Mammary carcinoma arising in microglandular adenosis (MGA) is extremely rare, and MGA is regarded as a non-obligate precursor of triple-negative breast cancer. We report five cases of carcinoma arising in MGA of the breast. All cases showed a spectrum of proliferative lesions ranging from MGA to atypical MGA, ductal carcinoma in situ or invasive carcinoma. Immunohistochemically, all cases were triple-negative and expression of S-100 protein gradually decreased as the lesions progressed from MGA to atypical MGA and carcinoma. Three cases showed acinic cell differentiation with reactivity to α1-antitrypsin, and one case was metaplastic carcinoma. During clinical follow-up, one patient developed local recurrence. Carcinoma arising in MGA is a rare but distinct subset of triple-negative breast cancer with characteristic histologic and immunohistochemical findings.
Citations
Citations to this article as recorded by
Acinic Cell Carcinoma of the Breast: A Case Report and Review of Literature Ihab S Atta Cureus.2024;[Epub] CrossRef
Histological and electron microscopic features of the extracellular matrix of invasive breast ductal carcinoma of no special type. Report of 5 cases and literature review M.V. Mnikhovich, A.V. Romanov, T.M. Nguyen, T.V. Bezuglova, D.A. Pastukhova Ultrastructural Pathology.2023; 47(4): 261. CrossRef
Ductal carcinoma in situ arises from microglandular adenosis and atypical microglandular adenosis in a young woman Nguyen Thu Huong, Tran-Thi Hue, Nguyen Duy Hung, Nguyen Minh Duc Journal of Clinical Imaging Science.2023; 13: 15. CrossRef
Primary acinic cell carcinoma of the breast: A case report and literature review Zhi-Min Deng, Yi-Ping Gong, Feng Yao, Ma-Li Wu, Zi-Tao Wang, Jing-Ping Yuan, Yan-Xiang Cheng Heliyon.2023; 9(9): e20160. CrossRef
Two cases of mammary acinic cell carcinomas with microglandular structures mimicking microglandular adenosis Fang Yu, Li Niu, Bicheng Wang, Wei Fan, Jian Xu, Qiongrong Chen Pathology International.2022; 72(6): 343. CrossRef
Metaplastic Matrix-Producing Carcinoma and Apocrine Lobular Carcinoma In Situ Associated with Microglandular Adenosis: A Unique Case Report Nektarios Koufopoulos, Dionysios Dimas, Foteini Antoniadou, Kyparissia Sitara, Dimitrios Balalis, Ioannis Boutas, Alina Roxana Gouloumis, Adamantia Kontogeorgi, Lubna Khaldi Diagnostics.2022; 12(6): 1458. CrossRef
Salivary gland-like breast tumors: A review of diagnostic features and prognosis Vicente Marco Revista de Senología y Patología Mamaria.2022; 35: S43. CrossRef
Acinic cell carcinoma of the breast: A comprehensive review Azra Ajkunic, Faruk Skenderi, Nada Shaker, Saghir Akhtar, Janez Lamovec, Zoran Gatalica, Semir Vranic The Breast.2022; 66: 208. CrossRef
Unusual cerebrospinal fluid finding of intracytoplasmic granules in metaplastic carcinoma of the breast with acinar differentiation Ruhani Sardana, Anil V Parwani, Xiaoyan Cui, Jayalakshmi Balakrishna Diagnostic Cytopathology.2021;[Epub] CrossRef
Salivary gland-type mammary carcinoma arising in microglandular adenosis: A case report and clinicopathological review of the literature Victoria Rico, Yukiko Shibahara, Marjorie Monteiro, Elzbieta Slodkowska, Samantha Tam, Pearl Zaki, Carlo De Angelis, Edward Chow, Katarzyna Joanna Jerzak Cancer Treatment and Research Communications.2020; 24: 100178. CrossRef
Triple negative metaplastic breast carcinoma presenting in the background of atypical microglandular adenosis with candidacy for atezolizumab immunotherapy Hector Chavarria, Sean Hacking, Cao Jin, Nidhi Kataria, Florin Glodan, Tawfiqul Bhuiya, Mansoor Nasim Human Pathology: Case Reports.2020; 21: 200398. CrossRef