Determination of the affiliation of metastases in metachronous polyneoplasias of the breast and soft tissues of the thigh

A clinical case of primary multiple metachronous malignant breast tumors and a rare malignant schwannoma of the right hip is presented. Difficulties in differential diagnosis arose with the appearance of a metastatic process in the lungs, solving the issue of their source and further treatment. In o...

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Main Authors: T. N. Popova, V. Yu. Barsukov, A. S. Tolstokorov
Format: Article
Language:Russian
Published: ABV-press 2023-05-01
Series:Опухоли женской репродуктивной системы
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Online Access:https://ojrs.abvpress.ru/ojrs/article/view/1044
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author T. N. Popova
V. Yu. Barsukov
A. S. Tolstokorov
author_facet T. N. Popova
V. Yu. Barsukov
A. S. Tolstokorov
author_sort T. N. Popova
collection DOAJ
description A clinical case of primary multiple metachronous malignant breast tumors and a rare malignant schwannoma of the right hip is presented. Difficulties in differential diagnosis arose with the appearance of a metastatic process in the lungs, solving the issue of their source and further treatment. In oncological practice, only morphological examination can finally verify the diagnosis. The choice of treatment regimen depends on the affiliation of metastases to a particular tumor. At the first immunohistochemical examination, tumor foci in the lung were regarded as breast cancer metastases, which it allowed to conduct 4 courses of polychemotherapy according to the TS scheme (paclitaxel + cyclophosphane) with negative dynamics. This led to doubt about the correctness of determining the source of the metastatic process. Repeated immunohistochemical examination revealed that the metastatic lesion of the lung tissue was a consequence of the progression of malignant schwannoma of the right hip. Appropriate polychemotherapy was prescribed.
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institution Kabale University
issn 1994-4098
1999-8627
language Russian
publishDate 2023-05-01
publisher ABV-press
record_format Article
series Опухоли женской репродуктивной системы
spelling doaj-art-456a05ab87f0457cbfa3a315c39406112025-08-20T04:00:08ZrusABV-pressОпухоли женской репродуктивной системы1994-40981999-86272023-05-01184818410.17650/1994-4098-2022-18-4-81-84761Determination of the affiliation of metastases in metachronous polyneoplasias of the breast and soft tissues of the thighT. N. Popova0V. Yu. Barsukov1A. S. Tolstokorov2Saratov State Medical University named after V.I. Razumovsky, Ministry of Health of RussiaSaratov State Medical University named after V.I. Razumovsky, Ministry of Health of RussiaSaratov State Medical University named after V.I. Razumovsky, Ministry of Health of RussiaA clinical case of primary multiple metachronous malignant breast tumors and a rare malignant schwannoma of the right hip is presented. Difficulties in differential diagnosis arose with the appearance of a metastatic process in the lungs, solving the issue of their source and further treatment. In oncological practice, only morphological examination can finally verify the diagnosis. The choice of treatment regimen depends on the affiliation of metastases to a particular tumor. At the first immunohistochemical examination, tumor foci in the lung were regarded as breast cancer metastases, which it allowed to conduct 4 courses of polychemotherapy according to the TS scheme (paclitaxel + cyclophosphane) with negative dynamics. This led to doubt about the correctness of determining the source of the metastatic process. Repeated immunohistochemical examination revealed that the metastatic lesion of the lung tissue was a consequence of the progression of malignant schwannoma of the right hip. Appropriate polychemotherapy was prescribed.https://ojrs.abvpress.ru/ojrs/article/view/1044mammary glandschwannomaprimary multiple metachronous malignant tumors
spellingShingle T. N. Popova
V. Yu. Barsukov
A. S. Tolstokorov
Determination of the affiliation of metastases in metachronous polyneoplasias of the breast and soft tissues of the thigh
Опухоли женской репродуктивной системы
mammary gland
schwannoma
primary multiple metachronous malignant tumors
title Determination of the affiliation of metastases in metachronous polyneoplasias of the breast and soft tissues of the thigh
title_full Determination of the affiliation of metastases in metachronous polyneoplasias of the breast and soft tissues of the thigh
title_fullStr Determination of the affiliation of metastases in metachronous polyneoplasias of the breast and soft tissues of the thigh
title_full_unstemmed Determination of the affiliation of metastases in metachronous polyneoplasias of the breast and soft tissues of the thigh
title_short Determination of the affiliation of metastases in metachronous polyneoplasias of the breast and soft tissues of the thigh
title_sort determination of the affiliation of metastases in metachronous polyneoplasias of the breast and soft tissues of the thigh
topic mammary gland
schwannoma
primary multiple metachronous malignant tumors
url https://ojrs.abvpress.ru/ojrs/article/view/1044
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AT vyubarsukov determinationoftheaffiliationofmetastasesinmetachronouspolyneoplasiasofthebreastandsofttissuesofthethigh
AT astolstokorov determinationoftheaffiliationofmetastasesinmetachronouspolyneoplasiasofthebreastandsofttissuesofthethigh