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

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

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Illustrative Case #2 Carcinoma + sarcoma = carcinosarcoma 10/8/2011 80

Osseous Differentiation (Osteosarcoma) Dx: Carcinosarcoma with OOsseous Differentiation Diff ti ti (Osteogenic Sarcoma) Prognosis of Metaplastic Carcinoma Rayson, et al. (Mayo Clinic). Annals of Oncology 10:413-419, 1999. • 3-year DFS was 40%. • 3-year OS was 71%. • 87% of MBC patients were node negative. • 10 chemo regimens used for metastatic disease - one partial response. • NNo responses tto tamoxifen t if in i 4 patients ti t with ith metastatic t t ti disease. di • Median survival after development of metastases was 8 mos. • Conclusions: Despite presenting more commonly as nodenegative disease, DFS and OS in MBC is decreased compared to typical adeno-carcinomas. Systemic therapy also appears to be less effective. • 5-year OS for matrix-producing carcinoma roughly 68%. • 5-year OS for invasive breast carcinoma (all types) roughly 75% 10/8/2011 81

Illustrative<br />

Case #2<br />

<strong>Carcinoma</strong> + sarcoma = carcinosarcoma<br />

10/8/2011<br />

80

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