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Related Experiment Videos

Lobular involvement in human breast carcinoma.

H Ishige1, T Komatsu, Y Kondo

  • 1Second Department of Pathology, School of Medicine, Chiba University, Japan.

Acta Pathologica Japonica
|March 1, 1991
PubMed
Summary

Lobular involvement in breast carcinoma, identified in 43% of cases, precedes stromal invasion. This process begins with ductal extension and leads to lobular distortion and eventual invasion, highlighting terminal ductal-lobular units as key sites.

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Area of Science:

  • Oncology
  • Pathology
  • Breast Cancer Research

Background:

  • Breast carcinoma exhibits diverse pathological patterns.
  • Understanding the early stages of tumor progression is crucial for diagnosis and treatment.
  • The role of lobular involvement in breast cancer invasion requires further clarification.

Purpose of the Study:

  • To investigate the occurrence and characteristics of lobular involvement in breast carcinoma.
  • To elucidate the relationship between lobular involvement and stromal invasion.
  • To classify patterns of lobular involvement and their association with tumor progression.

Main Methods:

  • Histopathological examination of 129 breast carcinoma cases.
  • Identification and classification of lobular involvement and intraductal carcinoma components.

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  • Analysis of cellular changes, myoepithelial cell behavior, and basement membrane integrity.
  • Main Results:

    • Lobular involvement was observed in 56 cases (43%), characterized by extension from intralobular ducts.
    • Progressive involvement led to lobular distortion and loss of perilobular myoepithelial cells.
    • Stromal invasion originated from breaks in the basement membrane, often initiated by peripheral budding or focal necrosis.

    Conclusions:

    • Terminal ductal-lobular units are frequently involved in breast carcinomas.
    • Lobular involvement represents an early step in extraductal invasion.
    • Classifying lobular involvement may provide insights into different growth activities and invasion patterns.