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Papillary Carcinoma of the Breast Among Omani Women: A Case Series and a Literature Review

Received: 21 August 2019     Accepted: 6 September 2019     Published: 10 October 2019
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Abstract

Breast cancer is the most common cause of death from cancer in women worldwide. In 2012, an estimated of 100,000 cases of invasive breast cancer were diagnosed in the United States. The histopathology type is predominantly ductal in about 70–80% of patients followed by invasive lobular carcinoma in 5–15% of case. Invasive papillary carcinomas of the breast are rare, accounting for less than 1-2% of invasive breast cancers. Occasionally the disease is found in men as well. Papillary carcinoma most frequently occurs in older and post-menopausal women. Triple assessment is essential to reach the diagnosis. The typical sonographic appearance of IPC is of hypoechoic area with soft tissue echoes emerging from the wall of the cyst. Invasive micropapillary carcinoma is a luminal-type breast cancer with a propensity for lymphovascular invasion and regional lymph-node metastasis. Intracystic papillary breast cancer (IPC) is best managed in the context of a multidisciplinary team. Surgical excision of the lump with margins in excess of 2 mm is considered satisfactory. Many studies suggest that papillary carcinoma may have a better prognosis than invasive ductal carcinoma (IDC). However, the little available information about papillary carcinoma of the breast underscores the need for further management related studies.

Published in Journal of Cancer Treatment and Research (Volume 7, Issue 3)
DOI 10.11648/j.jctr.20190703.11
Page(s) 47-50
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Breast, Cancer, Papillary, Metastatic, Chemotherapy

References
[1] Blaumeiser B, Tjalma WA, Verslegers I, et al. (2002) Invasive papillary carcinoma of the male breast. Eur Radiol 12: 2207-2210.
[2] Sinn HP, Kreipe H (2013) A Brief Overview of the WHO Classification of Breast Tumors, 4th Edition, Focusing on Issues and Updates from the 3rd Edition. Breast Care (Basel) 8: 149-154.
[3] Rakha EA. Morphogenesis of the papillary le-sions of the breast: phenotypic observation. J Clin Pathol 2016; 69: 64-69.
[4] Reefy SA, Kameshki R, Sada DA, et al. (2013) "Intracystic papillary breast cancer: a clinical update". Ecancermedicalscience 7: 286.
[5] Pal SK, Lau SK, Kruper L, et al. (2011) Papillary Carcinoma of the Breast: An Overview. Breast Cancer Res Treat 122: 637-645.
[6] Collins LC, Schnitt SJ. Papillary lesions of the breast: selected diagnostic and management issues. Histopathology. 2008 Jan; 52 (1): 20–9. [PubMed]
[7] Ueng SH, Mezzetti T, Tavassoli FA. Papillary neoplasms of the breast: a review. Arch Pathol Lab Med. 2009 Jun; 133 (6): 893–907.
[8] Levine PH, Waisman J, Yang GC. Aspiration cytology of cystic carcinoma of the breast. Diagn Cytopathol 2003; 28: 39–44.
[9] Clement Z, Jones M (2017) Solid Papillary Carcinoma of the Breast: A Review. Int J Surg Med 3: 57-59.
[10] Mulligan AM, O’Malley FP. Papillary lesions of the breast: a review. Adv Anat Pathol. 2007 Mar; 14 (2): 108–19.
[11] Cristofano CD, Mrad K, Zavaglia K, Bertacca G, Aretini P, Cipollini G, et al. Papillary lesions of the breast: a molecular progression? Breast Cancer Research and Treatment. 2005; 90 (1): 71–6.
[12] Grabowski J, Salzstein SL, Sadler GR, Blair S. Intracystic papillary carcinoma: A review of 917 cases. Cancer 2008; 113: 916-20. [PUBMED]
[13] Iuanow E, Kettler M, Slanetz PJ (2011) Spectrum of disease in the male breast. AJR Am J Roentgenol 196: 247-259.
Cite This Article
  • APA Style

