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Breast cancer with an unusual leukemia-like presentation: case report and literature review

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Abstract

Breast cancer is the most common cancer in women in the world and the second-most common cancer in women in Taiwan. However, breast cancer with plentiful leukemia blast-like cells circulating in the peripheral blood is very rare. A 48-year-old woman with breast cancer and leukemia-like manifestations was admitted in August, 2006. Special staining and immunophenotyping studies to determine the origin of her peripheral blast cells confirmed that they were from her breast carcinoma. Carcinocythemia (carcinoma cell leukemia) was diagnosed and then systemic chemotherapy and hormone therapy were given. Nevertheless, she expired 9 months after carcinocythemia presentation. The differential diagnosis of this condition, which is complicated by chemotherapy or radiotherapy for solid tumors, is very important. Patients with carcinocythemia have poor prognosis and survival.

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References

  1. Carey RW, Taft PD, Bennett JM, Kaufman S. Carcinocythemia (carcinoma cell leukemia). An acute leukemia-like picture due to metastatic carcinoma cells. Am J Med 1976;60:273–8.

    Article  PubMed  CAS  Google Scholar 

  2. Aboulafia DM. Carcinocythemia. A terminal manifestation of metastatic breast cancer. West J Med 1992;157:672–4.

    PubMed  CAS  Google Scholar 

  3. Seronie-Vivien S, et al. Carcinocythemia as the single extension of breast cancer: report of a case and review of the literature. Ann Oncol 2001;12:1019–22.

    Article  PubMed  CAS  Google Scholar 

  4. Rodriguez-Salas N, et al. Circulating cancer cells in peripheral blood. A case report. Acta Cytol 2000;44:237–41.

    PubMed  CAS  Google Scholar 

  5. Boer K, Lang I, Juhos E, Pinter T, Szanto J. [Hungarian experience with docetaxel combination (TAC) in the adjuvant treatment of breast cancer. Results of BCIRG 001 randomized, multicentric, phase III trial]. Magy Onkol 2003;47:141–8.

    PubMed  Google Scholar 

  6. Martin M, et al. Adjuvant docetaxel for node-positive breast cancer. N Engl J Med 2005;352:2302–13.

    Article  PubMed  CAS  Google Scholar 

  7. Lugassy G, et al. Carcinocythemia. Report of two cases, one simulating a Burkitt lymphoma. Acta Cytol 1990;34:265–8.

    PubMed  CAS  Google Scholar 

  8. Ashworth TR. A case of cancer in which cells similar to those in the tumours where seen in the blood after death. Aust Med J 1869;14:146.

    Google Scholar 

  9. Gallivan MV, Lokich JJ. Carcinocythemia (carcinoma cell leukemia). Report of two cases with English literature review. Cancer 1984;53:1100–2.

    Article  PubMed  CAS  Google Scholar 

  10. Cristofanilli M, et al. Circulating tumor cells, disease progression, and survival in metastatic breast cancer. N Engl J Med 2004;351:781–91.

    Article  PubMed  CAS  Google Scholar 

  11. Funaki NO, et al. Hematogenous spreading of hepatocellular carcinoma cells: possible participation in recurrence in the liver. Hepatology 1997;25:564–8.

    Article  PubMed  CAS  Google Scholar 

  12. Medic S, Pearce RL, Heenan PJ, Ziman M. Molecular markers of circulating melanoma cells. Pigment Cell Res 2007;20:80–91.

    Article  PubMed  CAS  Google Scholar 

  13. Glumac N, Snoj M, Hocevar M, Novakovic S. Prognostic significance of tyrosinase mRNA detected by nested RT-PCR in patients with malignant melanoma. Neoplasma 2006;53:9–14.

    PubMed  CAS  Google Scholar 

  14. Song J, From P, Morrisey W, Sams J. Circulating cancer cells: Pre and post-chemotherapy observations. Cancer 1971;28:553–61.

    Article  PubMed  CAS  Google Scholar 

  15. Goddard MJ, Wilson B, Grant JW. Comparison of commercially available cytokeratin antibodies in normal and neoplastic adult epithelial and non-epithelial tissues. J Clin Pathol 1991;44:660–3.

