Intraductal (intracistic) papillary carcinoma of the breast: Review of Literature and Report of two cases
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/2785 |
Resumo: | In this report, we make a review of the literature on the intraductal intracystic papillary carcinoma of the breast and evaluate the frequency of these cases presenting in our clinic from 1982 to 1995. Because this is an uncommon disease, we report the two cases recently diagnosed, treated and followed by our clinic. In order to make this disease better known, we review its macro and microscopic characteristics, the methods used for its diagnoses as well as aspects related to its prognosis and treatment. The intracystic pappilary carcinoma is a breast carcinoma that grows under a papillary form inside cysts. It is a subtype of a recently recognized carcinoma, that has the structure of the papilloma with epithelium, which has enough distinctive characteristics for a diagnosis of in situ carcinoma. Its structure is clearly papillar and its cell aspect is obviosly malign The diagnosis will be established through fine needle aspiration, pneumocistography, flow citometry, immunohistochemistry and others. The differential diagnosis is made with the colloid carcinoma and with the medullary carcinoma, on mammography, and with the benign solitary intraductal papilloma and multiple intraductal papilloma, on histology. The prognosis for intracistic papillar carcinoma is excellent, except for the lesions with a greater degree of nuclear atipia. Therapy includes surgical procedures, which may vary from tumorectomy up to total mastectomy, with or without axillary dissection, radiotherapy and chemotherapy, according to each particular case. In two cases described in this paper, we approach the different modalities of treatment used. The intracistic papillar carcinoma is a rare tumor, and therapeutics should be based on its biological behavior and histogenetic origins, thus it should be highlighted the importance of publishing case report papers. |
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Intraductal (intracistic) papillary carcinoma of the breast: Review of Literature and Report of two casesCarcinoma Papilífero Intracístíco de Mama: Revisão de Literatura e Relato de Dois CasosCarcinoma de MamaCarcinoma Papilífero IntracísticoPatologiaDiagnósticoPrognósticoTratamentoBreast CarcinomaIntracystic Papillary CarcinomaPathologyDiagnosticPrognosticTreatmentIn this report, we make a review of the literature on the intraductal intracystic papillary carcinoma of the breast and evaluate the frequency of these cases presenting in our clinic from 1982 to 1995. Because this is an uncommon disease, we report the two cases recently diagnosed, treated and followed by our clinic. In order to make this disease better known, we review its macro and microscopic characteristics, the methods used for its diagnoses as well as aspects related to its prognosis and treatment. The intracystic pappilary carcinoma is a breast carcinoma that grows under a papillary form inside cysts. It is a subtype of a recently recognized carcinoma, that has the structure of the papilloma with epithelium, which has enough distinctive characteristics for a diagnosis of in situ carcinoma. Its structure is clearly papillar and its cell aspect is obviosly malign The diagnosis will be established through fine needle aspiration, pneumocistography, flow citometry, immunohistochemistry and others. The differential diagnosis is made with the colloid carcinoma and with the medullary carcinoma, on mammography, and with the benign solitary intraductal papilloma and multiple intraductal papilloma, on histology. The prognosis for intracistic papillar carcinoma is excellent, except for the lesions with a greater degree of nuclear atipia. Therapy includes surgical procedures, which may vary from tumorectomy up to total mastectomy, with or without axillary dissection, radiotherapy and chemotherapy, according to each particular case. In two cases described in this paper, we approach the different modalities of treatment used. The intracistic papillar carcinoma is a rare tumor, and therapeutics should be based on its biological behavior and histogenetic origins, thus it should be highlighted the importance of publishing case report papers.Neste trabalho nos propomos a fazer uma revisão de literatura sobre o carcinoma papilífero intracístico da mama e a avaliar sua freqüência em nosso serviço ao longo do período de 1980 a 1995. Fazemos o relato de dois casos recentes de nossa casuística. Objetivando tomar ainda mais conhecida essa patologia, abordamos suas características macro e microscópica e os métodos utilizados para seu diagnóstico e tratamento. O carcinoma papilífero intracístico é o carcinoma mamário que cresce sob a forma papilar dentro de cistos. O subtipo mais recentemente reconhecido com estrutura de um papiloma com epitélio tem carater destintivo o suficiente para um diagnóstico de carcinoma in situ. Apresenta uma estrutura claramente papilar e aspecto celular obviamente maligno A abordagem diagnóstica poderá ser feita através da punção aspirativa com agulha fina, mamografia, pneumocistografia, ecomastografia, citometria de fluxo, imunohistoquímica e outros. O diagnóstico diferencial se faz com o carcinoma colóide e com o carcinoma medular na imagem mamográfica e com o papiloma intraductal solitário benigno e papiloma intraductal múltiplo na histologia. O prognóstico do carcinoma papilífero intracístico é excelente, com exceção das lesões com maior grau de atipia nuclear. A terapêutica inclui o tratamento cirúrgico, que pode variar desde a tumorectomia até a mastectomia com ou sem dissecção axiliar, a radioterapia e a quimioterapia, de acordo com cada caso. Nos dois casos que descrevemos, abordamos as condutas e a terapêutica utilizadas, que diferem entre si. Apesar de este tumor ser pouco freqüente, observa-se que a estratégia terapêutica deve ser baseada no seu comportamento biológico e na sua origem histogenética, inclusive quanto ao modo de disseminação. Logo, é de se enfatizar a importância e a publicação de relato de