Difference between revisions of "Invasive breast cancer"

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619 bytes removed ,  10:15, 14 February 2014
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*[[AKA]] "NST" = No Specific Type.
*[[AKA]] "NST" = No Specific Type.
*[[AKA]] ''invasive mammary carcinoma''.
*[[AKA]] ''invasive mammary carcinoma''.
===General===
{{Main|Invasive ductal carcinoma of the breast}}
*Most common type of invasive breast cancer.
 
===Microscopic===
Features:
*Atypical cells:
**Usually >2x RBC diameter.
**Nucleoli common.
**Forming ducts ''or'' sheets.
**+/-Mitoses.
**+/-Necrosis.
*Evidence of invasion:
**Atypical nucleus adjacent to adipocyte - '''diagnostic'''.
**"Infiltrative" pattern:
***Small glands of variable size within desmoplastic stroma.
***Glands lined by a single layer of cells.
 
DDx:
*[[DCIS]].
*[[Invasive lobular carcinoma]].
 
===IHC===
Myoepithelial markers - '''diagnostic''' for invasion:
*SMMS -ve.
*p63 -ve.
 
Prognostic markers - may be useful for metastates:
*ER +ve (diffuse).
*PR +ve (diffuse).
*HER2 -ve.


==Invasive lobular carcinoma==
==Invasive lobular carcinoma==
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