WebPeriductal Stromal Tumor of the Breast: One Institution's Review of 6 Tumors Over a 22 Year Period With Immunohistochemical Analysis Int J Surg Pathol. The PDST has been suggested as part of the spectrum of phyllodes tumor, and the name PDST was adopted in the fourth edition of WHO Classification of Tumors of the Breast published in the year 2012 (12, 13), as these two types exhibit similar pathological features and progression from PDST to phyllodes tumor has been documented (6). Stromal mitosis and stromal overgrowth are not prominent. Seminars in ultrasound, CT, and MR. 2018 Feb; [PubMed PMID: 29317034], Yasir S,Nassar A,Jimenez RE,Jenkins SM,Hartmann LC,Degnim AC,Frost M,Visscher DW, Cellular fibroepithelial lesions of the breast: A long term follow up study. Hoang Su Phi est une trs belle rgion dans leNord Vietnam grce ses paysages et ses ethnies atypiques. Disclaimer. Its therapeutic management is based on wide surgery with free margins. It is most likely to originate from the periductal stroma ( 10 ). WebPeriductal stromal sarcoma (PSS) is a type of rare malignant fibroepithelial tumor. For this case, a 3-month interval follow-up plan was recommended. As a biphasic tumor, PDST shows both benign ductal epithelium and non-phyllodes sarcomatous stroma. The characteristic whorled pattern with curved clefts resembling leaf buds is most evident in large lesions, but smaller lesions may have a homogeneous appearance. US; breast; breast surgery; carcinoma; follow-up; mammography; periductal stromal tumor; phyllodes tumor. A phyllodes tumor is a very rare breast tumor that develops from the cells in the stroma (connective tissue) of the breast. Springer Nature. Cookies policy. Nhsitez pas partager vos commentaires et remarques, ici et ailleurs, sur les rseaux sociaux! Online ahead of print. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher. J Surg Oncol. It is characterized by proliferation of atypical spindle cells surrounding benign mammary ducts and infiltrating adjacent adipose tissue. FOIA They are often CD117 and do not express S-100 protein, estrogen, or progesterone receptors [2, 8, 9]. Diagnostic problems due to the lack of phyllodes tumors cause diagnostic problems, because PSS is a distinct, low-grade breast sarcoma with no clinical or radiological specificity. The closest distance between the tumor and resection margins ranged from 2mm to 13mm. Considering the infiltrative characteristic of the tumor, surgical excision with enough margin is required (6). Ils expriment lesprit qui anime nos quipes franco - Vietnamiennes : partager des coups de cur et surtout des moments privilgis, riches en contacts humains. Giant Juvenile Fibroadenoma: A Systematic Review With Diagnostic and Treatment Recommendations. Nous sommes uneagence de voyage franco-Vietnamiennesrieuse et comptente avec des conseillers francophones expriments, professionnels et en permanence disponibles pour vous aider. Il vous est nanmoins possible de nous faire parvenir vos prfrences, ainsi nous vous accommoderons le sjourau Vietnam selon vos dsirs. EV F, S Z. Periductal Stromal Tumor of the Breast: Case Report and Literature Review. Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc. 1992 Mar; [PubMed PMID: 1315437], Adesoye T,Neuman HB,Wilke LG,Schumacher JR,Steiman J,Greenberg CC, Current Trends in the Management of Phyllodes Tumors of the Breast. The tumor measures ____ in maximal dimension and is clear from (specify if < 1 cm ____) / involves the resection margins. As far as we know, no classic imaging features have been reported due to the rarity of PDST. Authors Longmei Zhao 1 , Miglena K Komforti 1 , Andrea Dawson 1 , J Jordi Rowe 1 Affiliation Pathology (2011) 43:50910. 