The “Forgotten” Subtypes of Breast Carcinoma: A Systematic Review of Selected Histological Variants Not Included or Not Recognized as Distinct Entities in the Current World Health Organization Classification of Breast Tumors

Author:

Koufopoulos Nektarios I.1ORCID,Boutas Ioannis2ORCID,Pouliakis Abraham1ORCID,Samaras Menelaos G.1,Kotanidis Christakis1,Kontogeorgi Adamantia3,Dimas Dionysios T.4,Ieronimaki Argyro-Ioanna1,Leventakou Danai1ORCID,Spathis Aris1ORCID,Zanelli Magda5ORCID,Palicelli Andrea5ORCID,Zizzo Maurizio67ORCID,Goutas Dimitrios8ORCID,Pateras Ioannis S.1,Panayiotides Ioannis G.1ORCID

Affiliation:

1. Second Department of Pathology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, 15772 Athens, Greece

2. Breast Unit, Rea Maternity Hospital, Palaio Faliro, 17564 Athens, Greece

3. Third Department of Obstetrics and Gynecology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, 15772 Athens, Greece

4. Breast Unit, Athens Medical Center, Psychiko Clinic, 11525 Athens, Greece

5. Pathology Unit, Azienda Unita Sanitaria Locale-IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy

6. Surgical Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy

7. Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, 41121 Modena, Italy

8. First Department of Pathology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece

Abstract

Breast carcinoma is the most common cancer in women. Nineteen different subtypes of breast carcinomas are recognized in the current WHO classification of breast tumors. Except for these subtypes, there are a number of carcinomas with special morphologic and immunohistochemical features that are not included in the 5th WHO classification, while others are considered special morphologic patterns of invasive breast carcinoma of no special type. In this manuscript, we systematically review the literature on four different subtypes of invasive breast carcinoma, namely lymphoepithelioma-like breast carcinoma, breast carcinoma with osteoclast-like giant cells, signet-ring breast carcinoma, and metaplastic breast carcinoma with melanocytic differentiation. We describe their clinicopathological characteristics, focusing on the differential diagnosis, treatment, and prognosis.

Publisher

MDPI AG

Reference181 articles.

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3. National Breast Cancer Foundation Inc (2024, June 24). Available online: https://www.nationalbreastcancer.org/breast-cancer-facts/.

4. Lokuhetty, D., White, V.A., Watanave, R., and Cree, I.A. (2019). Breast Tumours. WHO Classification of Tumours, International Agency for Research on Cancer. [5th ed.].

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