33 Special Types of Invasive Breast Carcinoma: Diagnostic Criteria ...

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Reference (Adenoid Cystic Carcinoma): 1. Rasbridge SA; Millis RR. Adenomyoepithelioma of the breast with malignant features. Virchows Arch 1998; 432(2):123-30. 2. Michal M, Baumruk L, Burger J, Manhalova M: Adenomyoepithelioma of the breast with undifferentiated carcinoma component. Histopathology 24:274– 276, 1994. 3. Tamai M: Intraductal growth of malignant mammary myoepithelioma. Am J Surg Pathol 16:1116–1125, 1992. 4. Wargotz ES, Weiss SW, Norris HJ: Myofibroblastoma of the breast. Sixteen cases of a distinctive benign mesenchymal tumor. Am J Surg Pathol 11:493– 502, 1987. 5. Yu GH, Fishman SJ, Brooks JSJ: Cellular angiolipoma of the breast. Mod Pathol 6:497–499, 1993. 6. Ro JY, Silva EG, Gallager HS: Adenoid cystic carcinoma of the breast. Hum Pathol 1987;18:1276-1281. 7. Herzberg AJ, Bossen EH, Walther PJ. Adenoid cystic carcinoma of the breast metastatic to the kidney. A clinically symptomatic lesion requiring surgical management. Cancer1991;68:1015-20. 8. Van Dorpe J; De Pauw A; Moerman P. Adenoid cystic carcinoma arising in an adenomyoepithelioma of the breast. Virchows Arch 1998;432:119-22. 9. Anthony PP, James PD. Adenoid cystic carcinoma of the breast: prevalence, diagnostic criteria and histogenesis. J Clin Pathol 1975;28:647-55. 10. Friedman BA, Oberman HA. Adenoid cystic carcinoma of the breast. Am J Clin Pathol 1970;54:1-14. 11. Hjorth S, Magnusson RH, Blomquiste PJ. Adenoid cystic carcinoma of the breast. Report of a case in a male and review of the literature. Acta Chir Scand 1977;143:155-8. 12. Koss LG, Brannan CD, Ashikari R. Histologic and ultrastructural features of adenoid cystic carcinoma of the breast. Cancer 1970;26:1271-9. 13. Pia-Foschini M, Reis-Filho JS, Eusebi V, Lakhani SR. Salivary gland-like tumours of the breast: surgical and molecular pathology. J Clin Pathol. 2003;56(7):497-506. 14. Marchiò C, Weigelt B, Reis-Filho JS. Adenoid cystic carcinomas of the breast and salivary glands (or 'The strange case of Dr Jekyll and Mr Hyde' of exocrine gland carcinomas). J Clin Pathol. 2010;63(3):220-8. 15. Peters GN, Wolff M. Adenoid cystic carcinoma of the breast. Report of 11 new 77
cases: review of the literature and discussion of biological behavior. Cancer 1982; 52:680-6. 16. Qizilbash AH, Patterson MC, Oliveira KF. Adenoid cystic carcinoma of the breast. Light and electron microscopy and a brief review of the literature. Arch Pathol Lab Med 1977;101:302-6. 17. Rosen PP. Adenoid cystic carcinoma of the breast. A morphologically heterogeneous neoplasm. Pathol Annu 1989;24(Pt 2):237-54. 18. Sumpio BE, Jennings TA, Merino MJ, Sullivan PD. Adenoid cystic carcinoma of the breast. Data from the Connecticut Tumor Registry and a review of the literature. Ann Surg 1987;205:295-301. 19. Wilson WB, Spell JR Adenoid cystic carcinoma of breast: a case with recurrence and regional metastases. Ann Surg 1967;166:861-4. 20. Lim SK, Kovi J, Warner OG. Adenoid cystic carcinoma of breast with metastasis: a case report and review of the literature. J Nat Med Assoc 1979;71:329-30. 21. Nayer HR. Cylindroma of the breast with pulmonary metastases. Dis Chest 1957;31:324-7. 22. Verani RR, Van der Bel-Kahn J. Mammary adenoid cystic carcinoma with unusual features. Am J Clin Pathol 1973;59:653-8. 23. Colome MI, Ro JY, Ayala AG, El-Naggar A, Siddiqui RT, Ordonez NG. Adenoid cystic carcinoma of the breast metastatic to the kidney. J Urol Pathol 1996;4:69-80. 24. 24. Elsner B. Adenoid cystic carcinoma of the breast. Review of the literature. Pathol Eur 1970;5:357-64. 25. Koller M, Ram Z, Findler G, Lipshitz M. Brain metastasis: a rare manifestation of adenoid cystic carcinoma of the breast. Surg Neurol 1986;26:470-2. 26. Wells CA, Nicoll S, Ferguson DJ. Adenoid cystic carcinoma of the breast: a case with axillary lymph node metastasis. Histopathology 1986:10:415-24. 27. Zaloudek C, Oertel YC, Orenstein JM. Adenoid cystic carcinoma of the breast. Am J Clin Pathol 1984;81:297-307. 28. Düe W, Herbst WD, Loy V, Stein H. Characterization of adenoid cystic carcinoma of the breast by immunohistology. J Clin Pathol 1989;42:470-6. 29. Orenstein JM, Dardick 1, Van Nostrand AW. Ultrastructural similarities of adenoid cystic carcinoma and pleomorphic adenoma. Histopathology 1985;9:623-38. 30. Tavassoli FA, Norris HJ. Mammary adenoid cystic carcinoma with sebaceous differentiation. A morphologic study of the cell types. Arch Pathol Lab Med 1986;110:1045-53. 31. Kleer CG; Oberman HA. Adenoid cystic carcinoma of the breast: value of 78
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33 Special Types of Invasive Breast
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Special Types of Invasive Breast Ca
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INVASIVE BREAST CARCINOMAS CONSIDER
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ER Neg. PR Neg. HER2 Neg. CK 5/6 Po
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Triple-negative Breast Carcinomas
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E-cadherin E-cadherin EGFR ++ ER ne
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ER/PR Positive HER2 Negative INVASI
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Tubulolobular Signet-ring Histiocyt
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Illustrative Example: 61 y/o female
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E-Cadherin ER PR 10/8/2011 17
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LCIS vs DCIS • Patients with lobu
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Examples of E-cadherin staining in
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Classic Low-grade DCIS - E-cadherin
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E-cadherin IHC CASE D 10/8/2011 25
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E-cadherin IHC CASE E 10/8/2011 27
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Literature Summary: Correlation of
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10/8/2011 31
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CD10 SMA MIB-1 10/8/2011 33
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Carter et al. Cancer 1977 & 1983
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Differential Diagnosis: 1. Invasive
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10/8/2011 39
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SYNAPTOPHYSIN SMA 10/8/2011 41
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Nassar et al. (AJSP 2006;30:501-7.)
