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Breast-malignant, males, children

Solid variant of lobular carcinoma

 

Author: Nat Pernick, M.D, PathologyOutlines.com, Inc.

Reviewer: Daniel Visscher, M.D., University of Michigan Hospitals, February 2009 (see Reviewers page)

Revised: 13 September 2009

Last major update: September 2009

Copyright: (c) 2002-2009, PathologyOutlines.com, Inc.

 

Definition

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First described in 1975 (Hum Pathol 1975;6:373)

● Cells grow in sheets that engulf normal structures and infiltrate fat

● Cells have cytologic features of classic lobular carcinoma

● Little intervening stroma present

● Resembles lymphoma

 

Clinical

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● In 1989, represented 6% of all lobular carcinomas, and had poorest survival of all subtypes (Br J Cancer 1989;60:605)

 

Case reports

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Acta Cytol 1994;38:767

 

Micro images

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Diffuse tumor cell infiltration

 

 

    

Solid pattern, but cells are still separate and distinct

 

 

    

Pan-keratin                               E-cadherin

 

Differential diagnosis

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● Histiocytoid variant of lobular carcinoma - solid growth pattern, but with foamy to granular cytoplasmic change (Pathol Int 2005;55:353)

 

End of Breast – Malignant, Males, Children > Solid variant of lobular carcinoma

 

 

 

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