REVIEW ARTICLE
Rare Breast Tumors with Neuroendocrine Features and Comprehensive Review of the Literature
Received Date : 12 Nov 2023
Accepted Date : 02 Jan 2024
Available Online : 23 Jan 2024
Müge BÜYÜKAKSOYa, Selin AKTÜRK ESENb, Burak CİVELEKb, Öznur BALb,
Fahriye Tuğba KÖŞb, Efnan ALGINb, Mehmet Ali Nahit ŞENDURb, Doğan UNCUb
aAnkara City Hospital, Clinic of Internal Medicine, Ankara, Türkiye
bAnkara City Hospital, Clinic of Medical Oncology, Ankara, Türkiye
Doi: 10.37047/jos.2023-100272 - Article's Language: EN
Journal of Oncological Sciences. 2024;10(2):115-21.
ABSTRACT
This study aimed to examine the histopathological characteristics, treatment modalities, survival features, and factors influencing
these traits in patients with neuroendocrine neoplasms (NEN) of the breast. We retrospectively reviewed the case records of breast NEN patients
who were followed up in Ankara Numune Training and Research Hospital and Ankara City Hospital Medical Oncology clinics from December
2005 to June 2022. After noting their clinical and pathological features in survival files, the obtained data were analyzed and compared. Our single-
center study included nine patients with breast NENs. Histologically, four (55.5%) and two (22.2%) patients exhibited well-differentiated neuroendocrine
tumor (NET) and poorly differentiated neuroendocrine carcinoma (NEC), respectively. The last two (22.2%) patients showed an
invasive breast carcinoma with neuroendocrine differentiation (IBC-NED). All patients underwent surgery after diagnosis. Of them, six (66.7%)
and five (55.6%) patients received adjuvant chemotherapy and radiotherapy, respectively. The patients with diagnoses of IBC-NED and breast
NEC as well as two patients diagnosed with well-differentiated breast NET received adjuvant chemotherapy. Moreover, all patients received
hormonal therapy. The median overall and the median disease-free survival were 10.6 (7.3-13.8) years and 6.2 (1.1-11.3) years, respectively. It
is essential to understand the biology of breast NENs to enhance the diagnosis, treatment, and patient outcomes. Hence, further research is warranted
to elucidate the underlying mechanisms, validate potential therapeutic targets, and establish optimal management strategies for such patients.
Keywords: Breast neuroendocrine carcinoma; breast neuroendocrine neoplasia; invasive breast carcinoma with neuroendocrine differentiation; well-differentiated neuroendocrine tumor
REFERENCES
- Ozaki Y, Miura S, Oki R, et al. Neuroendocrine neoplasms of the breast: the latest WHO classification and review of the literature. Cancers (Basel). 2021;14(1):196. [Crossref] [PubMed] [PMC]
- Salemis NS. Primary neuroendocrine carcinoma of the breast: a rare presentation and review of the literature. Intractable Rare Dis Res. 2020;9(4):233-246. [Crossref] [PubMed] [PMC]
- Cloyd JM, Yang RL, Allison KH, et al. Impact of histological subtype on long-term outcomes of neuroendocrine carcinoma of the breast. Breast Cancer Res Treat. 2014;148(3):637-644. [Crossref] [PubMed]
- Sapino A, Papotti M, Righi L, et al. Clinical significance of neuroendocrine carcinoma of the breast. Ann Oncol. 2001;12 Suppl 2:S115-117. [Crossref] [PubMed]
- Kelten Talu C, Leblebici C, Kilicaslan Ozturk T, et al. Primary breast carcinomas with neuroendocrine features: clinicopathological features and analysis of tumor growth patterns in 36 cases. Ann Diagn Pathol. 2018 Jun;34:122-130. [Crossref] [PubMed]
