Difference between revisions of "Fibrocystic breast changes"
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− | {{Top | + | <noinclude>{{Top |
|author1=[[User:Mikael Häggström|Mikael Häggström]] | |author1=[[User:Mikael Häggström|Mikael Häggström]] | ||
|author2= | |author2= | ||
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==Presentations== | ==Presentations== | ||
*[[Breast biopsy or excision]] | *[[Breast biopsy or excision]] | ||
− | + | </noinclude> | |
==Microscopic examination== | ==Microscopic examination== | ||
Types: | Types: | ||
− | <gallery mode=packed> | + | <gallery mode=packed heights=220> |
− | File:Histopathology of sclerosing adenosis of the breast.jpg|'''Sclerosing adenosis''', with an increase in glandular elements in addition to stromal proliferation that distorts and compresses glands.<ref name=PathologyOutlines>{{cite web|url=https://www.pathologyoutlines.com/topic/breastsclerosingadenosis.html|title=Breast - Fibrocystic changes - Sclerosing adenosis|author=Jaya Ruth Asirvatham, M.B.B.S., Julie M. Jorns, M.D.|website=Pathology Outlines}} Topic Completed: 1 January 2015. Minor changes: 31 December 2020</ref> | + | File:Histopathology of sclerosing adenosis of the breast.jpg|'''Sclerosing adenosis''', with an increase in glandular elements in addition to stromal proliferation that distorts and compresses glands.<ref name=PathologyOutlines-fibrocystic>{{cite web|url=https://www.pathologyoutlines.com/topic/breastsclerosingadenosis.html|title=Breast - Fibrocystic changes - Sclerosing adenosis|author=Jaya Ruth Asirvatham, M.B.B.S., Julie M. Jorns, M.D.|website=Pathology Outlines}} Topic Completed: 1 January 2015. Minor changes: 31 December 2020</ref> |
+ | File:Histopathology of a radial scar of the breast.jpg|A '''radial scar''' of the breast, seen as a fibroelastic stroma and entrapped glands radiating outward. | ||
</gallery> | </gallery> | ||
===Differential diagnosis=== | ===Differential diagnosis=== | ||
− | Sclerosing adenosis may look similar to [[invasive ductal carcinoma]] (IDC), but IDC will:<ref name=PathologyOutlines/> | + | Sclerosing adenosis may look similar to [[invasive ductal carcinoma]] (IDC), but IDC will:<ref name=PathologyOutlines-fibrocystic/> |
*Not be lobular at low power | *Not be lobular at low power | ||
*Have marked cellular atypia | *Have marked cellular atypia | ||
− | *Have no myoepithelial cells surrounding | + | *Have no myoepithelial cells surrounding ducts. |
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− | |||
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+ | When unsure, perform immunohistochemistry for myoepithelial markers (preferably '''p63''' and '''calponin''' in breast lesions): | ||
+ | [[File:Chromogenic immunohistochemistry for calponin in sclerosing adenosis.jpg|thumb|center|Immunostain with a myoepithelial marker (calponin) in sclerosing adenosis, showing myoepithelial cells surrounding the ducts, thereby excluding invasive carcinoma.]] | ||
+ | <noinclude> | ||
{{Bottom}} | {{Bottom}} | ||
+ | </noinclude> |
Revision as of 10:50, 4 December 2022
Author:
Mikael Häggström [note 1]
Contents
Presentations
Microscopic examination
Types:
Sclerosing adenosis, with an increase in glandular elements in addition to stromal proliferation that distorts and compresses glands.[1]
Differential diagnosis
Sclerosing adenosis may look similar to invasive ductal carcinoma (IDC), but IDC will:[1]
- Not be lobular at low power
- Have marked cellular atypia
- Have no myoepithelial cells surrounding ducts.
When unsure, perform immunohistochemistry for myoepithelial markers (preferably p63 and calponin in breast lesions):
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
Main page
References
- ↑ 1.0 1.1 Jaya Ruth Asirvatham, M.B.B.S., Julie M. Jorns, M.D.. Breast - Fibrocystic changes - Sclerosing adenosis. Pathology Outlines. Topic Completed: 1 January 2015. Minor changes: 31 December 2020
Image sources