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Metaplastic breast carcinoma

MedGen UID:
277360
Concept ID:
C1334708
Neoplastic Process
Synonyms: Breast Metaplastic Carcinoma; breast metaplastic carcinoma; metaplastic breast cancer; Metaplastic Breast Carcinoma; metaplastic breast carcinoma; Metaplastic carcinoma of breast; Metaplastic Carcinoma of Breast; metaplastic carcinoma of breast; Metaplastic Carcinoma of the Breast; metaplastic carcinoma of the breast; Metaplastic carcinoma of the breast
SNOMED CT: Metaplastic carcinoma of breast (763479005)
 
Monarch Initiative: MONDO:0006043
Orphanet: ORPHA213531

Definition

Metaplastic carcinoma of the breast is a rare, aggressive subtype of invasive breast carcinoma characterized by rapid growth, relatively large tumor size and a tendency to metastasize to distant organs, particularly the lungs, with relatively less frequent involvement of the axillary lymph nodes. Histologically, the tumor shows high-grade cellularity and heterologous differentiation, including chondroid, osseous, pleomorphic/sarcomatoid, spindled, and squamous elements. Patients usually present with a fast-growing, large, well-circumscribed, mobile lump in the breast, which can become painful and involve the chest wall and the skin, leading to ulceration. [from ORDO]

Professional guidelines

PubMed

Rakha EA, Quinn CM, Foschini MP, Muñoz Martin M, Dabbs DJ, Lakhani S, Varga Z, Pinder SE, Schmitt FC, Reis-Filho JS, Fox SB, Ellis IO, Tan PH, Mihai R
Histopathology 2021 Apr;78(5):759-771. Epub 2020 Dec 16 doi: 10.1111/his.14290. PMID: 33113154Free PMC Article
Han M, Zhang H, Dabbs DJ
Appl Immunohistochem Mol Morphol 2021 Apr 1;29(4):265-269. doi: 10.1097/PAI.0000000000000873. PMID: 32858538
Hu Q, Chen WX, Zhong SL, Li J, Luo Z, Tang JH, Zhao JH
Asian Pac J Cancer Prev 2013;14(11):6221-5. doi: 10.7314/apjcp.2013.14.11.6221. PMID: 24377508

Recent clinical studies

Etiology

Chaudhary D, Balhara K, Mandal S, Mallya V, Tomar R, Khurana N, Bains L
J Cancer Res Ther 2023 Jul-Sep;19(5):1226-1230. doi: 10.4103/jcrt.jcrt_1229_21. PMID: 37787287
Narayan P, Kostrzewa CE, Zhang Z, O'Brien DAR, Mueller BA, Cuaron JJ, Xu AJ, Bernstein MB, McCormick B, Powell SN, Khan AJ, Wen HY, Braunstein LZ
Breast Cancer Res Treat 2023 Jun;199(2):355-361. Epub 2023 Mar 28 doi: 10.1007/s10549-023-06923-1. PMID: 36976395
Khoury T
Surg Pathol Clin 2022 Mar;15(1):159-174. Epub 2022 Jan 31 doi: 10.1016/j.path.2021.11.011. PMID: 35236632
Rakha EA, Brogi E, Castellano I, Quinn C
Virchows Arch 2022 Jan;480(1):127-145. Epub 2021 Jul 29 doi: 10.1007/s00428-021-03162-x. PMID: 34322734Free PMC Article
Drekolias D, Mamounas EP
Breast J 2019 Nov;25(6):1192-1197. Epub 2019 Jun 27 doi: 10.1111/tbj.13416. PMID: 31250492

Diagnosis

Chaudhary D, Balhara K, Mandal S, Mallya V, Tomar R, Khurana N, Bains L
J Cancer Res Ther 2023 Jul-Sep;19(5):1226-1230. doi: 10.4103/jcrt.jcrt_1229_21. PMID: 37787287
Rakha EA, Brogi E, Castellano I, Quinn C
Virchows Arch 2022 Jan;480(1):127-145. Epub 2021 Jul 29 doi: 10.1007/s00428-021-03162-x. PMID: 34322734Free PMC Article
Ai D, Yao J, Yang F, Huo L, Chen H, Lu W, Soto LMS, Jiang M, Raso MG, Wang S, Bell D, Liu J, Wang H, Tan D, Torres-Cabala C, Gan Q, Wu Y, Albarracin C, Hung MC, Meric-Bernstam F, Wistuba II, Prieto VG, Sahin AA, Ding Q
Mod Pathol 2021 Apr;34(4):710-719. Epub 2020 Oct 3 doi: 10.1038/s41379-020-00692-8. PMID: 33011748
McMullen ER, Zoumberos NA, Kleer CG
Arch Pathol Lab Med 2019 Dec;143(12):1492-1496. doi: 10.5858/arpa.2019-0396-RA. PMID: 31765246
McKinnon E, Xiao P
Arch Pathol Lab Med 2015 Jun;139(6):819-22. doi: 10.5858/arpa.2013-0358-RS. PMID: 26030252

