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Table of Contents
Vol. 56, No. 1, 2012
Issue release date: January – February
Section title: Novel Insights from Clinical Practice
Acta Cytologica 2012;56:85–91
(DOI:10.1159/000330677)

Lymphoepithelioma-Like Carcinoma of the Breast: Cytological and Histological Features and Review of the Literature

Trihia H.a · Siatra H.a · Gklisty H.a · Diamantopoulos P.b · Arapantoni-Dadiotis P.a · Kalogerakos K.b
aDepartment of Pathology and bBreast Unit, ‘Metaxas’ Anticancer Hospital, Piraeus, Greece

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Article / Publication Details

First-Page Preview
Abstract of Novel Insights from Clinical Practice

Received: May 16, 2011
Accepted: June 30, 2011
Published online: January 04, 2012
Issue release date: January – February

Number of Print Pages: 7
Number of Figures: 14
Number of Tables: 0

ISSN: 0001-5547 (Print)
eISSN: 1938-2650 (Online)

For additional information: http://www.karger.com/ACY

Abstract

Objective: We present, for the first time, the cytological features of lymphoepithelioma-like carcinoma (LELC) of the breast in preoperative fine-needle aspiration (FNA) and touch imprints from secondary deposits in the sentinel lymph node (SLN). Study Design: We report a case of a 53-year-old woman who was diagnosed with breast carcinoma on preoperative FNA and was subjected to SLN biopsy, partial mastectomy and axillary lymph node dissection. The final diagnosis was LELC of the breast. Cytological and histological features were analyzed. Results: The smears from preoperative FNA contained cohesive clusters and isolated tumour cells in a haemorrhagic background with scattered lymphocytes. Some of the clusters were infiltrated by the inflammatory cells. The cells had large, pleomorphic nuclei and scanty, ill-defined cytoplasm. The intraoperative touch imprints from the SLN were highly cellular, comprising abundant scattered lymphoid cells, among which were tight clusters of indistinct cells, about 3 times larger than the lymphocyte population. Conclusion: In our case, LELC shares many cytological features with LELC described in other organs. Immunostains with epithelial markers play an important role in establishing the epithelial nature of the neoplastic cells. LELC should be borne in mind in the evaluation of breast lesions with prominent lymphoid cell infiltration. Its cytological features, as presented, could contribute to its preoperative evaluation on cytological grounds.

© 2012 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Novel Insights from Clinical Practice

Received: May 16, 2011
Accepted: June 30, 2011
Published online: January 04, 2012
Issue release date: January – February

Number of Print Pages: 7
Number of Figures: 14
Number of Tables: 0

ISSN: 0001-5547 (Print)
eISSN: 1938-2650 (Online)

For additional information: http://www.karger.com/ACY


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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