Difference between revisions of "Microglandular adenosis"

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#redirect [[Breast pathology#Microglandular adenosis]]
'''Microglandular adenosis''', abbreviated '''MGA''', is a benign pathology of the [[breast]].


'''''Not''' to be confused with [[microglandular hyperplasia]]''.
==General==
*Controversial thingy.
Management:
*Excision.
==Microscopic==
Features:<ref name=uscap_mga>URL: [http://www.uscap.org/site~/iap2006/slides08-4v.htm http://www.uscap.org/site~/iap2006/slides08-4v.htm]. Accessed on: 18 May 2011.</ref>
*Round glands lined by a single layer of cells.
*May extend into fat.
*Lack of desmoplastic stroma.
DDx:
*[[Tubular carcinoma]] - has apical snouts, desmoplasia among other things; see page by ''Collins''.<ref name=uscap_mga>URL: [http://www.uscap.org/site~/iap2006/slides08-4v.htm http://www.uscap.org/site~/iap2006/slides08-4v.htm]. Accessed on: 18 May 2011.</ref>
*[[Sclerosing adenosis]].
===Images===
*[http://www.surgicalpathologyatlas.com/glfusion/mediagallery/media.php?f=1&s=20080802171452955&i=0&p=0 Microglandular adenosis (surgical pathologyatlas.com)].
*[http://webpathology.com/image.asp?n=1&Case=282 MGA - low mag. (webpathology.com)].
*[http://webpathology.com/image.asp?n=2&Case=282 MGA - high mag. (webpathology.com)].
*[http://www.breastpathology.info/Images/Benign/SclerAdenosis/mga1c_400.jpg MGA (breastpathology.info)].
*[http://www.breastpathology.info/sub-pages-iotw/2010/2.html MGA - several images (breastpathology.info)].
==IHC==
Features:<ref name=pmid8821958>{{Cite journal  | last1 = Joshi | first1 = MG. | last2 = Lee | first2 = AK. | last3 = Pedersen | first3 = CA. | last4 = Schnitt | first4 = S. | last5 = Camus | first5 = MG. | last6 = Hughes | first6 = KS. | title = The role of immunocytochemical markers in the differential diagnosis of proliferative and neoplastic lesions of the breast. | journal = Mod Pathol | volume = 9 | issue = 1 | pages = 57-62 | month = Jan | year = 1996 | doi =  | PMID = 8821958 }}</ref>
*S100 +ve.
*34BE12 +ve -- focal!
Others:
*EMA -ve.
**Tubular carcinoma usu. +ve.
*[[GCDFP-15]] -ve.<ref>{{Ref APBR|296 Q20}}</ref>
*Ki-67 <3%.
==See also==
*[[Breast pathology]].
==References==
{{Reflist|2}}
[[Category:Breast pathology]]
[[Category:Diagnosis]]
[[Category:Diagnosis]]

Latest revision as of 18:34, 16 February 2014

Microglandular adenosis, abbreviated MGA, is a benign pathology of the breast.

Not to be confused with microglandular hyperplasia.

General

  • Controversial thingy.

Management:

  • Excision.

Microscopic

Features:[1]

  • Round glands lined by a single layer of cells.
  • May extend into fat.
  • Lack of desmoplastic stroma.

DDx:

Images

IHC

Features:[2]

  • S100 +ve.
  • 34BE12 +ve -- focal!

Others:

  • EMA -ve.
    • Tubular carcinoma usu. +ve.
  • GCDFP-15 -ve.[3]
  • Ki-67 <3%.

See also

References

  1. 1.0 1.1 URL: http://www.uscap.org/site~/iap2006/slides08-4v.htm. Accessed on: 18 May 2011.
  2. Joshi, MG.; Lee, AK.; Pedersen, CA.; Schnitt, S.; Camus, MG.; Hughes, KS. (Jan 1996). "The role of immunocytochemical markers in the differential diagnosis of proliferative and neoplastic lesions of the breast.". Mod Pathol 9 (1): 57-62. PMID 8821958.
  3. Lefkowitch, Jay H. (2006). Anatomic Pathology Board Review (1st ed.). Saunders. pp. 296 Q20. ISBN 978-1416025887.