Le Bouedec G, de Latour M, Kauffmann P, Reynaud P, Fonck Y, Dauplat J
Service de Chirurgie, Centre Jean Perrin, Clermont-Ferrand.
Arch Anat Cytol Pathol. 1993;41(3-4):140-4.
The authors report a retrospective clinicopathologic analysis based on 12 cases of uterine metastases from breast cancer. The myometrium was more often involved than the endometrium, and a metastatic lesion occurred in an interstitial leiomyoma in one case. Bilateral ovarian involvement was associated in 11 cases. The histopathological type was predominantly represented by invasive lobular breast cancer in 10 cases: in this series, 3 subtypes were identified, the solid variant (6 cases), the classical variant (2 cases), and the alveolar variant (2 cases). The steroid receptor status in the tumor specimens was found to be constantly positive. The literature concerning the pathologic diagnosis was reviewed: most breast cancers metastasizing to the female genital tract and to the peritoneal surface appeared to be invasive lobular cancers.
作者报告了一项基于12例乳腺癌子宫转移病例的回顾性临床病理分析。子宫肌层比子宫内膜更常受累,1例转移灶发生于间质性平滑肌瘤。11例伴有双侧卵巢受累。组织病理学类型在10例中主要为浸润性小叶癌:在本系列中,识别出3个亚型,实性变型(6例)、经典变型(2例)和腺泡变型(2例)。肿瘤标本中的类固醇受体状态持续呈阳性。对有关病理诊断的文献进行了综述:大多数转移至女性生殖道和腹膜表面的乳腺癌似乎为浸润性小叶癌。