Autopsy and Case Reports
https://app.periodikos.com.br/journal/autopsy/article/doi/10.4322/acr.2021.352
Autopsy and Case Reports
Clinical Case Report and Review

Solid papillary carcinoma of the breast

Toyaja Jadhav; Shashi Shekhar Prasad; Bhupesh Guleria; Manvir Singh Tevatia; Prerna Guleria

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Abstract

Solid Papillary Carcinoma (SPC) of the breast is a rare tumor with an incidence of less than 1%, mainly affecting elderly females. It is morphologically characterized by well-defined nodules with low-grade nuclear features associated with fibrovascular cores and shows neuroendocrine differentiation. SPC can be in-situ or invasive but has a favorable prognosis. It is a morphological mimicker of some pre-malignant conditions leading to its frequent misdiagnosis. An appropriate immunohistochemical (IHC) panel workup helps in distinguishing this tumor from its various morphological mimics. In this report, we present one such case of SPC with a small focus of invasion, reviewing the literature.

Keywords

Carcinoma, Papillary, Breast Neoplasms, Unilateral Breast Neoplasms, Carcinoma

References

1 Guo S, Wang Y, Rohr J, et al. Solid papillary carcinoma of the breast: a special entity needs to be distinguished from conventional invasive carcinoma avoiding over-treatment. Breast. 2016;26:67-72. http://dx.doi.org/10.1016/j.breast.2015.12.015. PMid:27017244.

2 Saremian J, Rosa M. Solid papillary carcinoma of the breast a pathologically and clinically distinct breast tumor. Arch Pathol Lab Med. 2012;136(10):1308-11. http://dx.doi.org/10.5858/arpa.2011-0227-RS. PMid:23020734.

3 Tan PH, Ellis I, Allison K, et al. The 2019 World Health Organization classification of tumours of the breast. Histopathology. 2020;77(2):181-5. http://dx.doi.org/10.1111/his.14091. PMid:32056259.

4 Mac Grogan G, Collins L, Lerwill M, Pakha E, Tan B. Solid papillary carcinoma (insitu and invasive). In: WHO Classification of Tumors Editorial Board, ed. Breast tumors. France: IARC Press; 2019. p. 63-5.

5 Lin X, Matsumoto Y, Nakakimura T, et al. Invasive solid papillary carcinoma with neuroendocrine differentiation of the breast: a case report and literature review. Surg Case Rep. 2020;6(1):143. http://dx.doi.org/10.1186/s40792-020-00905-x. PMid:32562013.

6 Ahn S, Woo JW, Lee K, Park SY. HER2 status in breast cancer: changes in guidelines and complicating factors for interpretation. J Pathol Transl Med. 2020;54(1):34-44. http://dx.doi.org/10.4132/jptm.2019.11.03. PMid:31693827.

7 Maluf H, Koerner F. Solid papillary carcinoma of the breast. A form of intraductal carcinoma with endocrine differentiation frequently associated with mucinous carcinoma. Am J Surg Pathol. 1995;19(11):1237-44. http://dx.doi.org/10.1097/00000478-199511000-00003. PMid:7573685.

8 Nassar H. Solid papillary carcinoma of the breast. Pathol Case Rev. 2009;14(4):157-61. http://dx.doi.org/10.1097/PCR.0b013e3181b6ad5d.

9 Otsuki Y, Yamada M, Shimizu S, et al. Solidpapillary carcinoma of the breast: clinicopathological study of 20 cases. Pathol Int. 2007;57(7):421-9. http://dx.doi.org/10.1111/j.1440-1827.2007.02118.x. PMid:17587241.

10 Clement Z, Jones M. Solid papillary carcinoma of the breast: a review. Int J Surg Med. 2017;3(1):1. http://dx.doi.org/10.5455/ijsm.solid-papillary-carcinoma-of-the-breast.

11 You C, Peng W, Shen X, Zhi W, Yang W, Gu Y. Solid papillary carcinoma of the breast: magnetic resonance mammography, digital mammography, and ultrasound findings. J Comput Assist Tomogr. 2018;42(5):771-5. http://dx.doi.org/10.1097/RCT.0000000000000745. PMid:29613993.

