Adenomyoepithelioma with carcinoma of the breast: A report of two cases and a review of the literature

Pathol Res Pract. 2016 Feb;212(2):130-4. doi: 10.1016/j.prp.2015.09.008. Epub 2015 Sep 8.

Abstract

We herein described two cases of adenomyoepithelioma (AME) with carcinoma of the breast. Both of them were Japanese women, and they presented with a mass in their breast. Post-operative specimens revealed encapsulated and well-circumscribed tumors with local invasion, necrosis, cytological atypia, and a high mitotic rate. In immunohistochemistry, coincidentally with the loose adhesion pattern of myoepithelial cells in both cases, the intensities of E-cadherin and beta-catenin were much weaker in myoepithelial than luminal epithelial cells, with almost negative finding of beta-catenin in one case. We first found deletion of CDH1 and polysomy of CEP16 in myoepithelial cells by double color-fluorescence in situ hybridization. The two cases have been followed up for 5-8 years, and both remained free from local recurrence and distant metastases. We also presented an overview of 47 cases of AME with carcinoma in English-language literatures.

Keywords: Adenomyoepithelioma with carcinoma; Review; Tumor of the breast; WHO Classification.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adenomyoepithelioma / chemistry
  • Adenomyoepithelioma / genetics
  • Adenomyoepithelioma / pathology*
  • Adenomyoepithelioma / surgery
  • Antigens, CD
  • Biomarkers, Tumor / analysis
  • Biomarkers, Tumor / genetics
  • Breast Neoplasms / chemistry
  • Breast Neoplasms / genetics
  • Breast Neoplasms / pathology*
  • Breast Neoplasms / surgery
  • Cadherins / analysis
  • Carcinoma / chemistry
  • Carcinoma / genetics
  • Carcinoma / pathology*
  • Carcinoma / surgery
  • Chromosomes, Human, Pair 16
  • Female
  • Humans
  • Immunohistochemistry
  • In Situ Hybridization, Fluorescence
  • Mastectomy
  • Middle Aged
  • Time Factors
  • Treatment Outcome
  • beta Catenin / analysis

Substances

  • Antigens, CD
  • Biomarkers, Tumor
  • CDH1 protein, human
  • CTNNB1 protein, human
  • Cadherins
  • beta Catenin