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Invasive Cribriform Carcinoma Arising in Malignant Phyllodes Tumor of Breast: A Case Report

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ÃÖÀ¯¹Ì ( Choi Yoo-Mi ) 
Seoul National University College of Medicine Department of Pathology

ÀÌ°æ¿­ ( Lee Kyoung-Yul ) 
Seoul National University College of Medicine Department of Pathology
Àå¹ÎÇý ( Jang Min-Hye ) 
Seoul National University College of Medicine Department of Pathology
¼³Çý½Ç ( Seol Hye-Sil ) 
Korea Institute of Radiological & Medical Sciences Department of Pathology
±è¼º¿ø ( Kim Sung-Won ) 
Seoul National University Bundang Hospital Department of Surgery
¹Ú¼Ò¿¬ ( Park So-Yeon ) 
Seoul National University Bundang Hospital Department of Pathology

Abstract


Phyllodes tumor is an uncommon fibroepithelial neoplasm of the breast. And it is characterized by expanded stroma with increased cellularity and elongated epithelium-lined clefts. Mammary carcinomas within phyllodes tumors have been rarely reported. To date, however, no reports have described the invasive cribriform carcinoma arising in malignant phyllodes tumor. Here, we report a 62-year-old woman who presented with a large breast mass. Microscopically, the mass was a typical malignant phyllodes tumor showing well developed leaf-like architecture and stromal overgrowth with high cellularity and nuclear pleomorphism. In a portion of the tumor, however, the epithelial component showed a cribriform pattern of proliferation in the absence of myoepithelial cells, suggestive of the invasive cribriform carcinoma. To our knowledge, this is rare and it is difficult to make a differential diagnosis of it. Here, we report our case with a review of literatures.

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Invasive carcinoma; Phyllodes tumor; Breast; Cribriform

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