具有叶状特征的侵入性乳腺癌的综合性表征:整合形态和E-cadherin免疫组织化学模式
You-Na Sung1, Taesung Jeon2, Ji-Yun Lee3
1Department of Pathology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
Breast cancer (Tokyo, Japan)
|November 16, 2024
概括
准确诊断侵袭性叶膜癌 (ILC) 是至关重要的. 对于将ILC与无特殊类型的侵入性乳腺癌 (IBC-NST) 区分开来,E-cadherin染色非常重要,尤其是在形态不明的情况下.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
- 分子诊断学 分子诊断学
背景情况:
- 乳腺癌的治疗依赖于分子亚型,但侵袭性叶状癌 (ILC) 有独特的行为.
- 准确的ILC诊断对于有效的患者管理至关重要.
研究的目的:
- 审查乳腺癌病例,重点关注E-cadherin模式和叶片形态.
- 识别错误分类的侵袭性叶状癌 (ILC) 和无特殊类型的侵袭性乳腺癌 (IBC-NST) 的病例.
主要方法:
- 审查了481例被诊断为IBC-NST或ILC的乳腺癌活检病例.
- 使用了E-cadherin染色,并根据瘤形态 (管道/球状) 和E-cadherin表达 (膜状/损失/异常) 将病例分类.
主要成果:
- 43.8%的病例显示出E-cadherin模式,表明具有叶状形态的ILC.
- 发现了显著的诊断差异,只有25.9%的异常E-cadherin和叶片形态的病例最初被诊断为ILC.
- 形态和E-cadherin表达之间的不一致性提出了诊断挑战.
结论:
- 在临床实践中,E-cadherin的结果在很大程度上依赖于ILC诊断.
- 对于表现出形态和E-cadherin模式之间不一致的病例,需要进行诊断澄清.
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