    Article  PubMed  CAS  Google Scholar 

  16. To A, et al. Use of antisera to epithelial membrane antigen for the cytodiagnosis of malignancy in serous effusions. J Clin Pathol 1981;34:1326–32.

    Article  PubMed  CAS  Google Scholar 

  17. Berois N, et al. Detection of rare human breast cancer cells. Comparison of an immunomagnetic separation method with immunocytochemistry and RT-PCR. Anticancer Res 1997;17:2639–46.

    PubMed  CAS  Google Scholar 

  18. Nasr F, et al. Carcinoma cell leukemia. Blood 1996;88:2355–57.

    PubMed  CAS  Google Scholar 

  19. Bonneterre J, et al. Phase II multicentre randomised study of docetaxel plus epirubicin vs 5-fluorouracil plus epirubicin and cyclophosphamide in metastatic breast cancer. Br J Cancer 2004;91:1466–71.

    PubMed  CAS  Google Scholar 

  20. Ali R, et al. Small cell lung cancer presenting as acute leukaemia. Cytopathology 2005;16:262–3.

    Article  PubMed  CAS  Google Scholar 

  21. Pitini V, Arrigo C, Altavilla G. An acute-leukaemia-like picture due to breast carcinoma cells. Lancet Oncol 2006;7:524.

    Article  PubMed  Google Scholar 

  22. Tam CS, Turner P, McLean C, Whitehead S, Cole-Sinclair M. ‘Leukaemic’ presentation of metastatic Merkel cell carcinoma. Br J Haematol 2005;129:446.

    Article  PubMed  Google Scholar 

  23. Finkel GC, Tishkoff GH. Malignant cells in a peripheral blood smear: report of a case. N Engl J Med 1960;262:187–8.

    Article  PubMed  CAS  Google Scholar 

  24. Myerowitz RL, Edwards PA, Sartiano GP. Carcinocythemia (carcinoma cell leukemia) due to metastatic carcinoma of the breast: report of a case. Cancer 1977;40:3107–11.

    Article  PubMed  CAS  Google Scholar 

  25. Dannaher CL, Yam LT, McKeown JM. Metastatic carcinoma with carcinocythemia mimicking leukemia. South Med J 1979;72:622–4.

    PubMed  CAS  Google Scholar 

  26. Ejeckam GC, Sogbein SK, McLeish WA. Carcinocythemia due to metastatic oat-cell carcinoma of the lung. Can Med Assoc J 1979;120:336–8.

    PubMed  CAS  Google Scholar 

  27. Krause JR. Rhabdomyosarcoma presenting as carcinocythemia. South Med J 1979;72:1007–8.

    PubMed  CAS  Google Scholar 

  28. Solanki DL, McCurdy PR. Oat cell carcinoma mimicking leukemia. Postgrad Med 1980;68:213–6.

    PubMed  CAS  Google Scholar 

  29. Thompson PJ, Maloney P, Hewson J. Small-cell carcinocythaemia. Thorax 1982;37:770.

    Article  PubMed  CAS  Google Scholar 

  30. Yam LT, Janckila AJ. Immunocytodiagnosis of carcinocythemia in disseminated breast cancer. Acta Cytol 1987;31:68–72.

    PubMed  CAS  Google Scholar 

  31. Maldonado A, Fradera J, Velez-Garcia E. Carcinocythemia in a patient with rhabdomyosarcoma. Bol Asoc Med P R 1991;83:13–16.

    PubMed  CAS  Google Scholar 

  32. Sile CC, Perry DJ, Nam L. Small cell carcinocythemia. Arch Pathol Lab Med 1999;123:426–8.

    PubMed  CAS  Google Scholar 

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Correspondence to Gon-Shen Chen.

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Chang, YH., Hsieh, RK., Chang, MC. et al. Breast cancer with an unusual leukemia-like presentation: case report and literature review. Med Oncol 25, 100–103 (2008). https://doi.org/10.1007/s12032-007-0048-2

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