Liu Li-Yun, Sheng Shu-Hai, Zhang Zhi-Yong, Xu Jin-Heng
Department of Pathology, Tangshan Gongren Hospital Tangshan, China.
Department of Breast Surgery, Tangshan Gongren Hospital Tangshan, China.
Int J Clin Exp Pathol. 2015 Jul 1;8(7):8568-72. eCollection 2015.
Matrix-producing carcinoma (MPC) of the breast is an extremely rare variant of metaplastic breast carcinoma that contains a mixture of epithelial and mesenchymal elements. As overt carcinoma with direct transition to a cartilaginous and/or osseous stromal matrix cells, MPC is of no spindle cells between those two elements. This is the case of a 43 year-old female patient with MPC which coexisted with microglandular adenosis (MGA), atypical MGA (AMGA) and carcinoma in situ arising in MGA (MGACA in situ). MGA is a rare, infiltrative, benign lesion of the breast with an indolent clinical course. Histological evidence of carcinoma arising from MGA has previously been documented. MPC arising in MGA is an extremely rare subtype of breast carcinoma and has been seldom detailed described in the previous studies. This report highlights one such case with cytomorphological and histopathological correlation, along with a review of pertinent literature and differential diagnosis.
乳腺产基质癌(MPC)是一种极其罕见的化生性乳腺癌变体,包含上皮和间充质成分的混合物。作为直接转变为软骨和/或骨基质细胞的明显癌,MPC在这两种成分之间没有梭形细胞。本文报道了一名43岁患有MPC的女性患者,该患者同时合并微腺性腺病(MGA)、非典型MGA(AMGA)以及起源于MGA的原位癌(原位MGACA)。MGA是一种罕见的、浸润性的、临床病程惰性的乳腺良性病变。先前已有文献记载MGA发生癌变的组织学证据。起源于MGA的MPC是一种极其罕见的乳腺癌亚型,在先前的研究中很少有详细描述。本报告重点介绍了这样一例具有细胞形态学和组织病理学相关性的病例,并对相关文献及鉴别诊断进行了综述。