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Images in Clinical Medicine

Von Recklinghausen's Disease and Breast Cancer

Juan G. Posada, M.D., and Carl G. Chakmakjian, D.O.

N Engl J Med 2005; 352:1799April 28, 2005

Article

A 74-year-old woman with a history of von Recklinghausen's disease presented with infiltrating lobular carcinoma of the left breast (T2N0M0 [stage IB], according to the tumor–node–metastasis [TNM] staging system). On physical examination, the patient had innumerable cutaneous neurofibromas (Panels A and B). Of the patient's three children (twin daughters and a son), all had inherited the condition, which is also called neurofibromatosis 1. One of her daughters had died at the age of 12 years from complications of a viral illness, and both her other daughter and her son had died at the age of 38 from cancer. The patient's breast tumor was both estrogen-receptor–positive and progesterone-receptor–positive. She underwent a modified radical mastectomy and was subsequently treated with tamoxifen. During the past three years, there has been no evidence of a recurrence of the tumor, and the patient has had no other complications.

Juan G. Posada, M.D.
Carl G. Chakmakjian, D.O.
Scott and White Memorial Hospital and Clinic, Temple, TX 76508

Citing Articles (2)

Citing Articles

  1. 1

    Yidong Zhou, Bo Pan, Feng Mao, Qingli Zhu, Zhen Huo, Hongyan Wang, Feng Cai, Zhiyong Liang, Changjun Wang, Yanna Zhang, Qiang Sun. (2011) A Hidden Breast Lump Covered by Nipple Appendices in a Patient with von Recklinghausen Disease: A Case Report and Review of the Literature. Clinical Breast Cancer
    CrossRef

  2. 2

    Nikolaos S. Salemis, Georgios Nakos, Dimitrios Sambaziotis, Stavros Gourgiotis. (2010) Breast cancer associated with type 1 neurofibromatosis. Breast Cancer 17:4, 306-309
    CrossRef