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4. Hrvatski kongres kliniËke citologije 4th Croatian Congress ... - Penta

4. Hrvatski kongres kliniËke citologije 4th Croatian Congress ... - Penta

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Clinical Cytology - Oral Presentations<br />

FINE NEEDLE ASPIRATION CYTOLOGY IN DIAGNOSING RARE BREAST<br />

CARCINOMA-TWO CASE REPORTS<br />

Ramljak V1 , Šarčević B2 , Vrdoljak DV3 , Bobuš Kelčec I1 , Agai M1 , Trutin Ostović K4 1 University Hospital for Tumors, Department of Cytology, Zagreb, Croatia<br />

2 University Hospital for Tumors, Department of Pathology, Zagreb, Croatia<br />

3 University Hospital for Tumors Department of Surgical Oncology, Zagreb, Croatia<br />

4Dubrava University Hospital., Department of Clinical Cytology and Cytometry, Zagreb,<br />

Croatia<br />

In this paper, we are presenting the two cases of very rare tumors: breast sebaceous<br />

carcinoma, which has been described for the first time in <strong>Croatian</strong> medical literature,<br />

and pure breast squamous carcinoma. First case, sebaceous carcinoma, is still quite<br />

unknown regarding its morphological characteristics and biological behavior. In the<br />

second case, squamous carcinoma, also very rare, was found in a patient who previously<br />

had a number of diagnosed head and neck skin carcinomas, and was diagnosed<br />

as primary squamous breast carcinoma. As a first case we present a 85-year-old female<br />

with a two months history of swelling of the left breast under the mammilla. The<br />

second one, a 69-year-old female presented to our hospital in January 2008 with a two<br />

months history of a lump in the lower outer region of the left breast and enlarged lymph<br />

nodes in left axillary region. Fine needle aspiration cytology (FNAC) of the breast was<br />

performed in order to diagnose the exact type of both tumours. This methodology was<br />

found important in diagnosis, but in both cases showed certain limitations in diagnosing<br />

such rare tumors. The final diagnoses were determined after carefully synthesizing<br />

the histological findings and clinical data. Careful and accurate classification of these<br />

tumors is necessary. A detailed analysis of their biological behavior and response to the<br />

therapy is necessary in order to formulate definite recommendations in managing these<br />

patients/diseases.<br />

vesna.ramljak@kzt.hr<br />

103<br />

4 th <strong>Croatian</strong> <strong>Congress</strong> of Clinical Cytology / 1 st <strong>Croatian</strong> Symposium of Analytical Cytology / 2 nd <strong>Croatian</strong> Symposium of Cytotechnology

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