- Cancer Subtypes of Breast Carcinoma with Micropapillary and Mucinous Component Based on Immunohistochemical Profile.
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Sun Young Min, Eun Jung Jung, Hyesil Seol, In Ae Park
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Korean J Pathol. 2011;45(2):125-131.
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DOI: https://doi.org/10.4132/KoreanJPathol.2011.45.2.125
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- BACKGROUND
Micropapillary carcinoma (MPC) is known to have a worse prognosis than the other subtypes of breast cancer.
Occasionally, MPC is observed in association with invasive ductal carcinoma not otherwise specified (IDC NOS), as well as mucinous carcinoma. METHODS We examined the immunohistochemical expression of an estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 (HER2) in 127 cases of surgically resected MPC or IDC NOS with MPC. Further, we classified these cases based on their immunohistochemical profile. RESULTS Among the IDC NOS with MPC cases, 47 were luminal A (62.7%), 10 were luminal B (13.3%), and 9 were HER2 (12.0%).
The MPC cases included 4 luminal A (50.0%), 2 luminal B (25.0%) and 1 HER2 (12.5%) subtypes. Of the mucinous carcinomas with MPC, 4 were grouped as luminal A (57.1%), 1 as luminal B (14.3%), and 2 as HER2 (28.6%) subtypes.
However, among the mucinous carcinomas, 33 were categorized as luminal A (89.2%), 3 as luminal B (8.1%), and 1 as HER2 (2.7%) subtype, indicating a low incidence of HER2 subtype as compared to the other subtypes. CONCLUSIONS The luminal B and HER2 subtypes were prevalent in carcinomas with MPC. This result explains the poor prognosis of breast carcinomas with an MPC pattern.
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Citations
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- Investigation of Clinical Histopathologic Features and Metabolic Parameters of 18F-FDG PET/CT in Invasive Breast Carcinoma with a Micropapillary Component
Elife Akgün, Göksel Alçın, Esra Canan Kelten Talu, Tevfik Fikret Çermik, Tuçe Söylemez Akkurt, Ebru Şen, Esra Arslan Molecular Imaging and Radionuclide Therapy.2023; 32(3): 221. CrossRef - Micropapillary Breast Carcinoma: From Molecular Pathogenesis to Prognosis
Georgios-Ioannis Verras, Levan Tchabashvili, Francesk Mulita, Ioanna Maria Grypari, Sofia Sourouni, Evangelia Panagodimou, Maria-Ioanna Argentou Breast Cancer: Targets and Therapy.2022; Volume 14: 41. CrossRef - Micropapillary variant of mucinous breast carcinoma: A distinct subtype
Katrina Collins, Andrew Ricci The Breast Journal.2018; 24(3): 339. CrossRef - Prognostic Significance of a Micropapillary Pattern in Pure Mucinous Carcinoma of the Breast: Comparative Analysis with Micropapillary Carcinoma
Hyun-Jung Kim, Kyeongmee Park, Jung Yeon Kim, Guhyun Kang, Geumhee Gwak, Inseok Park Journal of Pathology and Translational Medicine.2017; 51(4): 403. CrossRef
- The Prognostic Implications of Cystic Change in Clear Cell Renal Cell Carcinoma.
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Heae Surng Park, Eun Jung Jung, Jae Kyung Myung, Kyung Chul Moon
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Korean J Pathol. 2010;44(2):149-154.
