Primary neuroendocrine carcinoma of the breast in association with squamous cell carcinoma of the breast: A case report and review of the literature

INTRODUCTION AND IMPORTANCE: Squamous cell carcinoma associated with primary neuroendocrine carcinoma (NEC) of the breast, also known as composite tumor, is an extremely rare malignancy with a very poor prognosis. PRESENTATION OF CASE: We report the case of a patient treated in our department for primary neuroendocrine carcinoma of the breast associated with squamous cell carcinoma by radical surgery. CLINICAL DISCUSSION: Diagnosis is based on histology and, above all, immunohistochemistry. Management depends on the primary or secondary origin of the neuroendocrine component, which constitutes the prognostic element. CONCLUSION: Squamous cell carcinoma associated with neuroendocrine carcinoma of the breast is an aggressive tumor. Due to its rarity, it is difficult to diagnose and to determine the most appropriate therapeutic protocol.