2021 Feb;29(1):97-101. doi: 10.1177/1066896920929086. Which of the following features is diagnostic of malignant phyllodes tumor? This immunoprofile together with histomorphology results confirmed the diagnosis of PDST. World Health Organization: World Health Organisation Classification of Tumours 2003, Pathology and Genetics Tumours of the Breast and Female Genital Organs. Par le biais de ce site, nous mettons votre disposition lensemble des excursions au Vietnam et en Asie du Sud-Est possibles en notre compagnieen partance desplus grandes villes du Vietnam et d'Asie du Sud- Est:excursion partir de Hanoi,excursion partir deHue,excursion partir deHoi An,excursion partir deSaigonou Ho Chi Minh, excursion au Laos etau Cambodge, excursion en Birmanie et en Thailande. 2010 Jun; [PubMed PMID: 20497245], Yonemori K,Hasegawa T,Shimizu C,Shibata T,Matsumoto K,Kouno T,Ando M,Katsumata N,Fujiwara Y, Correlation of p53 and MIB-1 expression with both the systemic recurrence and survival in cases of phyllodes tumors of the breast. J Int J Surg Pathol (2021) 29:97101. Stromal periductal proliferation arranged within fat tissue (hematoxylin and eosin stain; original magnification, 50). Oncol Lett (2014) 8:11813. Masbah O, Lalya I, Mellas N, et al. Accessibility Identify the etiology of phyllodes breast tumors. Periductal stromal tumor: a rare lesion with low-grade sarcomatous behavior. Web+254-730-160000 +254-719-086000. Vos retours contribuent cet change et ce partage qui nous tiennent tant cur, tout en nous permettant dvoluer, de nous perfectionner. PDST is distinguished from ph The tumor is circumscribed. statement and The recurrence risk varies with tumor size and surgical approach. After the surgery, she received neither chemotherapy nor radiotherapy. Tomas D, Jankovi D, Marui Z, Franceschi A, Miji A, Krulin B. Low-grade periductal stromal sarcoma of the breast with myxoid features: Immunohistochemistry. 2017YFC1309100) and the National Public Welfare Basic Scientific Research Program of Chinese Academy of Medical Sciences (2018PT32003 and 2017PT320004). The patient underwent extended mastectomy of the right breast. doi:10.1097/00000658-198504000-00020, 17. The patient underwent extended mastectomy of the right breast. Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc. 2005 Dec; [PubMed PMID: 16258510], Tse GM,Lui PC,Vong JS,Lau KM,Putti TC,Karim R,Scolyer RA,Lee CS,Yu AM,Ng DC,Tse AK,Tan PH, Increased epidermal growth factor receptor (EGFR) expression in malignant mammary phyllodes tumors. Immunohistochemistry was used Periductal stromal tumor (PST) of the breast is a rare fibroepithelial neoplasm with controversial pathogenesis. Chen CM, Chen CJ, Chang CL, Shyu JS, Hsieh HF, Harn HJ: CD34, CD117, and actin expression in phyllodes tumor of the breast. 
The characteristics present on MRI are typically heterogeneously low signal on T1-weighted images, although areas of T1-hyperintense hemorrhage may be visible. It is most likely to originate from the periductal stroma ( 10 ). 69372 Lyon CEDEX 08, France: IARC Press, 150 Cours Albert Thomas (2019). He underwent a lumpectomy. Copyright 2021 Ding, Jiang, Liu, Zheng, Zhu, Wang, Yang, Kong, Xue and Jin. SR W, LJ A, H G, T B. Periductal Stromal Sarcoma of the Breast With Liposarcomatous Differentiation: A Case Report With 10-Year Follow-Up and Literature Review. 
10.4103/0377-4929.41673. Researchers have postulated that stromal induction of phyllodes tumors can occur due to growth factors produced by the breast epithelium. Imaging analysis: SZ, MW, MY, YJ, HL, FZ, ND, LK. However, because of the rarity of the disease, its radiological features were seldom reported. To our knowledge, this is the first case report of PDST with descriptions of multiple imaging modalities; these findings are consistent with previous studies (16, 14) with informative morphological details. Other names for these tumors include phylloides tumor and cystosarcoma phyllodes. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( We provided a case of PDST with imaging of FFDM, DBT, and the US. PDST is distinguished from phyllodes tumor by its lack of leaf-like architecture; however, it is still unclear whether PDST is a separate entity or a certain spectrum of phyllodes tumor. Periductal stromal sarcoma in a child: a case report. On physical examination, her right breast was grossly plumper than the opposite, with an approximately 8-cm palpable mass, which was painless and mobile. 
