotherapy, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, P.R. China
| | - Wei-Liang Cheng
- Jiangxi Railway Health Supervision Institute, Nanchang, Jiangxi 330003, P.R. China
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