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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

Stradella A, Gargallo P, Cejuela M, Petit A, Bosch-Schips J, Carbonell P, Recalde S, Vethencourt A, Fernandez-Ortega A, Falo C, Gil-Gil M, Vázquez S, Obadia V, Villanueva-Vázquez R, Soler-Monsó T, Calabria I, Pernas S
Mod Pathol 2022 Aug;35(8):1066-1074. Epub 2022 Feb 17 doi: 10.1038/s41379-022-01017-7. PMID: 35177782
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
Wu SG, Yang SP, Zhang WW, Wang J, Lian CL, Chen YX, He ZY
Sci Rep 2020 Dec 16;10(1):22070. doi: 10.1038/s41598-020-79166-5. PMID: 33328559Free PMC Article
McCart Reed AE, Kalaw E, Nones K, Bettington M, Lim M, Bennett J, Johnstone K, Kutasovic JR, Saunus JM, Kazakoff S, Xu Q, Wood S, Holmes O, Leonard C, Reid LE, Black D, Niland C, Ferguson K, Gresshoff I, Raghavendra A, Harvey K, Cooper C, Liu C, Kalinowski L, Reid AS, Davidson M, Pearson JV, Pathmanathan N, Tse G, Papadimos D, Pathmanathan R, Harris G, Yamaguchi R, Tan PH, Fox SB, O'Toole SA, Simpson PT, Waddell N, Lakhani SR
J Pathol 2019 Feb;247(2):214-227. Epub 2018 Dec 20 doi: 10.1002/path.5184. PMID: 30350370
Abd El Hafez A, Shawky Ael-A
Breast Dis 2013 Jan 1;34(2):67-75. doi: 10.3233/BD-130353. PMID: 24077354

Diagnosis

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
McCart Reed AE, Kalaw E, Nones K, Bettington M, Lim M, Bennett J, Johnstone K, Kutasovic JR, Saunus JM, Kazakoff S, Xu Q, Wood S, Holmes O, Leonard C, Reid LE, Black D, Niland C, Ferguson K, Gresshoff I, Raghavendra A, Harvey K, Cooper C, Liu C, Kalinowski L, Reid AS, Davidson M, Pearson JV, Pathmanathan N, Tse G, Papadimos D, Pathmanathan R, Harris G, Yamaguchi R, Tan PH, Fox SB, O'Toole SA, Simpson PT, Waddell N, Lakhani SR
J Pathol 2019 Feb;247(2):214-227. Epub 2018 Dec 20 doi: 10.1002/path.5184. PMID: 30350370
Barnes PJ, Boutilier R, Chiasson D, Rayson D
Breast Cancer Res Treat 2005 May;91(2):173-8. doi: 10.1007/s10549-004-7260-y. PMID: 15868445

Therapy

Wu SG, Yang SP, Zhang WW, Wang J, Lian CL, Chen YX, He ZY
Sci Rep 2020 Dec 16;10(1):22070. doi: 10.1038/s41598-020-79166-5. PMID: 33328559Free PMC Article
Chang TC, Matossian MD, Elliott S, Burks HE, Sabol RA, Ucar DA, Wathieu H, Zabaleta J, Del Valle L, Gill S, Martin E, Riker AI, Miele L, Bunnell BA, Burow ME, Collins-Burow BM
PLoS One 2020;15(10):e0226464. Epub 2020 Oct 9 doi: 10.1371/journal.pone.0226464. PMID: 33035223Free PMC Article
Edenfield J, Schammel C, Collins J, Schammel D, Edenfield WJ
Clin Breast Cancer 2017 Feb;17(1):e1-e10. Epub 2016 Jul 25 doi: 10.1016/j.clbc.2016.07.004. PMID: 27568101
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

Coutant A, Cockenpot V, Muller L, Degletagne C, Pommier R, Tonon L, Ardin M, Michallet MC, Caux C, Laurent M, Morel AP, Saintigny P, Puisieux A, Ouzounova M, Martinez P
Lab Invest 2023 Dec;103(12):100258. Epub 2023 Oct 7 doi: 10.1016/j.labinv.2023.100258. PMID: 37813278
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
Samoon Z, Beg M, Idress R, Jabbar AA
Indian J Cancer 2019 Apr-Jun;56(2):124-129. doi: 10.4103/ijc.IJC_731_18. PMID: 31062730
Barnes PJ, Boutilier R, Chiasson D, Rayson D
Breast Cancer Res Treat 2005 May;91(2):173-8. doi: 10.1007/s10549-004-7260-y. PMID: 15868445

Clinical prediction guides

Moukarzel LA, Ferrando L, Da Cruz Paula A, Brown DN, Geyer FC, Pareja F, Piscuoglio S, Papanastasiou AD, Fusco N, Marchiò C, Abu-Rustum NR, Murali R, Brogi E, Wen HY, Norton L, Soslow RA, Vincent-Salomon A, Reis-Filho JS, Weigelt B
Mol Oncol 2021 Apr;15(4):1024-1039. Epub 2021 Feb 19 doi: 10.1002/1878-0261.12813. PMID: 33021035Free 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
Wu SG, Yang SP, Zhang WW, Wang J, Lian CL, Chen YX, He ZY
Sci Rep 2020 Dec 16;10(1):22070. doi: 10.1038/s41598-020-79166-5. PMID: 33328559Free PMC Article
Mahmud Z, Asaduzzaman M, Kumar U, Masrour N, Jugov R, Coombes RC, Shousha S, Hu Y, Lam EW, Yagüe E
Biochem Pharmacol 2019 May;163:391-403. Epub 2019 Mar 9 doi: 10.1016/j.bcp.2019.03.009. PMID: 30862505
Mills MN, Yang GQ, Oliver DE, Liveringhouse CL, Ahmed KA, Orman AG, Laronga C, Hoover SJ, Khakpour N, Costa RLB, Diaz R
Eur J Cancer 2018 Jul;98:48-58. Epub 2018 Jun 2 doi: 10.1016/j.ejca.2018.04.011. PMID: 29870876

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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