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Gynécologie Obstétrique & Fertilité
Volume 41, n° 5
pages 334-337 (mai 2013)
Doi : 10.1016/j.gyobfe.2012.07.032
Received : 29 January 2012 ;  accepted : 4 May 2012
Carcinome myoépithélial malin mammaire : difficultés diagnostiques et thérapeutiques
Malignant myoepithelial breast carcinoma: Diagnosis and therapeutic difficulties

H. Poret a, b, c, B. Cormier c, d, H. Marret a, b, c, G. Body a, c, L. Ouldamer a, , c, e
a Service de gynécologie, centre Olympe-de-Gouges, CHU de Bretonneau, 2, boulevard Tonnelé, 37000 Tours, France 
b UMR INSERM 930, 37044 Tours, France 
c Université François-Rabelais de Tours, 37044 Tours, France 
d Service d’anatomopathologie, CHU de Bretonneau, 37044 Tours, France 
e UMR INSERM 1069, 37044 Tours, France 

Auteur correspondant.

Le myoépithéliome malin mammaire est une tumeur rare et agressive. De nombreuses récidives locales et à distance sont décrites. Cependant, l’attitude thérapeutique n’est pas codifiée. Nous rapportons le cas d’une patiente de 61ans ayant présenté un myoépithéliome malin. Un traitement chirurgical conservateur a été entrepris. La patiente a présenté une récidive locale après trois ans de surveillance. Ce cas souligne les difficultés thérapeutiques rencontrées dans ce type de tumeur et l’importance d’un suivi régulier prolongé après le traitement initial.

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Myoepithelial carcinoma of the breast is a rare and malignant tumor. Local recurrence and distant metastasis are common. Treatment is not consensual. Here, we report a case of a 61-year-old female who developed a myoepithelial carcinoma. Primary treatment was a local wide excision with clear pathological margins. Three years later, a local recurrence was treated by further wide excision. Neither recurrences nor distant metastasis were detected four years later. Regular following of patients with myoepithelial carcinoma is essential.

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Mots clés : Carcinome myoépithélial, Cancer du sein, Myoépithéliome malin

Keywords : Myoepithelial carcinoma, Breast cancer, Malignant myoepithelioma

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