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Table 2
Differential diagnosis of sclerosing lesions
Tubular carcinoma |
Sclerosing adenosis |
Microglandular adenosis |
Radial scar |
Infiltrative, often stellate
architecture |
Lobulocentric architecture |
Infiltrative, disorderly architecture |
Complex, stellate architecture |
Desmoplastic stroma |
Often central cellularity |
Fibrotic stroma |
Variable stromal cellularity |
Well formed, angulated tubules |
Distorted, compressed tubules |
Uniform, round tubules |
Distorted tubules |
Abundant eosinophilic cytoplasm, often
with apical snouts |
Infrequent apical snouts |
Clear, vacuolated or granular
epithelial cytoplasm. |
No apical snouts |
Absent myoepithelial cells |
Prominent admixed myoepithelial cells |
Occasional myoepithelial cells
described |
Myoepithelial cells seen |
Patchy, incomplete basement membrane |
Uniform basement membrane |
Prominent basement membrane |
Basement membrane seen |
Intraluminal secretion or
microcalcification may be seen |
Intraluminal microcalcification may be
seen |
Intraluminal colloid-like material
which may be calcified |
Intraluminal secretion uncommon. |
Frequent associated low grade
cribriform or micropapillary DCIS |
May be associated apocrine metaplasia. |
Atypical features rarely described (see
text) |
Associated cysts, sclerosing adenosis,
epithelial hyperplasia and rarely in situ or invasive carcinoma |
Reproduced with permission from Elston
CW, Ellis IO
Systemic Pathology 3rd Ed- The Breast.
London: Churchill Livingstone, 1998.
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Copyright 2000, The Author(s) and/or The Publisher(s)
Organisation: FORPATH asbl |
Coordination: Dr Bernard Van den Heule |
Host: Labo CMP |