Carcinosarcoma of Breast with Hormone Receptor and Her2/neu Positivity

Carcinosarcoma is an extremely rare tumor of the breast comprising of two distinct cell lines i.e. the epithelial and mesenchymal. It is a highly aggressive tumor with a poor prognosis compared to other breast cancers with a reported incidence of less than 1% of all the breast cancers. A 35 year...

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Main Authors: Deepti Agarwal, Vijay Malik, Ruchi Agarwa, M.K. Garg, Shilpa Garg
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2016-01-01
Series:National Journal of Laboratory Medicine
Subjects:
Online Access:http://www.njlm.net/articles/PDF/2092/7-13279_F(AK)_PF1(VSUAK)_PFA(AK)_PF2(PVSU).pdf
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author Deepti Agarwal
Vijay Malik
Ruchi Agarwa
M.K. Garg
Shilpa Garg
author_facet Deepti Agarwal
Vijay Malik
Ruchi Agarwa
M.K. Garg
Shilpa Garg
author_sort Deepti Agarwal
collection DOAJ
description Carcinosarcoma is an extremely rare tumor of the breast comprising of two distinct cell lines i.e. the epithelial and mesenchymal. It is a highly aggressive tumor with a poor prognosis compared to other breast cancers with a reported incidence of less than 1% of all the breast cancers. A 35 year old female presented to surgical outpatient with a fungating mass in the right breast where cytological analysis from the affected areas revealed spindle cells of malignant potential. A modified radical mastectomy was performed and following histopathological examination of the excised tissue, a final diagnosis of carcinosarcoma of breast was concluded. Immunological staining done showed a negative staining for PR and positive staining for ER, Her-2/neu and CK receptors, as against the conventional triple negative staining pattern. Along with a rare staining pattern of this rare tumor reported in literature, this case merits presentation owing to its diagnostic and therapeutic challenges.
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spelling doaj.art-d735a8962fdb47ccb3cd9eb5b162ed2c2022-12-22T03:27:30ZengJCDR Research and Publications Pvt. Ltd.National Journal of Laboratory Medicine2277-85512455-68822016-01-0151262910.7860/NJLM/2016/13279:2092Carcinosarcoma of Breast with Hormone Receptor and Her2/neu PositivityDeepti Agarwal 0Vijay Malik1Ruchi Agarwa2M.K. Garg3 Shilpa Garg4Associate Professor, Department of Pathology, BPS Govt. Medical College for Women, Khanpur Kalan, Sonipat, Haryana, India.Assistant Professor, Department of Surgery, BPS Govt. Medical College for Women, Khanpur Kalan, Sonipat, Haryana, India.Assistant Professor, Department of Pathology, BPS Govt. Medical College for Women, Khanpur Kalan, Sonipat, Haryana, India.Professor and Head of Department, Department of Surgery, BPS Govt. Medical College for Women, Khanpur Kalan, Sonipat, Haryana, India.Assistant Professor, Department of Pathology, Pt. BD Sharma PGIMS Rohtak, Haryana, India.Carcinosarcoma is an extremely rare tumor of the breast comprising of two distinct cell lines i.e. the epithelial and mesenchymal. It is a highly aggressive tumor with a poor prognosis compared to other breast cancers with a reported incidence of less than 1% of all the breast cancers. A 35 year old female presented to surgical outpatient with a fungating mass in the right breast where cytological analysis from the affected areas revealed spindle cells of malignant potential. A modified radical mastectomy was performed and following histopathological examination of the excised tissue, a final diagnosis of carcinosarcoma of breast was concluded. Immunological staining done showed a negative staining for PR and positive staining for ER, Her-2/neu and CK receptors, as against the conventional triple negative staining pattern. Along with a rare staining pattern of this rare tumor reported in literature, this case merits presentation owing to its diagnostic and therapeutic challenges.http://www.njlm.net/articles/PDF/2092/7-13279_F(AK)_PF1(VSUAK)_PFA(AK)_PF2(PVSU).pdfanti-cytokeratinmetaplastic breast carcinomas (mbc)vimentin
spellingShingle Deepti Agarwal
Vijay Malik
Ruchi Agarwa
M.K. Garg
Shilpa Garg
Carcinosarcoma of Breast with Hormone Receptor and Her2/neu Positivity
National Journal of Laboratory Medicine
anti-cytokeratin
metaplastic breast carcinomas (mbc)
vimentin
title Carcinosarcoma of Breast with Hormone Receptor and Her2/neu Positivity
title_full Carcinosarcoma of Breast with Hormone Receptor and Her2/neu Positivity
title_fullStr Carcinosarcoma of Breast with Hormone Receptor and Her2/neu Positivity
title_full_unstemmed Carcinosarcoma of Breast with Hormone Receptor and Her2/neu Positivity
title_short Carcinosarcoma of Breast with Hormone Receptor and Her2/neu Positivity
title_sort carcinosarcoma of breast with hormone receptor and her2 neu positivity
topic anti-cytokeratin
metaplastic breast carcinomas (mbc)
vimentin
url http://www.njlm.net/articles/PDF/2092/7-13279_F(AK)_PF1(VSUAK)_PFA(AK)_PF2(PVSU).pdf
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AT mkgarg carcinosarcomaofbreastwithhormonereceptorandher2neupositivity
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