- Rosen LE, Gattuso P. Neuroendocrine tumors of the breast. Arch Pathol Lab Med. 2017;141(11):1577-1581. [Crossref] [PubMed]
- Louis DN, Perry A, Reifenberger G, et al. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol. 2016;131(6):803-820. [Crossref] [PubMed]
- Collado-Mesa F, Net JM, Klevos GA, et al. Primary neuroendocrine carcinoma of the breast: report of 2 cases and literature review. Radiol Case Rep. 2017;12(1):1-12. [Crossref] [PubMed] [PMC]
- Feki J, Fourati N, Mnif H, et al. Tumeurs neuroendocrines primitives du sein: étude rétrospective de 21 cas et revue de la littérature [Primary neuroendocrine tumors of the breast: a retrospective study of 21 cases and literature review]. Cancer Radiother. 2015;19(5):308-312. French. [Crossref] [PubMed]
- Tato-Varela S, Albalat-Fernández R, Pabón-Fernández S, et al. Primary neuroendocrine tumour of the breast: a case report and review of the literature. Ecancermedicalscience. 2015 Dec 22;9:607. [Crossref] [PubMed] [PMC]
- Wang J, Wei B, Albarracin CT, et al. Invasive neuroendocrine carcinoma of the breast: a population-based study from the surveillance, epidemiology and end results (SEER) database. BMC Cancer. 2014 Mar 4;14:147. [Crossref] [PubMed] [PMC]
- Yang L, Lin H, Shen Y, et al. Clinical outcome and therapeutic impact on neuroendocrine neoplasms of the breast: a national cancer database study. Breast Cancer Res Treat. 2023;202(1):23-32. [Crossref] [PubMed]
- Lavigne M, Menet E, Tille JC, et al. Comprehensive clinical and molecular analyses of neuroendocrine carcinomas of the breast. Mod Pathol. 2018;31(1):68-82. [Crossref] [PubMed]
- Rovera F, Masciocchi P, Coglitore A, et al. Neuroendocrine carcinomas of the breast. Int J Surg. 2008;6 Suppl 1:S113-115. [Crossref] [PubMed]
- Zhang Y, Chen Z, Bao Y, et al. Invasive neuroendocrine carcinoma of the breast: a prognostic research of 107 Chinese patients. Neoplasma. 2013;60(2):215-222. [Crossref] [PubMed]
- Wei B, Ding T, Xing Y, et al. Invasive neuroendocrine carcinoma of the breast: a distinctive subtype of aggressive mammary carcinoma. Cancer. 2010;116(19):4463-4473. [Crossref] [PubMed]
- Inno A, Bogina G, Turazza M, et al. Neuroendocrine carcinoma of the breast: current evidence and future perspectives. Oncologist. 2016;21(1):28-32. [Crossref] [PubMed] [PMC]
- Sun H, Dai S, Xu J, et al. Primary neuroendocrine tumor of the breast: current understanding and future perspectives. Front Oncol. 2022 May 25;12:848485. [Crossref] [PubMed] [PMC]
- Lu CS, Huang SH, Ho CL, et al. Primary neuroendocrine carcinoma of the breast. J BUON. 2014;19(2):419-429. [PubMed]
- Jeon CH, Kim SM, Jang M, et al. Clinical and radiologic features of neuroendocrine breast carcinomas. J Ultrasound Med. 2014;33(8):1511-1518. [Crossref] [PubMed]
- Murthy V, Geethamala K, Kumar B, et al. Primary neuroendocrine carcinoma of breast: a rare case report. Ann Med Health Sci Res. 2013;3(Suppl 1):S35-37. [Crossref] [PubMed] [PMC]
- Angarita FA, Rodríguez JL, Meek E, et al. Locally-advanced primary neuroendocrine carcinoma of the breast: case report and review of the literature. World J Surg Oncol. 2013;11:128. [Crossref] [PubMed] [PMC]
- Yildirim Y, Elagoz S, Koyuncu A, et al. Management of neuroendocrine carcinomas of the breast: a rare entity. Oncol Lett. 2011;2(5):887-890. [PubMed] [PMC]
- Marijanović I, Kraljević M, Buhovac T, et al. Rare human epidermal growth factor receptor 2 (HER-2)-positive neuroendocrine carcinoma of the breast: a case report with 9-year follow-up. Am J Case Rep. 2020;21:e925895. [Crossref] [PubMed] [PMC]