Adenoid cystic carcinoma of the breast: a tumour commonly devoid of oestrogen receptors and related proteins.

作者: Trendell-Smith , Peston , Shousha

DOI: 10.1046/J.1365-2559.1999.00722.X

关键词: CarcinomaStainingMammary glandAdenoid cystic carcinomaPathologyBiologyReceptorImmunoperoxidaseImmunohistochemistryCribriform Carcinoma

摘要: Aim Adenoid cystic carcinoma (ACC) of the breast is an uncommon well-differentiated tumour with good prognosis, and sometimes difficult to distinguish from in-situ invasive cribriform (ICC) which are relatively more common. Recently, we encountered a case ACC that proved be totally oestrogen receptor (ER) negative by immunohistochemistry. We investigated possibility this may consistent feature can help in differentiating ICC usually ER positive. Methods results The immunoperoxidase technique was used study expression other related proteins six cases two ICC. All were for progesterone (PgR) receptors whereas strongly positive showed variable degree PgR positivity. In addition, pS2 minimal prolactin (PrlR), while widespread strong staining PrlR. The percentages cells positively Ki67 p27 generally lower than Both types c-erbB-2 negative, but p53 weakly moderately positive. Conclusions The findings suggest would confirm diagnosis contrast always seen also raise issue presence specific class carcinomas not because poor differentiation, their derivation from, or differentiation along, cell lineage.

参考文章(29)
T. L. M. Pasha, J. E. Tomaszewski, K. T. Montone, C. V. Clevenger, Wan-Ping Chang, Winnie Ngo, Expression of prolactin and prolactin receptor in human breast carcinoma. Evidence for an autocrine/paracrine loop. American Journal of Pathology. ,vol. 146, pp. 695- 705 ,(1995)
P P Rosen, M L Cranor, Secretory carcinoma of the breast. Archives of Pathology & Laboratory Medicine. ,vol. 115, pp. 141- 144 ,(1991)
Kahn Hj, Zbieranowski I, Pastolero G, Hanna W, Proliferative activity and p53 expression in adenoid cystic carcinoma of the breast. Modern Pathology. ,vol. 9, pp. 215- 219 ,(1996)
Thomas J. Anderson, David L. Page, Diagnostic Histopathology of the Breast ,(1988)
Richard M. Elledge, D. Craig Allred, The p53 tumor suppressor gene in breast cancer. Breast Cancer Research and Treatment. ,vol. 32, pp. 39- 47 ,(1994) , 10.1007/BF00666204
Cheung Chhieng, Milicent Cranor, Martin E. Lesser, Paul Peter Rosen, Metaplastic Carcinoma of the Breast With Osteocartilaginous Heterologous Elements The American Journal of Surgical Pathology. ,vol. 22, pp. 188- 194 ,(1998) , 10.1097/00000478-199802000-00006
C.A. WELLS, S. NICOLL, D.J.P. FERGUSON, Adenoid cystic carcinoma of the breast: a case with axillary lymph node metastasis. Histopathology. ,vol. 10, pp. 415- 424 ,(1986) , 10.1111/J.1365-2559.1986.TB02494.X
Charles Catzavelos, Nandita Bhattacharya, Yee C. Ung, James A. Wilson, Luba Roncari, Charanjit Sandhu, Patricia Shaw, Herman Yeger, Isabella Morava-Protzner, Linda Kapusta, Edmée Franssen, Kathleen I. Pritchard, Joyce M. Slingerland, Decreased levels of the cell-cycle inhibitor p27Kip1 protein: prognostic implications in primary breast cancer. Nature Medicine. ,vol. 3, pp. 227- 230 ,(1997) , 10.1038/NM0297-227