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Breast Pathology: Diagnosis and Insights, An Issue of Surgical Pathology Clinics - E-Book

Breast Pathology: Diagnosis and Insights, An Issue of Surgical Pathology Clinics - E-Book

Stuart J. Schnitt | Sandra J. Shin

(2012)

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Book Details

Abstract

Clinically accessible information for pathologists on histology, molecular pathology, differential diagnosis, and clinical overview is presented. Common and rare entities are covered with an abundance of images to highight key features.
Topics for pathologists covering the fast moving field of breast pathology include: Less common variants and mimics of DCIS; Invasive lobular carcinoma and its variants; Important inflammatory and reactive lesions; Small glandular proliferations; Vascular lesions of the breast; Combined epithelial-myoepithelial lesion; Immunhistochemical pitfalls in the diagnosis of breast lesions; Pathology considerations in patients treated with neoadjuvant chemotherapy; Molecular classification of breast cancer: Jorge Reis-Filho; Prognostic factors for patients with breast cancer: Traditional and New

Table of Contents

Section Title Page Action Price
Front Cover Cover
Breast Pathology: Diagnosis\rand Insights i
Copyright Page ii
Table of Contents v
Contributors iii
Preface: Breast Pathology: Diagnostic Dilemmas ix
CHAPTER 1. LESS COMMON VARIANTS AND MIMICS OF DCIS 529
ABSTRACT 529
OVERVIEW 529
GROSS FEATURES 529
VARIANTS OF DUCTAL CARCINOMA IN SITU 530
SUMMARY 542
REFERENCES 543
CHAPTER 2. INVASIVE LOBULAR CARCINOMA OF THE BREAST 545
ABSTRACT 545
OVERVIEW 545
DIAGNOSIS OF INVASIVE LOBULAR CARCINOMA 545
MICROSCOPIC FEATURES OF INVASIVE LOBULAR CARCINOMA 546
DIFFERENTIAL DIAGNOSIS 546
DIFFERENTIAL DIAGNOSIS - E-CADHERIN 549
DIFFERENTIAL DIAGNOSIS—OTHER PITFALLS 555
OTHER BIOMARKERS 558
STAGING AND PROGNOSIS 560
TREATMENT OF INVASIVE LOBULAR CARCINOMA 562
SUMMARY 565
REFERENCES 565
CHAPTER 3. IMPORTANT INFLAMMATORY AND REACTIVE LESIONS OF THE BREAST 567
ABSTRACT 567
MAMMARY DUCT ECTASIA (PERIDUCTAL MASTITIS) 567
LYMPHOCYTIC MASTOPATHY/DIABETIC MASTOPATHY 571
GRANULOMATOUS LESIONS 574
IGG4-RELATED SCLEROSING MASTITIS 582
EOSINOPHILIC MASTITIS 582
REACTIVE SPINDLE CELL NODULES 582
INFLAMMATORY MYOFIBROBLASTIC TUMOR 582
REACTIONS TO FOREIGN MATERIAL 582
TREATMENT EFFECTS 586
MIMICS OF INFLAMMATORY AND REACTIVE LESIONS 588
REFERENCES 589
CHAPTER 4. SMALL GLANDULAR PROLIFERATIONS OF THE BREAST 591
ABSTRACT 591
OVERVIEW 591
SCLEROSING ADENOSIS 591
RADIAL SCAR 601
TUBULAR CARCINOMA 606
MICROGLANDULAR ADENOSIS 614
LOW-GRADE ADENOSQUAMOUS CARCINOMA 620
SYRINGOMATOUS ADENOMA 628
EPITHELIAL DISPLACEMENT BY NEEDLING PROCEDURES 633
SUMMARY 638
REFERENCES 638
CHAPTER 5. VASCULAR LESIONS OF THE BREAST 645
ABSTRACT 645
ANGIOLIPOMA 645
PERILOBULAR HEMANGIOMA 647
HEMANGIOMA 648
CUTANEOUS ATYPICAL VASCULAR LESIONS 651
RADIATION-ASSOCIATED CUTANEOUS ANGIOSARCOMA 652
PRIMARY ANGIOSARCOMA 655
REFERENCES 658
CHAPTER 6. COMBINED EPITHELIAL- MYOEPITHELIAL LESIONS OF THE BREAST 661
ABSTRACT 661
OVERVIEW 661
ADENOSIS AND ADENOMYOEPITHELIAL ADENOSIS 661
ADENOSIS NODULE 664
COLLAGENOUS SPHERULOSIS 665
ADENOMYOEPITHELIOMA 668
ADENOMYOEPITHELIOMA WITH MALIGNANT PROGRESSION 676
PLEOMORPHIC ADENOMA (MIXED TUMOR OF THE BREAST) 680
PLEOMORPHIC ADENOMA WITH MALIGNANT PROGRESSION 683
ADENOID CYSTIC CARCINOMA 686
REFERENCES 694
CHAPTER 7. MOLECULAR CLASSIFICATION OF BREAST CANCER 701
ABSTRACT 701
OVERVIEW 701
MOLECULAR SUBTYPES OF BREAST CANCER 702
LIMITATIONS OF THE INTRINSIC SUBTYPE CLASSIFICATION 706
INTRINSIC CLASSIFICATION MAY NOT INCLUDE ALL BREAST CANCERS 707
INTRINSIC CLASSIFICATION CANNOT CLASSIFY INDIVIDUAL SAMPLES 707
GENE EXPRESSION PROFILING PROGNOSTIC ASSAYS 708
FIRST-GENERATION PROGNOSTIC GENE SIGNATURES: ARE THEY READY FOR CLINICAL PRACTICE? 711
PREDICTIVE SIGNATURES 712
SUMMARY 713
REFERENCES 713
CHAPTER 8. METASTASES TO AND FROM THE BREAST 719
ABSTRACT 719
OVERVIEW 719
REFERENCES 741
CHAPTER 9. PATHOLOGY CONSIDERATIONS IN PATIENTS TREATED WITH NEOADJUVANT CHEMOTHERAPY 749
ABSTRACT 749
OVERVIEW 749
EVALUATION OF PRETREATMENT CORE NEEDLE BIOPSIES 751
EVALUATION OF POST-TREATMENT SPECIMENS 752
SYSTEMS FOR EVALUATING DEGREE OF RESPONSE TO NAT 767
REPORTING POST-TREATMENT SPECIMENS 770
REFERENCES 771
CHAPTER 10. PROGNOSTIC FACTORS FOR PATIENTS WITH BREAST CANCER: TRADITIONAL AND NEW 775
ABSTRACT 775
OVERVIEW 775
SUMMARY 782
REFERENCES 783
Index 787