{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T21:37:08Z","timestamp":1782941828370,"version":"3.54.5"},"reference-count":8,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T00:00:00Z","timestamp":1722902400000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,8]]},"abstract":"Key Clinical Message<\/jats:title>Epithelial\u2010myoepithelial carcinoma of the breast is an extremely rare biphasic tumor. This report documents the first case of epithelial\u2010myoepithelial carcinoma presenting in the location of a previously treated ductal carcinoma in order to increase the awareness of this entity as a potential differential for recurrent breast lesions.<\/jats:p><\/jats:sec>Abstract<\/jats:title>Epithelial\u2010myoepithelial carcinoma of the breast is an exceedingly rare biphasic tumor, seldom documented in medical literature. This report describes the first known case of this entity at the site of a previously treated neoplasm in a 75\u2010year\u2010old female with a history of high\u2010grade ductal carcinoma in\u00a0situ who presented with a new breast mass. Imaging demonstrated an oval shaped mass with microlobulated borders and hypoechoic echogenicity on ultrasound. Following multidisciplinary discussion, she underwent a mastectomy, revealing epithelial\u2010myoepithelial carcinoma with metaplastic squamous cell carcinoma. The patient began chemotherapy but discontinued due to poor tolerance and neurological complications. Generally, prognosis for epithelial\u2010myoepithelial carcinoma (World Health Organization Classification of Breast Tumors 2019, 8562\/3) is highly variable, with limited available data suggesting that epithelial\u2010myoepithelial carcinoma may follow a course similar to that of breast adenocarcinomas with both hematogenous and lymphatic spread. Treatment typically involves curative excision, though the role of axillary lymph node sampling remains under discussion. This case underscores the need for vigilance in post\u2010treatment surveillance for breast cancer and highlights the importance of recognizing this entity in recurrent breast pathology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.9270","type":"journal-article","created":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T05:27:26Z","timestamp":1723008446000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Epithelial\u2010myoepithelial carcinoma occurrence in the site of previously treated ductal carcinoma in\u00a0situ of the breast: Imaging features with histopathologic correlation, a case report and review of the literature"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3382-1986","authenticated-orcid":false,"given":"Jessica","family":"Hui","sequence":"first","affiliation":[{"name":"Department of Radiology University of Iowa Hospitals and Clinics Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Zhan","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Iowa Hospitals and Clinics Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amani","family":"Bashir","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Iowa Hospitals and Clinics Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabiana","family":"Policeni","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Iowa Hospitals and Clinics Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su","family":"Kim\u00a0Hsieh","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Iowa Hospitals and Clinics Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/8879035"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/jclinpath-2012-201078"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.10.6064"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40792-020-00881-2"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1066896918821182"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0377-1237(11)80023-7"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.21276\/apalm.3248"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19981001)83:7<1292::AID-CNCR4>3.0.CO;2-L"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.9270","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T04:23:27Z","timestamp":1726287807000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.9270"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":8,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1002\/ccr3.9270"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.9270","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8]]},"assertion":[{"value":"2024-05-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e9270"}}