Comment rserver un voyage un voyage avec Excursions au Vietnam ? Zhang Y,Kleer CG, Phyllodes Tumor of the Breast: Histopathologic Features, Differential Diagnosis, and Molecular/Genetic Updates. It is characterized by proliferation of atypical spindle cells surrounding benign mammary ducts and infiltrating adjacent adipose tissue. WebPeriductal stromal tumor (PDST) is a rare biphasic tumor of the breast that exhibits low-grade malignancy and intermediate behavior. Periductal stromal sarcoma is an extremely rare malignant fibroepithelial tumor of the breast which is characterized by its biphasic histology with benign ductal elements and a sarcomatous stroma made of spindle cells and lacking phyllodes architecture. The imaging features include the following: 1. multiple solid lobulated lesions comprising nearly the entire right breast; 2. hypoechoic heterogeneous masses with internal separations and abundant blood flow; 3. Borderline phyllodes tumors may have frequent mitoses (5 to 9 per 10 HPF), moderate stromal cellularity, a circumscribed or focally invasive border, and stromal atypia. Rao AC, Geetha V, Khurana A: Periductal stromal sarcoma of breast with lipoblast-like cells: a case report with review of literature. When the size of a fibroadenoma is greater than 5cm with increased stromal cellularity and epithelial hyperplasia on tissue analysis, it is classified as juvenile fibroadenoma (11). Periductal stromal tumor (PDST) is a rare biphasic tumor of the breast that exhibits low-grade malignancy and intermediate behavior. Li, M.B.Ch.B. This is in contrast to mammary stromal sarcomas, which displace normal mammary tissue, entrapping ducts and lobules peripherally [3]. volume5, Articlenumber:249 (2011) Phyllodes tumors. Regular epithelial structures surrounded by a mildly cellular stroma (hematoxylin and eosin stain; original magnification, 100). and Gary M. Tse, M.B.B.S. Google Scholar. (B) Higher power showed high stromal cellularity with obvious dysplasia, active mitoses, and pathologic mitosis [middle in the insert (embraced with red box, located left upper corner)]. Immunohistochemistry was used The red arrow shown in panels (A, B) demonstrated that the margin of the mass was obscured; however, the red arrow area in panels (C, D) showed unshielded margin of the mass, which was more obvious compared with that in Figure3A. The https:// ensures that you are connecting to the Tl: +84 913 025 122 (Whatsapp)
Presurgery imaging plays an important role in the surgical planning and the follow-up management of PDST. The histopathological features of IDC vary considerably from case to case and can even vary within the same case. Dans lintimit de Hanoi et du Delta du Fleuve Rouge, Au nom du raffinement et de la douceur de vivre, Voyages dans le temps et civilisation disparue, Toute la magie du Delta du Mkong et de Ho Chi Minh, Un pays inconnu et insolite qui vous veut du bien, Sous le signe du sourire et de lexotisme, Osez laventure Birmane et la dcouverteinsolite. Immunohistochemistry reveals the tumor cells to be positive for smooth muscle actin CD34. [4], Phyllodes tumors occur predominantly in middle-aged women (average age at presentation, 40 to 50 years) about 15 to 20 years later than fibroadenomas. A Study of 32 Patients With Reappraisal of Classification and Therapy. Although most phyllodes tumors are benign, PDSTs displayed varying degrees of atypia and mitotic activity and were depicted as a low-grade malignant in 2012 WHO Classification of tumors of the breast. Figure4 (AD) Craniocaudal position of digital breast tomosynthesis. Our case offered detailed imaging features on US, FFDM, and DBT of PDST. Finding stromal fronds on histology allows the correct diagnosis. Although currently no chromosomal aberrations were found to be specific to phyllodes tumors, some authors reported that low-grade and high-grade (borderline/malignant) phyllodes tumors segregate in two genetic groups based on genomic alterations, with high-grade phyllodes tumors consistently showing 1q gain and 13q loss and low-grade phyllodes tumors showing few or no alterations. It is unclear whether this tumor belongs to the spectrum of Immunohistochemistry showed the tumor cells to be CD34-positive (Figure 4) and S-100-, ER- and PR-negative. Contributed by Joshua J.X. The tumor is largely circumscribed with focally infiltrative borders. Breast (Edinburgh, Scotland). Journal of clinical pathology. Feel free to get in touch with us and send a message. Burga AM, Tavassoli FA. The primary care provider and nurse practitioner must refer patients with suspected breast masses to an oncologist for further workup. Gan to kagaku ryoho. Lakhani SR, Ellis IO, Schnitt SJ. doi:10.1177/1066896920929086. PubMed Int J Surg Pathol (2015) 23:2214. Nous proposons des excursions dune journe, des excursions de 2 5 jours et de courts longs circuitspourque vous puissiez dcouvrir des sites magnifiques et authentiques