PMID- 35692784 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 12 DP - 2022 TI - Primary Neuroendocrine Tumor of the Breast: Current Understanding and Future Perspectives. PG - 848485 LID - 10.3389/fonc.2022.848485 [doi] LID - 848485 AB - Primary neuroendocrine carcinoma of the breast (NECB) is characterized with heterogeneity, rarity, and poor differentiation, which is probably an underestimated subtype of breast cancer, including small cell NECs and large cell NECs. The diagnostic criteria for NECB have been constantly updated as the disease changes and the understanding increases. According to the latest WHO Classification, primary neuroendocrine neoplasm (NEN) of the breast consists of well-differentiated neuroendocrine tumors (NET), extremely aggressive neuroendocrine carcinomas (NEC) as well as invasive breast cancers of no special type (IBCs-NST) with neuroendocrine differentiation. The accurate diagnosis of NECB remains a challenge for its low incidence, which needs multi-disciplinary methods. For the rarity of the disease, there is a lack of large samples and prospective clinical research. For these invasive tumors, there are no standardized therapeutic guidelines or norms, and the treatment often refers to nonspecific breast cancer. In addition, the prognosis of such patients remains unknown. In 2003, the World Health Organization (WHO) listed NECB as an independent entity for the first time, while few features of NECB were clarified. In this review, it presents the WHO Classification, clinicopathologic characteristics, diagnosis, treatment, and prognosis of these patients. In addition, it summarizes the latest studies on molecular features of NECB, aiming to provide new therapeutic perspectives for the disease. CI - Copyright (c) 2022 Sun, Dai, Xu, Liu, Yu and Sun. FAU - Sun, Hongna AU - Sun H AD - Department of Medical Oncology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang, China. FAU - Dai, Shuang AU - Dai S AD - Department of Medical Oncology, Lung Cancer Center, West China Hospital, Sichuan University, Chengdu, China. FAU - Xu, Junnan AU - Xu J AD - Department of Medical Oncology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang, China. FAU - Liu, Linan AU - Liu L AD - Department of Pathology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital and Institute, Shenyang, Liaoning, China. FAU - Yu, Jiaxing AU - Yu J AD - Department of Medical Oncology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang, China. FAU - Sun, Tao AU - Sun T AD - Department of Medical Oncology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang, China. LA - eng PT - Journal Article PT - Review DEP - 20220525 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC9174548 OTO - NOTNLM OT - clinicopathologic characteristics OT - diagnosis OT - literature review OT - neuroendocrine neoplasia OT - primary neuroendocrine carcinoma of the breast OT - prognosis OT - treatment COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/06/14 06:00 MHDA- 2022/06/14 06:01 PMCR- 2022/01/01 CRDT- 2022/06/13 03:04 PHST- 2022/01/04 00:00 [received] PHST- 2022/04/14 00:00 [accepted] PHST- 2022/06/13 03:04 [entrez] PHST- 2022/06/14 06:00 [pubmed] PHST- 2022/06/14 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2022.848485 [doi] PST - epublish SO - Front Oncol. 2022 May 25;12:848485. doi: 10.3389/fonc.2022.848485. eCollection 2022.