Lipid-rich histology in a basal-type immunoprofile breast carcinoma: histochemical and immunohistochemical analysis of a case

We describe the clinicopathological and morphological features of an unusual breast carcinoma classifiable as a lipid-rich variant of ductal invasive carcinoma, with a basal-type immunohistochemical profile. Basal-type breast cancers show no hormonal receptor expression, rarely over-express HER-2 bu...

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Main Authors: Francesco Maria Maiello, Joseph Sepe, Giovanni Battista, Giuseppe Pisani, Paola Vinaccia, Antonella Siciliano, Serena Russo, Diana Coppola, Francesca Baldassarre
Format: Article
Language:English
Published: SAGE Publishing 2009-12-01
Series:Rare Tumors
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/rt/article/view/1267
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author Francesco Maria Maiello
Joseph Sepe
Giovanni Battista
Giuseppe Pisani
Paola Vinaccia
Antonella Siciliano
Serena Russo
Diana Coppola
Francesca Baldassarre
author_facet Francesco Maria Maiello
Joseph Sepe
Giovanni Battista
Giuseppe Pisani
Paola Vinaccia
Antonella Siciliano
Serena Russo
Diana Coppola
Francesca Baldassarre
author_sort Francesco Maria Maiello
collection DOAJ
description We describe the clinicopathological and morphological features of an unusual breast carcinoma classifiable as a lipid-rich variant of ductal invasive carcinoma, with a basal-type immunohistochemical profile. Basal-type breast cancers show no hormonal receptor expression, rarely over-express HER-2 but exhibit molecular high weight cytokeratins, EGFR and c-kit positivity. Special stains and histochemistry tests were used to elucidate the nature of vescicles in the neoplastic cells. Sudan IV was performed on formalin-fixed tissue. Commercially available antibodies tested were: ER, PgR, EGFR, HER2, c-kit, high molecular weight cytokeratins. Cytoplasmic lipids were highlighted as red-orange droplets on Sudan IV staining. As for immunohistochemistry, the tumor showed no reactivity to ER, PgR and HER2 (triple negative), and diffuse and strong positivity to high weight cytokeratins, EGFR and c-kit, such as a basal-type breast carcinoma. A basaloid phenotype in a lipid-rich carcinoma has not been previously reported.
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spelling doaj.art-2844dfb92a394dd79ade6bdf2a02b46b2022-12-21T19:20:49ZengSAGE PublishingRare Tumors2036-36032036-36132009-12-0112e41e4110.4081/rt.2009.e41Lipid-rich histology in a basal-type immunoprofile breast carcinoma: histochemical and immunohistochemical analysis of a caseFrancesco Maria MaielloJoseph SepeGiovanni BattistaGiuseppe PisaniPaola VinacciaAntonella SicilianoSerena RussoDiana CoppolaFrancesca BaldassarreWe describe the clinicopathological and morphological features of an unusual breast carcinoma classifiable as a lipid-rich variant of ductal invasive carcinoma, with a basal-type immunohistochemical profile. Basal-type breast cancers show no hormonal receptor expression, rarely over-express HER-2 but exhibit molecular high weight cytokeratins, EGFR and c-kit positivity. Special stains and histochemistry tests were used to elucidate the nature of vescicles in the neoplastic cells. Sudan IV was performed on formalin-fixed tissue. Commercially available antibodies tested were: ER, PgR, EGFR, HER2, c-kit, high molecular weight cytokeratins. Cytoplasmic lipids were highlighted as red-orange droplets on Sudan IV staining. As for immunohistochemistry, the tumor showed no reactivity to ER, PgR and HER2 (triple negative), and diffuse and strong positivity to high weight cytokeratins, EGFR and c-kit, such as a basal-type breast carcinoma. A basaloid phenotype in a lipid-rich carcinoma has not been previously reported.http://www.pagepress.org/journals/index.php/rt/article/view/1267Breast carcinoma – Basal type – EGFR – c-kit – Lipid-rich.
spellingShingle Francesco Maria Maiello
Joseph Sepe
Giovanni Battista
Giuseppe Pisani
Paola Vinaccia
Antonella Siciliano
Serena Russo
Diana Coppola
Francesca Baldassarre
Lipid-rich histology in a basal-type immunoprofile breast carcinoma: histochemical and immunohistochemical analysis of a case
Rare Tumors
Breast carcinoma – Basal type – EGFR – c-kit – Lipid-rich.
title Lipid-rich histology in a basal-type immunoprofile breast carcinoma: histochemical and immunohistochemical analysis of a case
title_full Lipid-rich histology in a basal-type immunoprofile breast carcinoma: histochemical and immunohistochemical analysis of a case
title_fullStr Lipid-rich histology in a basal-type immunoprofile breast carcinoma: histochemical and immunohistochemical analysis of a case
title_full_unstemmed Lipid-rich histology in a basal-type immunoprofile breast carcinoma: histochemical and immunohistochemical analysis of a case
title_short Lipid-rich histology in a basal-type immunoprofile breast carcinoma: histochemical and immunohistochemical analysis of a case
title_sort lipid rich histology in a basal type immunoprofile breast carcinoma histochemical and immunohistochemical analysis of a case
topic Breast carcinoma – Basal type – EGFR – c-kit – Lipid-rich.
url http://www.pagepress.org/journals/index.php/rt/article/view/1267
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