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Adenoid Cystic Carcinoma of the Breast: Radiologic-Pathologic Correlation.

Charmi Vijapura¹, Lauren Rosen², Rifat Wahab¹

¹University of Cincinnati Medical Center, Department of Radiology, Cincinnati, OH, USA.

Journal of Breast Imaging

|February 28, 2024

Summary

Adenoid cystic carcinoma (ACC) of the breast is rare but typically less aggressive than in other locations. Management depends on the specific ACC subtype, with classic-type being more indolent.

Keywords:

adenoid cystic carcinoma breast MRI breast ultrasound mammogram radiologic-pathologic correlation

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Area of Science:

Oncology
Pathology
Radiology

Background:

Adenoid cystic carcinoma (ACC) is a rare breast malignancy.
Its presentation often mimics primary breast cancers, with pain being a common symptom.

Purpose of the Study:

To describe the clinical, imaging, and histopathologic features of breast ACC.
To differentiate between the classic-type and solid basaloid-type ACC regarding prognosis and management.

Main Methods:

Review of histopathology and imaging findings in breast ACC cases.
Analysis of clinical course, including recurrence, metastasis, and treatment response.
Comparison of classic-type and solid basaloid-type ACC characteristics.

Main Results:

Breast ACC typically lacks calcifications, with variable imaging manifestations.
Classic-type ACC shows less aggressive behavior, with lower rates of recurrence and metastasis.
Solid basaloid-type ACC demonstrates a higher propensity for local and distant spread.

Conclusions:

Breast ACC, particularly the classic-type, is generally indolent and triple receptor-negative.
Management strategies should be tailored to the ACC subtype, considering the limited role of chemotherapy and hormonal therapy in classic-type.
Understanding ACC's unique characteristics is crucial for effective patient management and follow-up.