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Special Types of Invasive Breast Ca
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Tubular carcinoma • It has been d
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Tubular carcinoma Histopathology
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Flat Epithelial Atypia When should
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Microglandular adenosis + reticulin
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mitosis ductal ductal, NST tubular
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Treatment • Breast conservation t
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Cribriform carcinoma Histopathology
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Cribriform carcinoma Prognosis •
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Cribriform Carcinoma Pearls of Path
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Clinicopathological features Mucino
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Case 4 Mucinous carcinoma Mixed muc
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Treatment • Breast conservation a
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Incipient mucocele-like lesion Cyst
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10/8/2011 75
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SMA Dx: Spindle-cell Breast Carcino
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Dx: Pure Squamous Carcinoma 10/8/20
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Osseous Differentiation (Osteosarco
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Spindle-cell Carcinoma of the Breas
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Phyllodes y Tumors Phyllodes Tumor
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Diagnosis: Benign g (Low-grade) Phy
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Diagnosis: Malignant (High-grade) P
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10/8/2011 93
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Illustrative Case 10/8/2011 95
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SMA Calponin 10/8/2011 97
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Dx: Mixed Spindle-cell & Cl Classic
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Dx: Adenomyoepithelioma, Epithelioi
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Case 1 • 40 year old female • B
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What is your diagnosis? 1. Invasive
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Case 4 • Irregular large breast m
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Case 6 • Needle core biopsy of a
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343 What is your best diagnosis? 1.
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349 Case 9 What is your diagnosis?
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Case 11 Case 11 Case 12 • A 68 ye
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Case 13 • Needle core biopsy of a
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What is your diagnosis? 1. Intracys
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What is your best interpretation? 1
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Case 18 What is your best interpret
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Case 20 • 35 year old female with
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Negative ER stain NEG ER Case 22
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What is your best interpretation? 1
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What is your diagnosis? 1. Secretor
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American Soiety of Clinical Patholo
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SPECIAL TYPES OF INVASIVE BREAST CA
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INVASIVE BREAST CARCINOMAS THAT ARE
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of lymphoid cells between sheets of
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studied, this taxonomy identifies s
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molecular subtypes. Indeed, the pea
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In summary, basal-like breast cance
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Page et al. (15) described a pleomo
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The classical pattern of infiltrati
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pathologic findings indistinguishab
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east carcinomas with overlapping fe
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standard" LCIS (their figure 2), wh
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Page 165 and 166: 25. Richter GO, Dockerty MB, Claget
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Page 181 and 182: Case 3: History: A 73 year old fema
Page 183 and 184: cases. In this small tubular carcin
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Page 189 and 190: 9. Bondeson L, Lindholm K. Aspirati
Page 191 and 192: 43. Green I, McCormick B, Cranor M,
Page 193 and 194: mucinous carcinoma (7,11,12,14). In
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Page 217 and 218: Case 7 the breast associated with l
Page 219 and 220: size (14). Metaplastic breast carci
Page 221 and 222: adenoma by others who prefer to avo
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Page 231 and 232: overgrowth (136). While acknowledgi
Page 233 and 234: As noted above, any soft-tissue sar
Page 235 and 236: J Med 73:1078-1082, 1973. 11. Barne
Page 237 and 238: 40. Thorner PS, Kahn HJ, Baumal R,
Page 239 and 240: 75. Fekete P, Petrek J, Majmudar B,
Page 241 and 242: microscopic, ultrastructural, and i
Page 243 and 244: 2006 Apr;30(4):450-6 143. Liberman
Page 245 and 246: Case 8 Case history: A 50 year old
Page 247 and 248: secondary peripheral tumor nodules
Page 249 and 250: Definitive diagnosis of medullary c
Page 251 and 252: Pathol 1988;19:1340-6. 12. Rosen PP
Page 253 and 254: 40. Di Bonito; Royen PM, Ziter FMH.
Page 255: Am J Clin Pathol 1979;72:383-389. 1
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