casos.INCA2022-09-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de Casoapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/278510.32635/2176-9745.RBC.1999v45n3.2785Revista Brasileira de Cancerologia; Vol. 45 No. 3 (1999): July/Aug./Sept.; 57-63Revista Brasileira de Cancerologia; Vol. 45 Núm. 3 (1999): jul./ago./sept.; 57-63Revista Brasileira de Cancerologia; v. 45 n. 3 (1999): jul./ago./set.; 57-632176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/2785/1662https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBarcelos, Mara Rejane BarrosoVereno Filho, Álvaro LopesChambô Filho, AntônioGuimarães, Ronney A.Cintra, Luiz Cálice2023-01-18T15:15:10Zoai:rbc.inca.gov.br:article/2785Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-01-18T15:15:10Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Intraductal (intracistic) papillary carcinoma of the breast: Review of Literature and Report of two cases Carcinoma Papilífero Intracístíco de Mama: Revisão de Literatura e Relato de Dois Casos |
title |
Intraductal (intracistic) papillary carcinoma of the breast: Review of Literature and Report of two cases |
spellingShingle |
Intraductal (intracistic) papillary carcinoma of the breast: Review of Literature and Report of two cases Barcelos, Mara Rejane Barroso Carcinoma de Mama Carcinoma Papilífero Intracístico Patologia Diagnóstico Prognóstico Tratamento Breast Carcinoma Intracystic Papillary Carcinoma Pathology Diagnostic Prognostic Treatment |
title_short |
Intraductal (intracistic) papillary carcinoma of the breast: Review of Literature and Report of two cases |
title_full |
Intraductal (intracistic) papillary carcinoma of the breast: Review of Literature and Report of two cases |
title_fullStr |
Intraductal (intracistic) papillary carcinoma of the breast: Review of Literature and Report of two cases |
title_full_unstemmed |
Intraductal (intracistic) papillary carcinoma of the breast: Review of Literature and Report of two cases |
title_sort |
Intraductal (intracistic) papillary carcinoma of the breast: Review of Literature and Report of two cases |
author |
Barcelos, Mara Rejane Barroso |
author_facet |
Barcelos, Mara Rejane Barroso Vereno Filho, Álvaro Lopes Chambô Filho, Antônio Guimarães, Ronney A. Cintra, Luiz Cálice |
author_role |
author |
author2 |
Vereno Filho, Álvaro Lopes Chambô Filho, Antônio Guimarães, Ronney A. Cintra, Luiz Cálice |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Barcelos, Mara Rejane Barroso Vereno Filho, Álvaro Lopes Chambô Filho, Antônio Guimarães, Ronney A. Cintra, Luiz Cálice |
dc.subject.por.fl_str_mv |
Carcinoma de Mama Carcinoma Papilífero Intracístico Patologia Diagnóstico Prognóstico Tratamento Breast Carcinoma Intracystic Papillary Carcinoma Pathology Diagnostic Prognostic Treatment |
topic |
Carcinoma de Mama Carcinoma Papilífero Intracístico Patologia Diagnóstico Prognóstico Tratamento Breast Carcinoma Intracystic Papillary Carcinoma Pathology Diagnostic Prognostic Treatment |
description |
In this report, we make a review of the literature on the intraductal intracystic papillary carcinoma of the breast and evaluate the frequency of these cases presenting in our clinic from 1982 to 1995. Because this is an uncommon disease, we report the two cases recently diagnosed, treated and followed by our clinic. In order to make this disease better known, we review its macro and microscopic characteristics, the methods used for its diagnoses as well as aspects related to its prognosis and treatment. The intracystic pappilary carcinoma is a breast carcinoma that grows under a papillary form inside cysts. It is a subtype of a recently recognized carcinoma, that has the structure of the papilloma with epithelium, which has enough distinctive characteristics for a diagnosis of in situ carcinoma. Its structure is clearly papillar and its cell aspect is obviosly malign The diagnosis will be established through fine needle aspiration, pneumocistography, flow citometry, immunohistochemistry and others. The differential diagnosis is made with the colloid carcinoma and with the medullary carcinoma, on mammography, and with the benign solitary intraductal papilloma and multiple intraductal papilloma, on histology. The prognosis for intracistic papillar carcinoma is excellent, except for the lesions with a greater degree of nuclear atipia. Therapy includes surgical procedures, which may vary from tumorectomy up to total mastectomy, with or without axillary dissection, radiotherapy and chemotherapy, according to each particular case. In two cases described in this paper, we approach the different modalities of treatment used. The intracistic papillar carcinoma is a rare tumor, and therapeutics should be based on its biological behavior and histogenetic origins, thus it should be highlighted the importance of publishing case report papers. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-21 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Relato de Caso |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2785 10.32635/2176-9745.RBC.1999v45n3.2785 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/2785 |
identifier_str_mv |
10.32635/2176-9745.RBC.1999v45n3.2785 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2785/1662 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf |
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INCA |
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INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 45 No. 3 (1999): July/Aug./Sept.; 57-63 Revista Brasileira de Cancerologia; Vol. 45 Núm. 3 (1999): jul./ago./sept.; 57-63 Revista Brasileira de Cancerologia; v. 45 n. 3 (1999): jul./ago./set.; 57-63 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
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INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
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Revista Brasileira de Cancerologia (Online) |
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Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
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rbc@inca.gov.br |
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