12 Joseph B, Shah B, Shi D. Solid papillary carcinoma of the breast: mammographic and ultrasound appearance with histopathologic correlation. Ann Reviwes Res. 2019;5(3):7-9. http://dx.doi.org/10.19080/ARR.2018.04.555662.

13 Zhang L, Zhuang L, Shi C, et al. A pilot evaluation of magnetic resonance imaging characteristics seen with solid papillary carcinomas of the breast in 4 patients. BMC Cancer. 2017;17(1):525. http://dx.doi.org/10.1186/s12885-017-3518-8. PMid:28784112.

14 Pal SK, Lau SK, Kruper L, et al. Papillary carcinoma of the breast: an overview. Breast Cancer Res Treat. 2010;122(3):637-45. http://dx.doi.org/10.1007/s10549-010-0961-5. PMid:20524058.

15 Rakha EA, Ellis IO. Diagnostic challenges in papillary lesions of the breast. Pathology. 2018;50(1):100-10. http://dx.doi.org/10.1016/j.pathol.2017.10.005. PMid:29179906.

16 LaBoy C, Siziopikou K. Breast: Other carcinoma subtypes, WHO Classified - mucinous [Internet]. 2021 [cited 2021 Oct 8]. Available from: PathologyOutlines.com

17 Bogina G, Munari E, Brunelli M, et al. Neuroendocrine differentiation in breast carcinoma: clinicopathological features and outcome. Histopathology. 2016;68(3):422-32. http://dx.doi.org/10.1111/his.12766. PMid:26114478.

18 Kwon SY, Bae YK, Gu MJ, et al. Neuroendocrine differentiation correlates with hormone receptor expression and decreased survival in patients with invasive breast carcinoma. Histopathology. 2014;64(5):647-59. http://dx.doi.org/10.1111/his.12306. PMid:24117859.

19 Rabban JT, Koerner F, Lerwill M. Solid papillary ductal carcinoma in situ versus usual ductal hyperplasia in the breast: a potentially difficult distinction resolved by cytokeratin 5/6. Hum Pathol. 2006;37(7):787-93. http://dx.doi.org/10.1016/j.humpath.2006.02.016. PMid:16784976.

20 Wang Y, Jindal S, Martel M, Wu Y, Schedin P, Troxell M. Myoepithelial cells in lobular carcinoma in situ: distribution and immunophenotype. Hum Pathol. 2016;55:126-34. http://dx.doi.org/10.1016/j.humpath.2016.05.003. PMid:27195907.

21 Christgen M, Bartels S, van Luttikhuizen JL, et al. Subclonal analysis in a lobular breast cancer with classical and solid growth pattern mimicking a solid-papillary carcinoma. J Pathol Clin Res. 2017;3(3):191-202. http://dx.doi.org/10.1002/cjp2.76. PMid:28770103.

22 Yoshimura N, Murakami S, Kaneko M, Sakatani A, Hirabayashi N, Takiyama W. Synchronous bilateral solid papillary carcinomas of the breast. Case Rep Surg. 2013;2013:812129. http://dx.doi.org/10.1155/2013/812129. PMid:23844308.

23 Li X, Lin M, Xu J, et al. New variant of breast-invasive lobular carcinoma with solid and encapsulated papillary carcinoma growth pattern. Breast Cancer. 2021;28(6):1383-8. http://dx.doi.org/10.1007/s12282-021-01285-2. PMid:34363596.

24 Duprez R, Wilkerson PM, Lacroix-triki M, et al. Immunophenotypic and genomic characterisation of papillary carcinomas of the breast. J Pathol. 2012;226(3):427-41. http://dx.doi.org/10.1002/path.3032. PMid:22025283.

25 Tsang WY, Chan JK. Endocrine ductal carcinoma in situ (E-DCIS) of the breast: a form of low-grade DCIS with distinctive clinicopathologic and biologic characteristics. Am J Surg Pathol. 1996;20(8):921-43. http://dx.doi.org/10.1097/00000478-199608000-00002. PMid:8712293.

26 Eusebi V, Damiani S, Ellis I, Azzopardi J, Rosai J. Breast tumor resembling the tall cell variant of papillary thyroid carcinoma: report of 5 cases. Am J Surg Pathol. 2003;27(8):1114-8. http://dx.doi.org/10.1097/00000478-200308000-00008. PMid:12883243.

