PMID- 24888777 OWN - NLM STAT- MEDLINE DCOM- 20150209 LR - 20151119 IS - 1440-1827 (Electronic) IS - 1320-5463 (Linking) VI - 64 IP - 5 DP - 2014 May TI - Clonal profiling of mixed lobular and ductal carcinoma revealed by multiplex ligation-dependent probe amplification and fluorescence in situ hybridization. PG - 231-6 LID - 10.1111/pin.12158 [doi] AB - A needle biopsy of a mass in the right breast of a 36-year-old woman revealed invasive ductal carcinoma (IDC), and approximately 20% of cancer cells showed unequivocal membranous staining with the HercepTest. After systemic therapy with trastuzumab and paclitaxel followed by FEC (fluorouracil + epirubicin + cyclophosphamide), a right mastectomy was performed. By histological and immunohistochemical examinations, the resected tumor consisted mainly of E-cadherin-negative invasive lobular carcinoma (ILC), and the rest was ERBB2-positive IDC; thus, the diagnosis was mixed ductal and lobular carcinoma. Multiplex ligation-dependent probe amplification and fluorescence in situ hybridization (FISH) analyses revealed that ILC and IDC shared high-level amplification of CCND1 in homogeneously staining regions (HSR) and that IDC had an additional HSR-type amplicon of ERBB2. These findings strongly indicate that IDC and ILC had a common precursor cell with CCND1 amplification. Review of the biopsy specimen with FISH showed IDC with gene amplifications of CCND1 and ERBB2 as a minor component, IDC without amplification of CCND1 or ERBB2 as a major component, and a minute portion of ILC with CCND1 amplification. We speculate that chemotherapy and trastuzumab caused a marked reduction in IDC; however, ILC with CCND1 amplification was resistant to chemotherapy and grew. CI - (c) 2014 The Authors. Pathology International (c) 2014 Japanese Society of Pathology and Wiley Publishing Asia Pty Ltd. FAU - Tajiri, Ryosuke AU - Tajiri R AD - Department of Molecular and Cellular Pathology, Kanazawa University, Ishikawa. FAU - Inokuchi, Masafumi AU - Inokuchi M FAU - Sawada-Kitamura, Seiko AU - Sawada-Kitamura S FAU - Kawashima, Hiroko AU - Kawashima H FAU - Nakamura, Ritsuko AU - Nakamura R FAU - Oyama, Takeru AU - Oyama T FAU - Dobashi, Yoh AU - Dobashi Y FAU - Ooi, Akishi AU - Ooi A LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Australia TA - Pathol Int JT - Pathology international JID - 9431380 RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - 0 (CCND1 protein, human) RN - 0 (DNA, Neoplasm) RN - 136601-57-5 (Cyclin D1) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Antineoplastic Agents/therapeutic use MH - Biomarkers, Tumor/genetics/metabolism MH - Biopsy, Needle MH - Breast/metabolism/pathology MH - Breast Neoplasms/*genetics/metabolism/therapy MH - Carcinoma, Ductal, Breast/*genetics/metabolism/therapy MH - Carcinoma, Lobular/*genetics/metabolism/therapy MH - Cyclin D1/genetics/metabolism MH - DNA Fingerprinting/*methods MH - DNA, Neoplasm/*genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Mastectomy MH - Multiplex Polymerase Chain Reaction/*methods MH - Receptor, ErbB-2/genetics/metabolism MH - Treatment Outcome OTO - NOTNLM OT - FISH OT - MLPA OT - breast cancer OT - ductal carcinoma OT - lobular carcinoma EDAT- 2014/06/04 06:00 MHDA- 2015/02/11 06:00 CRDT- 2014/06/04 06:00 PHST- 2014/02/01 00:00 [received] PHST- 2014/03/25 00:00 [accepted] PHST- 2014/06/04 06:00 [entrez] PHST- 2014/06/04 06:00 [pubmed] PHST- 2015/02/11 06:00 [medline] AID - 10.1111/pin.12158 [doi] PST - ppublish SO - Pathol Int. 2014 May;64(5):231-6. doi: 10.1111/pin.12158.