The Role of E-cadherin in the Differentiation of Ductal and Lobular Breast Carcinomas

Background: Diagnosis of certain types of breast cancer can be difficult due to similarities in their histopathological patterns. In such cases markers can be useful in confirming results. E-cadherin is one such marker. Objective: To differentiate the rate of  E-cadherin immunohistochemical expr...

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Main Authors: Tara M A Saeed, Tamara Almufty, Fairuz A Kakasur, Namir Ghanim Al-Tawil Hawler
Format: Article
Language:English
Published: College of medicine/ University of Diyala 2020-10-01
Series:Diyala Journal of Medicine
Subjects:
Online Access:http://djm.uodiyala.edu.iq/index.php/djm/article/view/587
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author Tara M A Saeed
Tamara Almufty
Fairuz A Kakasur
Namir Ghanim Al-Tawil Hawler
author_facet Tara M A Saeed
Tamara Almufty
Fairuz A Kakasur
Namir Ghanim Al-Tawil Hawler
author_sort Tara M A Saeed
collection DOAJ
description Background: Diagnosis of certain types of breast cancer can be difficult due to similarities in their histopathological patterns. In such cases markers can be useful in confirming results. E-cadherin is one such marker. Objective: To differentiate the rate of  E-cadherin immunohistochemical expression between the major histological types of breast cancer (lobular versus ductal),  in addition to correlating it to the clinicopathological factors such as age of patients and grade of the tumor and explore the effectiveness of using it in distinguishing the cases with overlapping features. Patients and Methods: A total of 100 malignant breast samples (55 ductal lesions, 24 lobular lesions, and 21 uncertain types), collected during the period of 2014 – 2017 in Erbil, and were reviewed before undergoing E-cadherin immunohistochemistry (IHC) staining. The results from IHC were compared with the results from the morphological study of the samples and they were statistically analyzed in relation with clinicopathological factors. Results: The normal ductal cells had strong complete homogenous membrane E-cadherin reactivity in 85% of the ductal carcinoma cases. The complete absence of E-cadherin membrane staining occurred in all 24 cases of lobular cases. The rest of the 21 cases, showed variable degrees of staining. Conclusion: There is diagnostic usefulness in the detection of E-cadherin expression by immunohistochemistry  as a tool in distinguishing ductal from lobular carcinoma.
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spelling doaj.art-cf881fd8eab34a199e8eae8d86b1cf822023-11-24T23:22:54ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822020-10-01191The Role of E-cadherin in the Differentiation of Ductal and Lobular Breast CarcinomasTara M A SaeedTamara Almufty Fairuz A Kakasur Namir Ghanim Al-Tawil Hawler Background: Diagnosis of certain types of breast cancer can be difficult due to similarities in their histopathological patterns. In such cases markers can be useful in confirming results. E-cadherin is one such marker. Objective: To differentiate the rate of  E-cadherin immunohistochemical expression between the major histological types of breast cancer (lobular versus ductal),  in addition to correlating it to the clinicopathological factors such as age of patients and grade of the tumor and explore the effectiveness of using it in distinguishing the cases with overlapping features. Patients and Methods: A total of 100 malignant breast samples (55 ductal lesions, 24 lobular lesions, and 21 uncertain types), collected during the period of 2014 – 2017 in Erbil, and were reviewed before undergoing E-cadherin immunohistochemistry (IHC) staining. The results from IHC were compared with the results from the morphological study of the samples and they were statistically analyzed in relation with clinicopathological factors. Results: The normal ductal cells had strong complete homogenous membrane E-cadherin reactivity in 85% of the ductal carcinoma cases. The complete absence of E-cadherin membrane staining occurred in all 24 cases of lobular cases. The rest of the 21 cases, showed variable degrees of staining. Conclusion: There is diagnostic usefulness in the detection of E-cadherin expression by immunohistochemistry  as a tool in distinguishing ductal from lobular carcinoma. http://djm.uodiyala.edu.iq/index.php/djm/article/view/587Ductal carcinoma, Lobular carcinoma, E-cadherin, Breast
spellingShingle Tara M A Saeed
Tamara Almufty
Fairuz A Kakasur
Namir Ghanim Al-Tawil Hawler
The Role of E-cadherin in the Differentiation of Ductal and Lobular Breast Carcinomas
Diyala Journal of Medicine
Ductal carcinoma, Lobular carcinoma, E-cadherin, Breast
title The Role of E-cadherin in the Differentiation of Ductal and Lobular Breast Carcinomas
title_full The Role of E-cadherin in the Differentiation of Ductal and Lobular Breast Carcinomas
title_fullStr The Role of E-cadherin in the Differentiation of Ductal and Lobular Breast Carcinomas
title_full_unstemmed The Role of E-cadherin in the Differentiation of Ductal and Lobular Breast Carcinomas
title_short The Role of E-cadherin in the Differentiation of Ductal and Lobular Breast Carcinomas
title_sort role of e cadherin in the differentiation of ductal and lobular breast carcinomas
topic Ductal carcinoma, Lobular carcinoma, E-cadherin, Breast
url http://djm.uodiyala.edu.iq/index.php/djm/article/view/587
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