Invasive lobular carcinoma co-existing with benign phylloides tumor

<p class="Pa19"><span>Phylloides tumor constitutes less than 1% of all breast tumors and 2 - 3% of fibroepithelial breast tumors. Several histological parameters should be evaluated, including stromal cellularity, atypia, mitoses, stromal overgrowth, infiltrative borders, and p...

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Main Authors: S Shrestha, B Sigdel, K Pande, B Gurung
Format: Article
Language:English
Published: Association of Clinical Pathologists of Nepal 2014-04-01
Series:Journal of Pathology of Nepal
Subjects:
Online Access:http://www.nepjol.info/index.php/JPN/article/view/10321
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author S Shrestha
B Sigdel
K Pande
B Gurung
author_facet S Shrestha
B Sigdel
K Pande
B Gurung
author_sort S Shrestha
collection DOAJ
description <p class="Pa19"><span>Phylloides tumor constitutes less than 1% of all breast tumors and 2 - 3% of fibroepithelial breast tumors. Several histological parameters should be evaluated, including stromal cellularity, atypia, mitoses, stromal overgrowth, infiltrative borders, and presence or absence of necrosis. Here we report a case of a 60 years- old female who presented with left breast lump. Fine needle aspiration cytology was done which suggested epithelial hyperplasia with fibrocystic changes. Biopsy was performed which showed predominance of stromal hypercellularity with proliferation of spindle cells (no atypia, mitosis and stromal overgrowth were noticed). However, a focus showed proliferation of discohesive tumor cells arranged singly and in single file. A diagnosis of benign phylloides tumor with foci of invasive lobular carcinoma was made. The diagnosis was confirmed with IHC which showed intense 80%positivity for estrogen and progesterone receptor and spindle cells showing positivity for bcl-2. In situ lobular carcinoma component was not observed. </span></p> <p class="Pa19"><span>DOI:<span>&nbsp;</span></span><span><a href="http://dx.doi.org/10.3126/jpn.v4i7.10321">http://dx.doi.org/10.3126/jpn.v4i7.10321</a> &nbsp;</span></p> <p class="Pa19"><span>Journal of Pathology of Nepal (2014) Vol.<span>&nbsp;</span><strong>4</strong>, 597-599</span></p>
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spelling doaj.art-2011fabcc69942f2acf09a93bb8e6def2022-12-21T23:59:33ZengAssociation of Clinical Pathologists of NepalJournal of Pathology of Nepal2091-07972091-09082014-04-014759759910.3126/jpn.v4i7.103218206Invasive lobular carcinoma co-existing with benign phylloides tumorS Shrestha0B Sigdel1K Pande2B Gurung3Department of Pathology, Patan Academy of Health Sciences, Patan Hospital, KathmanduDepartment of Pathology, Patan Academy of Health Sciences, Patan Hospital, KathmanduDepartment of Pathology, Patan Academy of Health Sciences, Patan Hospital, KathmanduDepartment of Pathology, Patan Academy of Health Sciences, Patan Hospital, Kathmandu<p class="Pa19"><span>Phylloides tumor constitutes less than 1% of all breast tumors and 2 - 3% of fibroepithelial breast tumors. Several histological parameters should be evaluated, including stromal cellularity, atypia, mitoses, stromal overgrowth, infiltrative borders, and presence or absence of necrosis. Here we report a case of a 60 years- old female who presented with left breast lump. Fine needle aspiration cytology was done which suggested epithelial hyperplasia with fibrocystic changes. Biopsy was performed which showed predominance of stromal hypercellularity with proliferation of spindle cells (no atypia, mitosis and stromal overgrowth were noticed). However, a focus showed proliferation of discohesive tumor cells arranged singly and in single file. A diagnosis of benign phylloides tumor with foci of invasive lobular carcinoma was made. The diagnosis was confirmed with IHC which showed intense 80%positivity for estrogen and progesterone receptor and spindle cells showing positivity for bcl-2. In situ lobular carcinoma component was not observed. </span></p> <p class="Pa19"><span>DOI:<span>&nbsp;</span></span><span><a href="http://dx.doi.org/10.3126/jpn.v4i7.10321">http://dx.doi.org/10.3126/jpn.v4i7.10321</a> &nbsp;</span></p> <p class="Pa19"><span>Journal of Pathology of Nepal (2014) Vol.<span>&nbsp;</span><strong>4</strong>, 597-599</span></p>http://www.nepjol.info/index.php/JPN/article/view/10321Phylloides TumorInvasive Lobular carcinomaEstrogen receptorProgesterone receptor
spellingShingle S Shrestha
B Sigdel
K Pande
B Gurung
Invasive lobular carcinoma co-existing with benign phylloides tumor
Journal of Pathology of Nepal
Phylloides Tumor
Invasive Lobular carcinoma
Estrogen receptor
Progesterone receptor
title Invasive lobular carcinoma co-existing with benign phylloides tumor
title_full Invasive lobular carcinoma co-existing with benign phylloides tumor
title_fullStr Invasive lobular carcinoma co-existing with benign phylloides tumor
title_full_unstemmed Invasive lobular carcinoma co-existing with benign phylloides tumor
title_short Invasive lobular carcinoma co-existing with benign phylloides tumor
title_sort invasive lobular carcinoma co existing with benign phylloides tumor
topic Phylloides Tumor
Invasive Lobular carcinoma
Estrogen receptor
Progesterone receptor
url http://www.nepjol.info/index.php/JPN/article/view/10321
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AT bgurung invasivelobularcarcinomacoexistingwithbenignphylloidestumor