Mammary Carcinoma with Osteoclast-like Giant Cells – Report of Two Cases
Kajo, K., Macháleková, K., Kviatkovská, Z.
Ústav patologickej anatómie Jesseniovej lekárskej fakulty a Martinskej fakultnej nemocnice, Martin, Slovenská Republika |
|
Summary:
Authors describe two cases of a rare type of mammary carcinoma occurring in 47-year and 49-yearold
women, characterised by osteoclast-like giant cells, hypervascular stroma, and signs of older
and recent haemorrhages on the background of the conventional type of breast carcinoma. In both
cases there was diagnosed moderately differentiated ductal invasive carcinoma with osteoclastlike
giant cells, which were present in tumorous stroma as well as scattered between tumorous
cells. Immunohistochemical analysis (vimentin and CD68 positivity and negativity of cytokeratins,
EMA and S-100 protein) confirmed a histiocytic origin of these giant cells as well as their reactive
non-neoplastic nature. Clinical and morphological features of this unusual type of breast
carcinoma indicate that it should be regarded as an unique clinical- histomorphological entity
with probably better prognosis when compared to ductal invasive carcinoma not otherwise
specified and it should not be included among metaplastic breast carcinomas.
Key words:
breast – carcinoma – osteoclast-like – immunohistochemistry
|