Core biopsies of the breast: Diagnostic pitfalls

The incidence of breast cancer is increasing worldwide. In this review article, the authors compare and contrast the incidence of breast cancer, and the inherent differences in the United States (US) and India in screening techniques used for diagnosing breast cancer. In spite of these differences,...

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Main Authors: Megha Joshi, Sriharshan J Reddy, Manjiri Nanavidekar, John P Russo, Armand V Russo, Ram Pathak
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2011;volume=54;issue=4;spage=671;epage=682;aulast=Joshi
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author Megha Joshi
Sriharshan J Reddy
Manjiri Nanavidekar
John P Russo
Armand V Russo
Ram Pathak
author_facet Megha Joshi
Sriharshan J Reddy
Manjiri Nanavidekar
John P Russo
Armand V Russo
Ram Pathak
author_sort Megha Joshi
collection DOAJ
description The incidence of breast cancer is increasing worldwide. In this review article, the authors compare and contrast the incidence of breast cancer, and the inherent differences in the United States (US) and India in screening techniques used for diagnosing breast cancer. In spite of these differences, core biopsies of the breast are common for diagnosis of breast cancer in both countries. The authors describe "Best Practices" in the reporting and processing of core biopsies and in the analysis of estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor Receptor 2 (Her2/neu). The pitfalls in the diagnosis of fibroepithelial lesions of the breast on core biopsy are discussed, as also the significance of pseudoangiomatous stromal hyperplasia of the breast (PASH) is discussed in core biopsy. In this review, the management and diagnosis of flat epithelial atypia and radiation atypia are elaborated and the use of immunohistochemistry (IHC) in papillary lesions, phyllodes tumor, and complex sclerosing lesions (radial scars) is illustrated. Rarer lesions such as mucinous and histiocytoid carcinoma are also discussed.
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spelling doaj.art-164d6c9bc7ab41058a28ff7d35dd51c32022-12-22T02:33:14ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292011-01-0154467168210.4103/0377-4929.91490Core biopsies of the breast: Diagnostic pitfallsMegha JoshiSriharshan J ReddyManjiri NanavidekarJohn P RussoArmand V RussoRam PathakThe incidence of breast cancer is increasing worldwide. In this review article, the authors compare and contrast the incidence of breast cancer, and the inherent differences in the United States (US) and India in screening techniques used for diagnosing breast cancer. In spite of these differences, core biopsies of the breast are common for diagnosis of breast cancer in both countries. The authors describe "Best Practices" in the reporting and processing of core biopsies and in the analysis of estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor Receptor 2 (Her2/neu). The pitfalls in the diagnosis of fibroepithelial lesions of the breast on core biopsy are discussed, as also the significance of pseudoangiomatous stromal hyperplasia of the breast (PASH) is discussed in core biopsy. In this review, the management and diagnosis of flat epithelial atypia and radiation atypia are elaborated and the use of immunohistochemistry (IHC) in papillary lesions, phyllodes tumor, and complex sclerosing lesions (radial scars) is illustrated. Rarer lesions such as mucinous and histiocytoid carcinoma are also discussed.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2011;volume=54;issue=4;spage=671;epage=682;aulast=JoshiBreastbiopsybreast cancercarcinomaductal carcinoma in situERfibroepithelial lesionsHer2-neuPRphyllodes tumor
spellingShingle Megha Joshi
Sriharshan J Reddy
Manjiri Nanavidekar
John P Russo
Armand V Russo
Ram Pathak
Core biopsies of the breast: Diagnostic pitfalls
Indian Journal of Pathology and Microbiology
Breast
biopsy
breast cancer
carcinoma
ductal carcinoma in situ
ER
fibroepithelial lesions
Her2-neu
PR
phyllodes tumor
title Core biopsies of the breast: Diagnostic pitfalls
title_full Core biopsies of the breast: Diagnostic pitfalls
title_fullStr Core biopsies of the breast: Diagnostic pitfalls
title_full_unstemmed Core biopsies of the breast: Diagnostic pitfalls
title_short Core biopsies of the breast: Diagnostic pitfalls
title_sort core biopsies of the breast diagnostic pitfalls
topic Breast
biopsy
breast cancer
carcinoma
ductal carcinoma in situ
ER
fibroepithelial lesions
Her2-neu
PR
phyllodes tumor
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2011;volume=54;issue=4;spage=671;epage=682;aulast=Joshi
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AT manjirinanavidekar corebiopsiesofthebreastdiagnosticpitfalls
AT johnprusso corebiopsiesofthebreastdiagnosticpitfalls
AT armandvrusso corebiopsiesofthebreastdiagnosticpitfalls
AT rampathak corebiopsiesofthebreastdiagnosticpitfalls