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Pre-operative management of Pleomorphic and florid lobular carcinoma in situ of the breast: Report of a large multi-institutional series and review of the literature
MP. Foschini, R. Miglio, R. Fiore, C. Baldovini, I. Castellano, G. Callagy, S. Bianchi, H. Kaya, I. Amendoeira, P. Querzoli, F. Poli, C. Scatena, A. Cordoba, F. Pietribiasi, A. Kovács, H. Faistova, G. Cserni, C. Quinn,
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články, multicentrická studie, přehledy
- MeSH
- biopsie MeSH
- dospělí MeSH
- duktální karcinom prsu patologie chirurgie MeSH
- intraduktální neinfiltrující karcinom patologie chirurgie MeSH
- invazivní růst nádoru MeSH
- karcinom prsu in situ patologie chirurgie MeSH
- lidé středního věku MeSH
- lidé MeSH
- lobulární karcinom patologie chirurgie MeSH
- nádory prsu patologie chirurgie MeSH
- resekční okraje MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- stupeň nádoru MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- přehledy MeSH
- Geografické názvy
- Evropa MeSH
BACKGROUND: Pleomorphic and Florid Lobular carcinoma in situ (P/F LCIS) are rare variants of LCIS, the exact nature of which is still debated. AIM: To collect a large series of P/F LCIS diagnosed on preoperative biopsies and evaluate their association with invasive carcinoma and high grade duct carcinoma in situ (DCIS). Data obtained were compared with those reported in the literature. METHODS: A multi-institutional series of P/F LCIS was retrieved. All cases were diagnosed on pre-operative biopsies, which was followed by an open surgical excision. Data on post-operative histopathology were available. A literature review was performed. RESULTS: A total of 117 cases were collected; invasive carcinoma and/or DCIS was present in 78/117 cases (66.7%). Seventy cases of P/F LCIS were pure on biopsy and 31 of these showed pathological upgrade in post-surgical specimens. Pre-operative biopsy accuracy was 47/78 (60.3%); pre-operative biopsy underestimation of cancer was 31/78 (39,7.%). In the literature review papers, invasive carcinoma or DCIS was associated with 274 of 418 (65.5%) cases of P/F LCIS. Pre-operative biopsy accuracy was 66% (181/274) whereas pre-operative biopsy underestimation of cancer was 33.9% (93/274). CONCLUSIONS: The data presented here indicate that P/F LCIS is frequently associated with invasive carcinoma or high grade DCIS and that pre-operative biopsy is associated with an underestimation of malignancy. Open surgery is indicated when P/F LCIS is diagnosed pre-operatively.
Department of Clinical Pathology Sahlgrenska University Hospital Gothenburg Sweden
Department of Medical Sciences Pathology Unit University of Turin Via Santena 7 10126 Turin Italy
Department of Pathology Marmara University Hospital Istanbul 81190 Turkey
Department of Pathology University Hospital of S João Porto and Ipatimup 4200 319 Porto Portugal
Department of Statistical Sciences University of Bologna Via Belle Arti 42 40100 Bologna Italy
Pathology Division Santa Croce Hospital Vicolo Tiziano 5 10024 Moncalieri TO Italy
Pathology Unit Ospedale Nuovo S Maria della Scaletta via Montericco 4 40026 Imola Bologna Italy
Citace poskytuje Crossref.org
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- $a Foschini, Maria P $u Department of Biomedical and Neuromotor Sciences, University of Bologna, Unit of Anatomic Pathology at Bellaria Hospital, Bologna (Italy). C. Baldovini present address is Anatomic Pathology Unit, Santa Maria delle Croci Hospital, Viale Randi 5, 48121, Ravenna, Italy. Electronic address: mariapia.foschini@unibo.it.