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DOI: https://doi.org/10.4132/KoreanJPathol.2010.44.2.149
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5,398
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- BACKGROUND
Cystic renal cell carcinoma has been reported to have a good prognosis. However, previous studies included cases of multilocular cystic renal cell carcinoma, which has an excellent prognosis, and renal cell carcinoma with cystic necrosis, which has an adverse prognosis. Therefore, we analyzed the prognostic influence of cystic change in clear cell renal cell carcinoma after excluding those morphological features. METHODS We identified 225 patients with clear cell renal cell carcinoma who underwent nephrectomy between 2001 and 2003. The clinicopathologic features were compared with clinical outcomes. RESULTS Cystic change in clear cell renal cell carcinoma (n = 66) was significantly associated with younger patient age (< 55), smaller tumor size (< or = 4 cm), lower pT stage (pT1, T2), M0 stage at initial diagnosis, lower tumor, node, and metastasis stage (I, II), and lower nuclear grade (1, 2). Patients with cystic change in clear cell renal cell carcinoma had significantly longer cancer-specific (p = 0.015) and progression-free survival (p = 0.004) than those without cystic change, by univariate analysis. Multivariate analysis revealed that cystic change significantly decreased the risk of cancer progression (risk ratio, 0.27; 95% confidence interval, 0.11 to 0.69). CONCLUSIONS In patients with clear cell renal cell carcinoma, cystic change is a good independent predictor for survival.
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Citations
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- Update on MRI of Cystic Renal Masses Including Bosniak Version 2019
Satheesh Krishna, Nicola Schieda, Ivan Pedrosa, Nicole Hindman, Ronaldo H. Baroni, Stuart G. Silverman, Matthew S. Davenport Journal of Magnetic Resonance Imaging.2021; 54(2): 341. CrossRef - Klotho plays a critical role in clear cell renal cell carcinoma progression and clinical outcome
Ji-Hee Kim, Kyu-Hee Hwang, Sayamaa Lkhagvadorj, Jae Hung Jung, Hyun Chul Chung, Kyu-Sang Park, In Deok Kong, Minseob Eom, Seung-Kuy Cha The Korean Journal of Physiology & Pharmacology.2016; 20(3): 297. CrossRef - Insulin Receptor Expression in Clear Cell Renal Cell Carcinoma and Its Relation to Prognosis
Sayamaa Lkhagvadorj, Sung Soo Oh, Mi-Ra Lee, Jae Hung Jung, Hyun Chul Chung, Seung-Kuy Cha, Minseob Eom Yonsei Medical Journal.2014; 55(4): 861. CrossRef - Determination of the Cutoff Value of the Proportion of Cystic Change for Prognostic Stratification of Clear Cell Renal Cell Carcinoma
Heae Surng Park, Kyoungbun Lee, Kyung Chul Moon Journal of Urology.2011; 186(2): 423. CrossRef
- Expression of E-cadherin in Chromophobe Renal Cell Carcinoma and Its Prognostic Implication.
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Eun Jung Jung, Heae Sung Park, Sun Young Min, Jeong Mo Bae, Kyung Chul Moon
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Korean J Pathol. 2009;43(3):238-243.
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DOI: https://doi.org/10.4132/KoreanJPathol.2009.43.3.238
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4,145
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Abstract
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- BACKGROUND
Chromophobe renal cell carcinoma is a category of renal cell carcinoma composed of histologically characteristic tumor cells. E-cadherin is an intercellular adhesion protein that has been correlated with tumor aggressiveness in many carcinomas, including clear cell renal cell carcinoma. However, the significance of an E-cadherin expression in chromophobe renal cell carcinoma is not known. METHODS We evaluated the E-cadherin expression status of 65 chromophobe renal cell carcinomas by performing immunohistochemical staining with the tissue microarray method. The percentage of positively stained tumor cells was evaluated and this was then classified into two categories: a low expression where 0 to 25% of the cells are positive, and a high expression where more than 25% of the cells are positive. RESULTS Among 65 cases, 11 cases (17%) showed a low expression, and 54 cases (83.0%) showed a high expression.
The tumors with low expression were more likely to have a higher stage but this was not significant (p=0.056). On the survival analysis, a low E-cadherin expression was significantly associated with poor cancer-specific survival (p=0.005) and progression-free survival (p=0.003). CONCLUSIONS The E-cadherin expression is a good prognostic marker for survival in patients with chromophobe renal cell carcinoma.
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Citations
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- A systematic review and meta-analysis combined with bioinformatic analysis on the predictive value of E-cadherin in patients with renal cell carcinoma
Zikuan Zhang, Bo Xue, Yongquan Chen, Yuan Shao, Dongwen Wang Expert Review of Molecular Diagnostics.2024; 24(9): 859. CrossRef
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