Primary large cell neuroendocrine carcinoma of the breast with metastasis in the lymph nodes: a case report and literature review - Summary - MDSpire

Primary large cell neuroendocrine carcinoma of the breast with metastasis in the lymph nodes: a case report and literature review

  • By

  • HongYan Li

  • MaoTao He

  • HengMing Zhang

  • ChunYu Yu

  • MaiQing Yang

  • June 11, 2026

  • 0 min

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Objective:

To enhance clinical and pathological understanding of primary large cell neuroendocrine carcinoma (LCNEC) of the breast, a rare subtype with diagnostic challenges.

Approach:
    Key Findings:
    • Primary LCNEC of the breast is extremely rare, with fewer than 10 documented cases.
    • Accurate diagnosis is critical to distinguish LCNEC from other breast cancer subtypes, particularly TNBC.
    • Immunohistochemistry is essential for diagnosis, revealing a unique triple-negative immunophenotype.
    Interpretation:

    Limitations:
    • Short-term follow-up of 9 months limits the assessment of long-term efficacy and prognosis.
    • The rarity of LCNEC results in limited comprehensive understanding and treatment guidelines.
    Conclusion:

    This case emphasizes the diagnostic challenges in identifying primary LCNEC of the breast.

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