PMID- 18673338 OWN - NLM STAT- MEDLINE DCOM- 20081126 LR - 20080929 IS - 1524-4741 (Electronic) IS - 1075-122X (Linking) VI - 14 IP - 5 DP - 2008 Sep-Oct TI - Presence of a micropapillary pattern in mucinous carcinomas of the breast and its impact on the clinical behavior. PG - 412-20 LID - 10.1111/j.1524-4741.2008.00616.x [doi] AB - Infiltrating micropapillary carcinomas (IMPC) of breast are highly angioinvasive tumors with poor prognosis. This study is based on the observation that a similar micropapillary pattern is also observed in mucinous carcinomas of breast. About 102 mucinous carcinomas were evaluated for the presence and impact of this micropapillary pattern on the clinical behavior. Of these, 68 were mucinous carcinomas with a micropapillary pattern (MUMPC), 20 had MUMPC mixed with an infiltrating duct carcinoma component, two were solid variants of papillary carcinoma with mucin (SVPCMU), five had collision of the MUMPC and SVPCMU patterns and seven were mucinous carcinomas with signet ring cells (MUS). The factors negatively affecting overall survival (OAS) and disease-free survival (DFS) included the histological type of mucinous carcinoma, nodal metastases, an irregular tumor border, <50% mucin and an IMPC type of local recurrence or metastases. In the multivariate analysis, the histologic type of mucinous carcinoma and an irregular tumor border were most significant for OAS and DFS. Thus, 86% of mucinous carcinomas in this study were mucinous variants of the angioinvasive infiltrating micropapillary carcinomas. These tumors can produce IMPC type of metastases and thus should be treated aggressively. FAU - Shet, Tanuja AU - Shet T AD - Department of Pathology, Tata Memorial Hospital, Parel, Mumbai, India. tanujashet@yahoo.com FAU - Chinoy, Roshni AU - Chinoy R LA - eng PT - Journal Article DEP - 20080730 PL - United States TA - Breast J JT - The breast journal JID - 9505539 SB - IM MH - Adenocarcinoma, Mucinous/mortality/pathology/*secondary MH - Adult MH - Age Factors MH - Aged MH - Biopsy, Needle MH - Breast Neoplasms/mortality/*pathology MH - Carcinoma, Papillary/mortality/pathology/*secondary MH - Cohort Studies MH - Combined Modality Therapy MH - Disease-Free Survival MH - Female MH - Humans MH - Immunohistochemistry MH - Lymphatic Metastasis MH - Middle Aged MH - Multivariate Analysis MH - Neoplasm Invasiveness MH - Neoplasm Recurrence, Local/mortality/*pathology MH - Neoplasm Staging MH - Probability MH - Prognosis MH - Proportional Hazards Models MH - Retrospective Studies MH - Risk Assessment MH - Survival Analysis EDAT- 2008/08/05 09:00 MHDA- 2008/12/17 09:00 CRDT- 2008/08/05 09:00 PHST- 2008/08/05 09:00 [pubmed] PHST- 2008/12/17 09:00 [medline] PHST- 2008/08/05 09:00 [entrez] AID - TBJ616 [pii] AID - 10.1111/j.1524-4741.2008.00616.x [doi] PST - ppublish SO - Breast J. 2008 Sep-Oct;14(5):412-20. doi: 10.1111/j.1524-4741.2008.00616.x. Epub 2008 Jul 30.