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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.
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| ===Microscopic===
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| Features:
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| *Atypical cells:
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| **Usually >2x RBC diameter.
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| **Nucleoli common.
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| **Forming ducts ''or'' sheets.
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| **+/-Mitoses.
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| **+/-Necrosis.
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| *Evidence of invasion:
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| **Atypical nucleus adjacent to adipocyte - '''diagnostic'''.
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| **"Infiltrative" pattern:
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| ***Small glands of variable size within desmoplastic stroma.
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| ***Glands lined by a single layer of cells.
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| DDx:
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| *[[DCIS]].
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| *[[Invasive lobular carcinoma]].
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| ===IHC===
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| Myoepithelial markers - '''diagnostic''' for invasion:
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| *SMMS -ve.
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| *p63 -ve.
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| Prognostic markers - may be useful for metastates:
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| *ER +ve (diffuse).
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| *PR +ve (diffuse).
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| *HER2 -ve.
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| ==Invasive lobular carcinoma== | | ==Invasive lobular carcinoma== |