Department of Cancer Prevention, Medical University of Warsaw, 81 Zwirki i Wigury St, 02-091, Warsaw, Poland.
Doctoral School, Medical University of Warsaw, Warsaw, Poland.
Sci Rep. 2021 Mar 11;11(1):5770. doi: 10.1038/s41598-021-85309-z.
Mucinous breast cancer (MBC) is a rare histological type of breast cancer characterized primarily by mucin's production and extracellular presence. MBC is usually associated with a better prognosis than other invasive breast neoplasms. Because of the low prevalence, MBC biology is not well understood. The aim of the present study was to introduce the last 2-year experience regarding MBC pathological diagnostics in our clinical center and comparison of the obtained data with invasive breast carcinoma of no special type (NST) comprising the most common invasive breast cancer. We identified 24 MBC cases representing 3.09% of all 766 invasive breast cancers, including 15 cases of pure type and 9 mixed MBCs. The median MBC patients' age at presentation was 65.5 years. Compared to NST, MBC presented a higher T stage with a statistically larger tumor median size, although lower regional lymph node involvement, tumor histological grade and TNM stage. MBC is a rare type of breast cancer, accounting for about 4% of all diagnosed breast cancers. Our findings are consistent with those published in recent years and show significant differences between MBC and NST cancer patients and also highlight differences between pure and mixed MBC, emphasizing the essence of their differentiation. MBC is associated with a better long-term prognosis than NST and is characterized by the less aggressive biological behavior expressed through favorable clinicopathologic features in terms of tumor grade, regional lymph node involvement and hormone receptor status.
黏液性乳腺癌(MBC)是一种罕见的乳腺癌组织学类型,主要特征是黏液的产生和细胞外存在。MBC 通常与比其他浸润性乳腺癌更好的预后相关。由于发病率低,MBC 的生物学特性尚未得到很好的理解。本研究旨在介绍我们临床中心过去 2 年来 MBC 病理诊断的经验,并将获得的数据与最常见的浸润性乳腺癌——非特殊型浸润性乳腺癌(NST)进行比较。我们共发现了 24 例 MBC 病例,占所有 766 例浸润性乳腺癌的 3.09%,其中 15 例为纯型,9 例为混合型。MBC 患者的中位发病年龄为 65.5 岁。与 NST 相比,MBC 的 T 分期更高,肿瘤的中位大小更大,尽管区域淋巴结受累、肿瘤组织学分级和 TNM 分期较低。MBC 是一种罕见的乳腺癌类型,约占所有诊断出的乳腺癌的 4%。我们的发现与近年来发表的研究结果一致,表明 MBC 与 NST 癌症患者之间存在显著差异,也强调了纯型和混合型 MBC 之间的差异,突出了它们分化的本质。MBC 的长期预后优于 NST,其生物学行为较不具侵袭性,表现为肿瘤分级、区域淋巴结受累和激素受体状态等方面的有利临床病理特征。