Difference between revisions of "Columnar cell change of the breast"

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(Created page with "'''Columnar cell change of the breast''', usually '''columnar cell change''' (abbreviated '''CCC'''), is a benign finding in breast pathology. It is also known as '''blun...")
 
 
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[[Image:Columnar cell change -- very high mag.jpg |thumb|right|Columnar cell change of the breast - very high magnification. [[H&E stain]]. (WC/Nephron)]]
'''Columnar cell change of the breast''', usually '''columnar cell change''' (abbreviated '''CCC'''), is a benign finding in [[breast pathology]].
'''Columnar cell change of the breast''', usually '''columnar cell change''' (abbreviated '''CCC'''), is a benign finding in [[breast pathology]].


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==General==
==General==
*Columnar cell change is associated with (benign) [[breast calcification|calcification]] - '''key point'''.
*Columnar cell change is associated with (benign) [[breast calcification|calcification]]<ref name=pmid19089736>{{Cite journal  | last1 = Jara-Lazaro | first1 = AR. | last2 = Tse | first2 = GM. | last3 = Tan | first3 = PH. | title = Columnar cell lesions of the breast: an update and significance on core biopsy. | journal = Pathology | volume = 41 | issue = 1 | pages = 18-27 | month = Jan | year = 2009 | doi = 10.1080/00313020802563486 | PMID = 19089736 }}</ref> - '''key point'''.


==Microscopic==
==Microscopic==
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**The snouts are attached to the cell-- appear as round ball only in the plane of section.
**The snouts are attached to the cell-- appear as round ball only in the plane of section.
*Cytoplasm +/-eosinophilia.
*Cytoplasm +/-eosinophilia.
*Often purple luminal calcifications
*Often (purple) luminal [[breast calcifications|calcifications]].


DDx:
DDx:
*Flat epithelial atypia (>2 cell layers).{{Fact}}
*[[Flat epithelial atypia]] (>2 cell layers).{{Fact}}
**If the columnar cells shows low to intermediate grade atypia the process is termed "flat epithelial atypia"  
**If the columnar cells shows low to intermediate grade atypia the process is termed "flat epithelial atypia"  
**If higher grade atyia is present the lesion is termed "flat DCIS" (clinging carcinoma)
**If higher grade atypia is present the lesion is termed "flat DCIS" (clinging carcinoma).


===Images===
===Images===
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