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

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Osseous Differentiation (Osteosarcoma)<br />

Dx:<br />

Carcinosarcoma<br />

with<br />

OOsseous Differentiation<br />

Diff ti ti<br />

(Osteogenic Sarcoma)<br />

Prognosis <strong>of</strong> Metaplastic <strong>Carcinoma</strong><br />

Rayson, et al. (Mayo Clinic). Annals <strong>of</strong> Oncology 10:413-419, 1999.<br />

• 3-year DFS was 40%.<br />

• 3-year OS was 71%.<br />

• 87% <strong>of</strong> MBC patients were node negative.<br />

• 10 chemo regimens used for metastatic disease - one partial<br />

response.<br />

• NNo responses tto tamoxifen t if in i 4 patients ti t with ith metastatic t t ti disease. di<br />

• Median survival after development <strong>of</strong> metastases was 8 mos.<br />

• Conclusions: Despite presenting more commonly as nodenegative<br />

disease, DFS and OS in MBC is decreased compared<br />

to typical adeno-carcinomas. Systemic therapy also appears to<br />

be less effective.<br />

• 5-year OS for matrix-producing carcinoma roughly 68%.<br />

• 5-year OS for invasive breast carcinoma (all types) roughly 75%<br />

10/8/2011<br />

81

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