Semra DEMİRLİ ATICI, Semra SALİMOĞLU, Buğra SAĞLAM, Gülen GÜL, Cengiz AYDIN

Memede Kitlenin Nadir Bir Nedeni: Granüler Hücreli Tümör

Granüler hücreli tümör sıklıkla baş ve boyun bölgesini etkileyen, Schwann hücrelerinden kaynaklanan, nadir bir yumuşak doku tümörü tipidir. Vücutta pek çok farklı organ tutulumu olabilen granüler hücreli tümör, nadir de olsa memede de gözlenebilmektedir. Elli yedi yaşında postmenopozal kadın hastaya sol memede hızlı büyüyen ele gelen ağrısız palpabl kitle nedeniyle dış merkezde eksizyonel biyopsi uygulanmıştı. Biyopsisi memenin granüler hücreli tümörü olarak raporlanan ve cerrahi sınır pozitifliği olan hastaya, geniş sağlam cerrahi sınırlarla reeksizyon yapıldı. Postoperatif takiplerinde bir problem yaşanmayan hasta sorunsuz bir şekilde taburcu edildi. Klinik ve radyolojik olarak meme karsinomuna benzerlik gösteren granüler hücreli meme tümörünün cerrahi tedavisinde lokal nüksü engellemek amacıyla geniş lokal eksizyon yapılmalıdır. Bu olgu sunumunda, granüler hücreli tümörün tanı ve tedavisini güncel literatür bilgisi eşliğinde sunmayı amaçladık.

Anahtar Kelimeler:

Granüler hücreli tümör, meme kanseri, calretinin

A Rare Cause of Breast Mass: Granular Cell Tumor

Granular cell tumor is a rare type of soft tissue tumor originated from Schwann cells and often affecting head and neck region. Granular cell tumor, which may have many different organ involvements in the body, can rarely observed in breast tissue. A 57-year-old postmenopausal woman underwent excisional biopsy in another health facility due to a palpable rapidly growing painless mass on her left breast. Re-excision with wide surgical margins was performed to the patient whose biopsy was reported as granular cell tumor of breast with positive surgical margin. Postoperative follow-up was uneventful, and the patient was discharged without complication. Wide local excision should be performed to prevent local recurrence in the surgical treatment of granular cell breast tumor, which is similar to breast carcinoma in both radiological and clinic appearance. In this case report, we aimed to present diagnosis and treatment of granular cell tumor with current literature knowledge.

Keywords:

Granular cell tumor, breast cancer, calretinin,

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