Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Carcinosarcoma of the breast: report of two cases
12nd,, Department of Propedeutic Surgery - Athens University Medical School - "Laiko" General Hospital - Athens, Greece
*Corresponding Author(s): E. Kouskos E-mail:
Carcinosarcoma is a rare, malignant tumor of the breast, consisting of intraductal or infiltrating carcinoma contiguous or subtly merged with a highly cellular, mitotically active pleomorphic spindle cell stroma (sarcoma). It is a form of the metaplastic mammary carcinomas and it is probably derived of myoepithelial cells. We report two cases of breast carcinosarcoma in two white women. The patients, following a frozen section positive for malignancy, had had a modified radical mastectomy. Paraffin sections and positive immunohistochemical cell staining (in our first case) confirmed the diagnosis of carcinosarcoma. This tumor should be distinguished from other forms of metaplastic carcinomas because it is very aggressive and has an ominous prognosis.
Carcinosarcoma; Metaplastic Carcinoma; Mammary Gland
J. Gogas,E. Kouskos,C. Markopoulos,D. Mantas,Z. Antonopoulou,K. Kontzoglou,J. Stamoulis,V. Kyriakou. Carcinosarcoma of the breast: report of two cases. European Journal of Gynaecological Oncology. 2003. 24(1);93-95.
[1] Wargotz E. S., Norris H.J.: "Metaplasic carcinomas of the breast. Carcinosarcoma". Cancer, 1989, 64, 1490.
[2] Oberman H. A.: "Metaplastic carcinoma of the breast. A chmcopathologic study of 29 patients". Am. J. Surg. Pathol., 1987, 11, 918.
[3] Wargotz E. S., Deos P. H., Norris H. J.: "Metaplastic carcinomas of the breast. Spindle cell carcinoma". Hum. Pathol., 1989, 20, 732.
[4] Wargotz E. S., Norris H.J.: "Metaplastic carcinomas of the breast Matrix producing carcinoma". Hum. Pathol.. 1989, 20, 628.
[5] Wargotz E. S., Norris H.J.: "Metaplastic carcinomas of the breast. Metaplastic carcinoma with osteoclastic giant cells". Hum. Pathol., 1990, 21, 1142.
[6] Wargotz E. S., Norris H. J.: "Metaplastic carcinomas of the breast. Squamous cell carcinoma of ductal origin". Cancer, 1990, 65, 272.
[7] Gutman H., Pollock R. E., Janjan N. A., Johnston D. A.: "Biologic distinctions and therapeutic implications of sarcomatoid metaplasia of epithelial carcinoma of the breast". J. Am. Coll. Surg., 1995, 180, 193.
[8] Kaufman M. W., Marti J. R., Gallager H. S., Hoehn J. L.: "Carcinoma of the breast with pseudosarcomatous metaplasia". Cancer, 1984, 53, 1908.
[9] Nogueira M., Andre S., Mendonca E.: "Metaplastic carcinomas of the breast-fine needle aspiration (FNA) cytology findings". Cytopathology, 1998, 9, 291.
[10] Kuo S. H., Chen C. L., Huang C. S., Cheng A. L.: "Metaplastic carcinoma of the breast: analysis of eight Asian patients with special emphasis on two unusual cases presenting with inflammatory- type breast cancer". Anticancer. Res., 2000, 20, 2219.
[11] Paterson D. A.: "Carcinosarcoma and metaplastic carcinomas". The Breast, 1992, 1, 136.
[12] Harris M., Persaud V.: "Carcinosarcoma of the breast". J. Pathol., 1974, 112, 99.
Top