Report of a metaplastic carcinoma of the breast with multi-directional differentiation: An adenoid cystic carcinoma, a spindle cell carcinoma and melanoma

Aurelia Noske, Michael Schwabe, Stefan Pahl, Eva Fallenberg, Christiane Richter-Ehrenstein, Manfred Dietel, Glen Kristiansen

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

Metaplastic carcinoma of the breast is a heterogeneous neoplasia, generally composed of both epithelial and mesenchymal components. We report an unusual case of mammary metaplastic carcinoma in a 51-year-old female patient. Needle core biopsy from the tumour mass showed malignant epithelial and sarcomatous features. The resection specimen revealed a multi-directional tumour differentiation consisting predominantly of: firstly, a poorly differentiated basaloid epithelial cell type, consistent with an adenoid cystic carcinoma; secondly, areas of a spindle cell carcinoma; and, thirdly, areas with a melanocytic differentiation. This is the first report on a metaplastic carcinoma of the breast presenting as an admixture of an adenoid cystic carcinoma and melanoma.

Original languageEnglish
Pages (from-to)575-579
Number of pages5
JournalVirchows Archiv
Volume452
Issue number5
DOIs
StatePublished - May 2008
Externally publishedYes

Keywords

  • Adenoid cystic cancer
  • Breast
  • Melanocytic differentiation
  • Metaplastic cancer

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