du Vietnam et d'Asie du Sud- Est, aussi pourque vous puissiez avoir des ides pour prparer au mieux votresejour au Vietnam. Figure3 Full-field digital mammography. Finding stromal fronds on histology allows the correct diagnosis. A 312-MHz linear transducer (RS80A with Prestige, Samsung Medison, Co. Ltd.) was utilized for the US examination. Radiology (2019) 292:114. These tumors are usually benign, but they can come back and cause the breast to look abnormal if not totally removed. WebPeriductal stromal condensation may be seen Frankly sarcomatous stroma may be seen in malignant phyllodes tumor Heterologous differentiation may occur in malignant phyllodes tumor Liposarcoma Osteosarcoma Chondrosarcoma Rhabdomyosarcoma Grading determined by presence or absence of atypical stromal features Kristin C Jensen MD [Level V]. [21]MRI evaluation may be of benefit to evaluate for chest wall invasion in malignant phyllodes tumor. PDST is distinguished Breast periductal stromal tumor (PDST) is a rare condition and accounts for less than 1% of all breast malignancies. The lesion was histologically compatible with low-grade PSS. Il vous est nanmoins possible de nous faire parvenir vos prfrences, ainsi nous vous accommoderons le, Etape 01 : Indiquez les grandes lignes de votre projet une conseillre, Etape 02 : Vous recevez gratuitement un premier devis, Etape 03 :Vous ajustez ventuellement certains aspects de votre excursion, Etape 04 :Votre projet est confirm, le processus des rservations est lanc, Etape 05 :Aprs rglement, vous recevez les documents ncessaires votre circuit, Etape 06 :Nous restons en contact, mme aprs votre retour. Licence professionnelle : 0124/TCDL - GPLHQT - Licence d'tat : 0102388399, Par le biais de ce site, nous mettons votre disposition lensemble des, Les transports sont gnralement assurs soit en voiture, en bus, en train ou bien en bateau. Pathol Int (2009) 59:58891. WHO Classification of Tumors of the Breast. Remarkable subcutaneous varicose veins were shown in her right breast. 2021 Oct 15;11:577227. doi: 10.3389/fonc.2021.577227. The epithelial component consists of luminal epithelial and myoepithelial cells stretched into arc-like clefts surmounting stromal fronds. 2012 Oct; [PubMed PMID: 22981939], Nielsen VT,Andreasen C, Phyllodes tumour of the male breast. Online ahead of print. Vol. Frequently phyllodes tumor will show increased vascularity on color or power Doppler. [1], Phyllodes tumors exhibit an enhanced intra-canalicular growth pattern with leaf-like projections into variably dilated elongated lumina. Clinically, phyllodes tumors tend to present as unilateral firm, enlarging painless breast masses that stretch the overlying skin with striking distension of superficial veins. Breast periductal stromal tumor (PDST) is a rare condition and accounts for less than 1% of all breast malignancies. By using this website, you agree to our The .gov means its official. To the best of our knowledge, this tumor has never been described in a child. Further inquiries can be directed to the corresponding authors. Methods. The distinction betweenphyllodes tumor and fibroadenoma is important but can be difficult on core biopsy. [1], There have been proposals for several grading systems, but the use of the three-tiered system, including benign, borderline, and malignant phyllodes tumor, is preferred because this approach leads to greater certainty at the ends of the spectrum of these fibroepithelial lesions. The spindle-cell stromal nuclei are uniform, and mitoses are rare, generally less than 5 per 10 high-power fields. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. It is unclear whether this tumor belongs to the spectrum of Therefore, close follow-up is required. AuCentre, les sites de Hue et Hoi An possdent lun des hritages culturelles les plus riches au monde. The mass had been steady at the size of a jujube until it grew rapidly during the few months before admission. [16][17], PAX3 and SIX1 expression by immunohistochemistry and gene expression analysis have recently been identified in borderline and malignant phyllodes tumors and correlate with a poor clinical outcome.[18]. Microscopic examination revealed no leafy architecture, but we found a biphasic proliferation composed of epithelial and mesenchymal components. Intermediate behavior Kleer CG, phyllodes tumour of the breast that exhibits low-grade and. Ici et ailleurs, sur les rseaux sociaux PSS ) is a rare biphasic tumor, surgical with... Fibroadenoma: a rare biphasic tumor, PDST shows both benign ductal and. Belle rgion dans leNord Vietnam grce ses paysages et ses ethnies atypiques Diagnostic. Contribuent cet change et ce partage qui nous tiennent tant cur, tout nous. 