27 Cameselle-Teijeiro J, Abdulkader I, Barreiro-Morandeira F, Ruiz-Ponte C, Reyes-Santias R, Chavez E. Breast tumor resembling the tall cell variant of papillary thyroid carcinoma: a case report. Int J Surg Pathol. 2006;14(1):79-84. http://dx.doi.org/10.1177/106689690601400116.

28 Wei B, Bu H, Chen H, Zhang H, Li X. Clinicopathological study of solid papillary carcinoma of breast. Zhonghua Bing Li Xue Za Zhi. 2006;35(10):589-93. PMid:17134565.

29 Nicolas MM, Wu Y, Middleton LP, Gilcrease MZ. Loss of myoepithelium is variable in solid papillary carcinoma of the breast. Histopathology. 2007;51(5):657-65. http://dx.doi.org/10.1111/j.1365-2559.2007.02849.x. PMid:17927587.

30 Tosi AL, Ragazzi M, Asioli S, et al. Breast tumor resembling the tall cell variant of papillary thyroid carcinoma: report of 4 cases with evidence of malignant potential. Int J Surg Pathol. 2007;15(1):14-9. http://dx.doi.org/10.1177/1066896906295689. PMid:17172492.

31 Chang S, Fleiszer D, Mesurolle BEI, Khoury M, Omeroglu A. Breast tumor resembling the tall cell variant of papillary thyroid carcinoma. Breast J. 2009;15(5):531-5. http://dx.doi.org/10.1111/j.1524-4741.2009.00773.x. PMid:19594763.

32 Zhong D, Sun P, Liang Z. Clinicopathological features of solid papillary carcinoma in breast. J Diag Path. 2010;17:165-8.

33 Rakha EA, Gandhi N, Climent F, et al. Encapsulated papillary carcinoma of the breast: an invasive tumor with excellent prognosis. Am J Surg Pathol. 2011;35(8):1093-103. http://dx.doi.org/10.1097/PAS.0b013e31821b3f65. PMid:21753694.

34 Masood S, Davis C, Kubik M. Changing the term “breast tumor resembling the tall cell variant thyroid of papillary carcinoma” to “tall cell variant of papillary breast carcinoma”. Adv Anat Pathol. 2012;19(2):108-10. http://dx.doi.org/10.1097/PAP.0b013e318249d090. PMid:22313838.

35 Leena JB, Kini RG, Amber S. Invasive (solid) papillary carcinoma of the breast: a report of two cases. J Clin Diagn Res. 2013;7(6):1150-1. PMid:23905125.

36 Zheng X, Ge R, Meng L, Liu C. Clinicopathological study of solid papillary carcinoma in the breast. China Oncol. 2014;24:208-11.

37 Colella R, Guerriero A, Giansanti M, Sidoni A, Bellezza G. An additional case of breast tumor resembling the tall cell variant of papillary thyroid carcinoma. Int J Surg Pathol. 2015;23(3):217-20. http://dx.doi.org/10.1177/1066896914536222. PMid:24868004.

38 Chiang S, Weigelt B, Wen H, et al. IDH2 mutations define a unique subtype of breast cancer with altered nuclear polarity. Cancer Res. 2016;76(24):7118-29. http://dx.doi.org/10.1158/0008-5472.CAN-16-0298. PMid:27913435.

39 Foschini MP, Asioli S, Foreid S, et al. Solid papillary breast carcinomas resembling the tall cell variant of papillary thyroid neoplasms: a unique invasive tumor with indolent behavior. Am J Surg Pathol. 2017;41(7):887-95. http://dx.doi.org/10.1097/PAS.0000000000000853. PMid:28418993.

40 Şenel F, Karaman H, Eroǧlu M, Tuna Ö. Invasive papillary breast carcinoma, solid variant with neuroendocrine differentiation. Turk J Surg. 2015;33(4):302-4. http://dx.doi.org/10.5152/UCD.2015.3074. PMid:29260140.
 


Submitted date:
10/08/2021

Accepted date:
12/10/2021

Publication date:
01/13/2022

61e05236a95395572f2c5d22 autopsy Articles
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