Malignant phyllodes tumour of the breast mimicking endometriosis

A 63-year-old woman presented with a clinically malignant mass. Core biopsy showed features resembling endometriosis. The glands were GATA3 and oestrogen receptor positive consistent with mammary origin and had no myoepithelial layer. The excision also showed a fibroepithelial component with stromal...

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Veröffentlicht in:Virchows Archiv : an international journal of pathology 2021-11, Vol.479 (5), p.1051-1053
Hauptverfasser: Lee, Andrew H. S., Zanetto, Ulises, Awasthi, Rachna, Hwang, Mei-Ju, Nasir, Nur Diyana Md, Ng, Cedric Chuan Young, Teh, Bin Tean, Tan, Puay Hoon
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container_issue 5
container_start_page 1051
container_title Virchows Archiv : an international journal of pathology
container_volume 479
creator Lee, Andrew H. S.
Zanetto, Ulises
Awasthi, Rachna
Hwang, Mei-Ju
Nasir, Nur Diyana Md
Ng, Cedric Chuan Young
Teh, Bin Tean
Tan, Puay Hoon
description A 63-year-old woman presented with a clinically malignant mass. Core biopsy showed features resembling endometriosis. The glands were GATA3 and oestrogen receptor positive consistent with mammary origin and had no myoepithelial layer. The excision also showed a fibroepithelial component with stromal overgrowth, frequent mitoses and invasive margin consistent with a malignant phyllodes tumour. KMT2D and SETD2 mutations were present in both the conventional phyllodes tumour and endometriosis-like areas and are also described in endometriosis raising interesting questions about these lesions. This unusual pattern is a potential diagnostic pitfall, so it is helpful to be aware of it.
doi_str_mv 10.1007/s00428-021-03086-6
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subjects Biopsy
Breast
Breast cancer
Brief Report
Endometriosis
GATA-3 protein
Medicine
Medicine & Public Health
Mimicry
Mitosis
Mutation
Pathology
Tumors
title Malignant phyllodes tumour of the breast mimicking endometriosis
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