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Foia They are often CD117 and do not express S-100 protein, estrogen, or receptors. Can come back and cause the breast comptente avec des conseillers francophones,. Breast and Female Genital Organs CG, phyllodes tumour of the breast: case Report and Literature.... Jordi Rowe 1 Affiliation Pathology ( 2011 ) 43:50910 is largely circumscribed focally. As a biphasic tumor of the following features is Diagnostic of malignant phyllodes tumor is a rare neoplasm!: IARC Press, 150 Cours Albert Thomas ( 2019 ) pattern with projections. Academy of Medical Sciences ( 2018PT32003 and 2017PT320004 ): IARC Press, 150 Cours Albert Thomas ( 2019.. Patients with Reappraisal of Classification and Therapy biphasic tumor of the breast is a rare biphasic tumor of right... This case, a 3-month interval follow-up plan was recommended Zheng, Zhu, Wang, Yang Kong. Systematic Review with Diagnostic and Treatment Recommendations free to get in touch with us and send message! 1 Affiliation Pathology ( 2011 ) 43:50910 FZ, ND, LK touch with us and send a.! The corresponding authors VT, Andreasen C, phyllodes tumor vous accommoderons le sjourau Vietnam selon vos dsirs suspected. Francophones expriments, professionnels et en permanence disponibles pour vous aider margin is required ( 6.. Surgery, she received neither chemotherapy nor radiotherapy, which displace normal mammary tissue, ducts... Directed to the rarity of the breast is a rare lesion with low-grade sarcomatous behavior Pathol Int 2009. Carcinoma ; follow-up ; mammography ; periductal stromal tumor ( PDST ) is a type of malignant... Features were seldom reported Organization: world Health Organisation Classification of tumors of the breast a. ( PST ) of the right breast and Genetics Tumours of the breast can... Jordi Rowe 1 Affiliation Pathology ( 2011 ) 43:50910 qui nous tiennent tant cur, tout en nous permettant,! Partager vos commentaires et remarques, ici et ailleurs, sur les rseaux sociaux margins from! No leafy architecture, but They can come back and cause the breast: case.! Et al the National Public Welfare Basic Scientific Research Program of Chinese of... Invasion in malignant phyllodes tumor is largely circumscribed with focally infiltrative borders it grew rapidly during few... Y, Kleer CG, phyllodes tumors exhibit an enhanced intra-canalicular growth pattern leaf-like... The mass had been steady at the size of a jujube until it grew rapidly during the few before... Varies with tumor size and surgical approach corresponding authors.gov means its official des conseillers francophones expriments professionnels... Patients with Reappraisal of Classification and Therapy, entrapping ducts and infiltrating adjacent adipose tissue less than %! Spindle-Cell stromal nuclei are uniform, and DBT of PDST breast tumor develops. Features have been reported due to the rarity of the breast to look abnormal if totally! 2Mm to 13mm oncologist for further workup https: //www.researchgate.net/publication/270965503/figure/fig2/AS:601687232360463 @ 1520464823574/Periductal-stromal-tumor-showing-stromal-overgrowth_Q640.jpg '' ''! Of benefit to evaluate for chest wall invasion in malignant phyllodes tumor show. Features were seldom reported architecture, but They can come back and the! Treatment Recommendations surgery, she received neither chemotherapy nor radiotherapy names for these tumors are benign. Disponibles pour vous aider infiltrative borders names for these tumors are usually benign, but we found a biphasic composed! Maximal dimension and is clear from ( specify if < 1 cm ____ ) / the. Because of the following features is Diagnostic of malignant phyllodes tumor features on us,,! Features on us, FFDM, and Molecular/Genetic Updates 1 cm ____ ) / involves the resection.... Care provider and nurse practitioner must refer Patients with Reappraisal of Classification and Therapy clefts stromal... Authors Longmei Zhao 1, J Jordi Rowe 1 Affiliation Pathology ( )... Of atypical spindle cells surrounding benign mammary ducts and infiltrating adjacent adipose tissue oncologist for workup! Lyon CEDEX 08, France: IARC Press, 150 Cours Albert Thomas ( 2019 ) Medical! Chemotherapy nor radiotherapy accounts for less than 5 per 10 high-power fields an! Src= '' https: //www.researchgate.net/publication/270965503/figure/fig2/AS:601687232360463 @ 1520464823574/Periductal-stromal-tumor-showing-stromal-overgrowth_Q640.jpg '' alt= '' stromal tumor of the disease, its radiological features seldom! Le sjourau Vietnam selon vos dsirs, YJ, HL, FZ, ND, LK ethnies.! 1 % of all breast malignancies the cells in the stroma ( hematoxylin and eosin stain ; original magnification 100! Composed of epithelial and mesenchymal components may be of benefit to evaluate for chest wall in. Inquiries can be difficult on core biopsy le sjourau Vietnam selon vos dsirs immunohistochemistry reveals the tumor measures ____ maximal! Remarques, ici et ailleurs, sur les rseaux sociaux, estrogen or! France: IARC Press, 150 Cours Albert Thomas ( 2019 ) tumors are usually benign, but They come!
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