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- $a Pre-operative management of Pleomorphic and florid lobular carcinoma in situ of the breast: Report of a large multi-institutional series and review of the literature / $c MP. Foschini, R. Miglio, R. Fiore, C. Baldovini, I. Castellano, G. Callagy, S. Bianchi, H. Kaya, I. Amendoeira, P. Querzoli, F. Poli, C. Scatena, A. Cordoba, F. Pietribiasi, A. Kovács, H. Faistova, G. Cserni, C. Quinn,
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- $a BACKGROUND: Pleomorphic and Florid Lobular carcinoma in situ (P/F LCIS) are rare variants of LCIS, the exact nature of which is still debated. AIM: To collect a large series of P/F LCIS diagnosed on preoperative biopsies and evaluate their association with invasive carcinoma and high grade duct carcinoma in situ (DCIS). Data obtained were compared with those reported in the literature. METHODS: A multi-institutional series of P/F LCIS was retrieved. All cases were diagnosed on pre-operative biopsies, which was followed by an open surgical excision. Data on post-operative histopathology were available. A literature review was performed. RESULTS: A total of 117 cases were collected; invasive carcinoma and/or DCIS was present in 78/117 cases (66.7%). Seventy cases of P/F LCIS were pure on biopsy and 31 of these showed pathological upgrade in post-surgical specimens. Pre-operative biopsy accuracy was 47/78 (60.3%); pre-operative biopsy underestimation of cancer was 31/78 (39,7.%). In the literature review papers, invasive carcinoma or DCIS was associated with 274 of 418 (65.5%) cases of P/F LCIS. Pre-operative biopsy accuracy was 66% (181/274) whereas pre-operative biopsy underestimation of cancer was 33.9% (93/274). CONCLUSIONS: The data presented here indicate that P/F LCIS is frequently associated with invasive carcinoma or high grade DCIS and that pre-operative biopsy is associated with an underestimation of malignancy. Open surgery is indicated when P/F LCIS is diagnosed pre-operatively.
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- $a Miglio, Rossella $u Department of Statistical Sciences, University of Bologna, Via Belle Arti 42, 40100, Bologna, Italy. Electronic address: rossella.miglio@unibo.it.
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- $a Fiore, Roberta $u Department of Biomedical and Neuromotor Sciences, University of Bologna, Unit of Anatomic Pathology at Bellaria Hospital, Bologna (Italy). C. Baldovini present address is Anatomic Pathology Unit, Santa Maria delle Croci Hospital, Viale Randi 5, 48121, Ravenna, Italy. Electronic address: roberta.fiore@studio.unibo.it.
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- $a Baldovini, Chiara $u Department of Biomedical and Neuromotor Sciences, University of Bologna, Unit of Anatomic Pathology at Bellaria Hospital, Bologna (Italy). C. Baldovini present address is Anatomic Pathology Unit, Santa Maria delle Croci Hospital, Viale Randi 5, 48121, Ravenna, Italy. Electronic address: c.baldovini@gmail.com.
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- $a Callagy, Grace $u Discipline of Pathology, Lambe Institute for Translational Research, NUI Galway, Costello Road, Galway, Ireland. Electronic address: grace.callagy@nuigalway.ie.
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- $a Bianchi, Simonetta $u Department of Surgery and Translational Medicine, Section of Pathological Anatomy, Careggi University Hospital, Largo G. Alessandro Brambilla, 3, 50134, Firenze, Florence, Italy. Electronic address: Simonetta.bianchi@unifi.it.
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- $a Kaya, Handan $u Department of Pathology, Marmara University Hospital, Istanbul, 81190, Turkey. Electronic address: hkaya@marmara.edu.tr.
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- $a Querzoli, Patrizia $u Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Unit of Anatomic Pathology, St Anna University Hospital, Via A. Moro 8, 44124, Ferrara, Italy. Electronic address: Patrizia.querzoli@unife.it.
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- $a Poli, Francesca $u Pathology Unit, Ospedale Nuovo "S.Maria della Scaletta", via Montericco 4, 40026, Imola, Bologna, Italy. Electronic address: f.poli@ausl.imola.bo.it.
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- $a Scatena, Cristian $u Division of Pathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56126, Pisa, Italy. Electronic address: Cristian.scatena@unipi.it.
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- $a Cordoba, Alicia $u Department of Pathology Section A, Navarra Health Service, Hospital Complex of Navarra, Irunlarrea 4, 31008, Pamplona, Spain. Electronic address: alicia.cordoba.iturriagagoitia@navarra.es.
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- $a Faistova, Hana $u The Fingerland Department of Pathology, Charles University Faculty of Medicine and University Hospital Hradec Králové, Sokolská 581, Hradec Králové, 500 03, Czech Republic. Electronic address: chiotcurieux@gmail.com.
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- $a Quinn, Cecily $u Department of Histopathology, St. Vincent's University Hospital, Dublin, and School of Medicine, University College, Dublin, Ireland. Electronic address: cquinn@svhg.ie.
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