Therapy

Chartier S, Brochard C, Martinat C, Coussy F, Feron JG, Kirova Y, Cottu P, Marchiò C, Vincent-Salomon A
Histopathology 2023 Apr;82(5):664-671. Epub 2023 Jan 9 doi: 10.1111/his.14852. PMID: 36527253
Ertas G, Başal FB, Üçer AR, Benzer E, Altundağ MB, Demirci U, Çetin B, Karatas F
J Cancer Res Ther 2020 Oct-Dec;16(6):1229-1234. doi: 10.4103/jcrt.JCRT_964_19. PMID: 33342778
Aydiner A, Sen F, Tambas M, Ciftci R, Eralp Y, Saip P, Karanlik H, Fayda M, Kucucuk S, Onder S, Yavuz E, Muslumanoglu M, Igci A
Medicine (Baltimore) 2015 Dec;94(52):e2341. doi: 10.1097/MD.0000000000002341. PMID: 26717372Free PMC Article
McKinnon E, Xiao P
Arch Pathol Lab Med 2015 Jun;139(6):819-22. doi: 10.5858/arpa.2013-0358-RS. PMID: 26030252
Esbah O, Turkoz FP, Turker I, Durnali A, Ekinci AS, Bal O, Sonmez OU, Budakoglu B, Arslan UY, Oksuzoglu B
Asian Pac J Cancer Prev 2012;13(9):4645-9. doi: 10.7314/apjcp.2012.13.9.4645. PMID: 23167395

Prognosis

Chaudhary D, Balhara K, Mandal S, Mallya V, Tomar R, Khurana N, Bains L
J Cancer Res Ther 2023 Jul-Sep;19(5):1226-1230. doi: 10.4103/jcrt.jcrt_1229_21. PMID: 37787287
Narayan P, Kostrzewa CE, Zhang Z, O'Brien DAR, Mueller BA, Cuaron JJ, Xu AJ, Bernstein MB, McCormick B, Powell SN, Khan AJ, Wen HY, Braunstein LZ
Breast Cancer Res Treat 2023 Jun;199(2):355-361. Epub 2023 Mar 28 doi: 10.1007/s10549-023-06923-1. PMID: 36976395
Ai D, Yao J, Yang F, Huo L, Chen H, Lu W, Soto LMS, Jiang M, Raso MG, Wang S, Bell D, Liu J, Wang H, Tan D, Torres-Cabala C, Gan Q, Wu Y, Albarracin C, Hung MC, Meric-Bernstam F, Wistuba II, Prieto VG, Sahin AA, Ding Q
Mod Pathol 2021 Apr;34(4):710-719. Epub 2020 Oct 3 doi: 10.1038/s41379-020-00692-8. PMID: 33011748
McMullen ER, Zoumberos NA, Kleer CG
Arch Pathol Lab Med 2019 Dec;143(12):1492-1496. doi: 10.5858/arpa.2019-0396-RA. PMID: 31765246
Drekolias D, Mamounas EP
Breast J 2019 Nov;25(6):1192-1197. Epub 2019 Jun 27 doi: 10.1111/tbj.13416. PMID: 31250492

Clinical prediction guides

McMurtry V, Cleary AS, Ruano AL, Lomo L, Gulbahce HE
Am J Clin Oncol 2023 Dec 1;46(12):559-566. Epub 2023 Sep 14 doi: 10.1097/COC.0000000000001041. PMID: 37705411
Lien HC, Hsu CL, Lu YS, Chen TW, Chen IC, Li YC, Huang CS, Cheng AL, Lin CH
Breast Cancer Res 2023 Jan 27;25(1):11. doi: 10.1186/s13058-023-01608-5. PMID: 36707876Free PMC Article
Ai D, Yao J, Yang F, Huo L, Chen H, Lu W, Soto LMS, Jiang M, Raso MG, Wang S, Bell D, Liu J, Wang H, Tan D, Torres-Cabala C, Gan Q, Wu Y, Albarracin C, Hung MC, Meric-Bernstam F, Wistuba II, Prieto VG, Sahin AA, Ding Q
Mod Pathol 2021 Apr;34(4):710-719. Epub 2020 Oct 3 doi: 10.1038/s41379-020-00692-8. PMID: 33011748
Bartels S, van Luttikhuizen JL, Christgen M, Mägel L, Luft A, Hänzelmann S, Lehmann U, Schlegelberger B, Leo F, Steinemann D, Kreipe H
J Pathol 2018 Jul;245(3):373-383. Epub 2018 May 28 doi: 10.1002/path.5091. PMID: 29708279
Hu Q, Chen WX, Zhong SL, Li J, Luo Z, Tang JH, Zhao JH
Asian Pac J Cancer Prev 2013;14(11):6221-5. doi: 10.7314/apjcp.2013.14.11.6221. PMID: 24377508

Recent systematic reviews

Toumi Z, Bullen C, Tang AC, Dalal N, Ellenbogen S
Pathol Int 2011 Oct;61(10):582-8. Epub 2011 Jul 25 doi: 10.1111/j.1440-1827.2011.02698.x. PMID: 21951667

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