    Bahaaeldin Baraka, Al Kharusi Suad, Al Farsi Abdulaziz. (2019). Papillary Carcinoma of the Breast Among Omani Women: A Case Series and a Literature Review. Journal of Cancer Treatment and Research, 7(3), 47-50. https://doi.org/10.11648/j.jctr.20190703.11

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    ACS Style

    Bahaaeldin Baraka; Al Kharusi Suad; Al Farsi Abdulaziz. Papillary Carcinoma of the Breast Among Omani Women: A Case Series and a Literature Review. J. Cancer Treat. Res. 2019, 7(3), 47-50. doi: 10.11648/j.jctr.20190703.11

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    AMA Style

    Bahaaeldin Baraka, Al Kharusi Suad, Al Farsi Abdulaziz. Papillary Carcinoma of the Breast Among Omani Women: A Case Series and a Literature Review. J Cancer Treat Res. 2019;7(3):47-50. doi: 10.11648/j.jctr.20190703.11

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  • @article{10.11648/j.jctr.20190703.11,
      author = {Bahaaeldin Baraka and Al Kharusi Suad and Al Farsi Abdulaziz},
      title = {Papillary Carcinoma of the Breast Among Omani Women: A Case Series and a Literature Review},
      journal = {Journal of Cancer Treatment and Research},
      volume = {7},
      number = {3},
      pages = {47-50},
      doi = {10.11648/j.jctr.20190703.11},
      url = {https://doi.org/10.11648/j.jctr.20190703.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20190703.11},
      abstract = {Breast cancer is the most common cause of death from cancer in women worldwide. In 2012, an estimated of 100,000 cases of invasive breast cancer were diagnosed in the United States. The histopathology type is predominantly ductal in about 70–80% of patients followed by invasive lobular carcinoma in 5–15% of case. Invasive papillary carcinomas of the breast are rare, accounting for less than 1-2% of invasive breast cancers. Occasionally the disease is found in men as well. Papillary carcinoma most frequently occurs in older and post-menopausal women. Triple assessment is essential to reach the diagnosis. The typical sonographic appearance of IPC is of hypoechoic area with soft tissue echoes emerging from the wall of the cyst. Invasive micropapillary carcinoma is a luminal-type breast cancer with a propensity for lymphovascular invasion and regional lymph-node metastasis. Intracystic papillary breast cancer (IPC) is best managed in the context of a multidisciplinary team. Surgical excision of the lump with margins in excess of 2 mm is considered satisfactory. Many studies suggest that papillary carcinoma may have a better prognosis than invasive ductal carcinoma (IDC). However, the little available information about papillary carcinoma of the breast underscores the need for further management related studies.},
     year = {2019}
    }
    

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    AB  - Breast cancer is the most common cause of death from cancer in women worldwide. In 2012, an estimated of 100,000 cases of invasive breast cancer were diagnosed in the United States. The histopathology type is predominantly ductal in about 70–80% of patients followed by invasive lobular carcinoma in 5–15% of case. Invasive papillary carcinomas of the breast are rare, accounting for less than 1-2% of invasive breast cancers. Occasionally the disease is found in men as well. Papillary carcinoma most frequently occurs in older and post-menopausal women. Triple assessment is essential to reach the diagnosis. The typical sonographic appearance of IPC is of hypoechoic area with soft tissue echoes emerging from the wall of the cyst. Invasive micropapillary carcinoma is a luminal-type breast cancer with a propensity for lymphovascular invasion and regional lymph-node metastasis. Intracystic papillary breast cancer (IPC) is best managed in the context of a multidisciplinary team. Surgical excision of the lump with margins in excess of 2 mm is considered satisfactory. Many studies suggest that papillary carcinoma may have a better prognosis than invasive ductal carcinoma (IDC). However, the little available information about papillary carcinoma of the breast underscores the need for further management related studies.
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Author Information
  • Department of Medical Oncology, National Oncology Centre, Royal Hospital, Muscat, Oman

  • Department of Medical Oncology, National Oncology Centre, Royal Hospital, Muscat, Oman

  • Department of Medical Oncology, National Oncology Centre, Royal Hospital, Muscat, Oman

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