Document Type : Case Report

Authors

1 Assistant Professor of Pathology, Stem Cells Research Center & Pathology Department, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

2 Associate Professor of Pathology, Department of Pathology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

3 Pathologist, Department of pathology, Taleghani Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran

4 Associate Professor of Surgery, Department of Surgery, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Granular cell tumor is a rare benign non-encapsulated tumor that mostly presents in oral cavity. Breast localization is uncommon and occurs in about one per 1000 cases of breast cancers. It mainly affects premenopausal women showing the possible role of estrogen and progesterone levels in the progression of this tumor. Granular cell tumor is a great emulator of the invasive ductal carcinoma of the breast clinically and radiologically, and the definite diagnosis especially in fine needle aspiration cytology (FNAC) is a great challenge. Granular cell tumor almost always has a benign clinical behavior and malignant transformation is seen in less than 1% of cases, which requires additional therapy other than local surgical resection. Here, we report a rare case of benign granular cell tumor of breast that should be differentiated from other breast neoplasms especially invasive carcinomas.

Keywords

  1. Hammas N, El Fatemi H, Jayi S, Hafid I, Fikri G, El Houari A, et al. Granular cell tumor of the breast: a case report. J Med Case Rep 2014; 8:465.
  2. Brown AC, Audisio RA, Regitnig P. Granular cell tumour of the breast. Surg Oncol 2011; 20(2):97-105.
  3. Aoyama K, Kamio T, Hirano A, Seshimo A, Kameoka S. Granular cell tumors: a report of six cases. World J Surg Oncol 2012; 10:204.
  4. Kadivar M, Sangsari R, Alavi A. Prenatal diagnosis of granular cell tumor. Iran J Med Sci 2014; 39(2):144-7.
  5. Parmigiani S, Giordano G, Fellegara G, Brevi B, Magnani C. A rare case of multiple congenital epulis. J Matern Fetal Neonatal Med 2004; 16(Suppl 2):55-8.
  6. Qian X, Chen Y, Wan F. Granular cell tumor of the breast during lactation: a case report and review of the literature. Oncol Lett 2014; 8(6):2565-8.
  7. Al-Ahmadie H, Hasselgren PO, Yassin R, Mutema G. Colocalized granular cell tumor and infiltrating ductal carcinoma of the breast. Arch Pathol Lab Med 2002; 126(6):731-3.
  8. Di Bonito M, Cantile M, Collina F, De Cecio R, Petrosino T, Botti G. Coexistence of granular cell tumor and invasive ductal breast cancer in contralateral breasts: a case report. Int J Mol Sci 2014; 15(8):13166-71.
  9. Tural D, Akar E, Oztürk T, Turna H, Serdengeçti S. Malignant clinical presentation of a benign granular cell tumor of breast in a patient with previously treated contralateral invasive ductal carcinoma. Case Rep Oncol Med 2012; 2012:974740.
  10. Andalib A, Heidary M, Sajadieh-Khajouei S. Granular cell tumor presenting as a large leg mass. Arch Bone Jt Surg 2014; 2(4):265-7.
  11. Castillo Lara M, Martínez Herrera A, Torrejón Cardoso R, Lubián López DM. Granular cell tumor in breast: a case report. Breast Cancer (Dove Med Press) 2017; 9:245-8.
  12. Adeniran A, Al-Ahmadie H, Mahoney MC, Robinson-Smith TM. Granular cell tumor of the breast: a series of 17 cases and review of the literature. Breast J 2004; 10(6):528-31.
  13. Gavriilidis P, Michalopoulou I, Baliaka A, Nikolaidou A. Granular cell breast tumour mimicking infiltrating carcinoma. BMJ Case Rep 2013; 2013:bcr2012008178.