Definition
Low-grade adenosquamous carcinoma (LGASC) of the breast is exceedingly uncommon, and it is characterized by well-developed gland formation mixed with solid nests of squamous cells in a spindle cell background.
Clinical Features
Incidence: LGASC belongs to the family of “metaplastic breast cancers,” it represents from 0.2 to 5% of all breast carcinomas. Such a variability of incidence is due to a plethora of terminologies used by different authors to designate these tumors. Consequently, it is not surprising that there are series of metaplastic carcinomas that do not even report a single case of LGASC, while other authors estimate their incidence around 0.58% of the total of invasive breast cancers. The real prevalence of this histotype is probably underestimated due to the diagnostic difficulties in recognizing it correctly. In any case this entity has to be considered...
References and Further Reading
Boecker, W., Stenman, G., Loening, T., Andersson, M. K., Sinn, H. P., Barth, P., Oberhellmann, F., Bos, I., Berg, T., Marusic, Z., Samoilova, V., & Buchwalow, I. (2014). Differentiation and histogenesis of syringomatous tumour of the nipple and low-grade adenosquamous carcinoma: Evidence for a common origin. Histopathology, 65, 9–23.
Geyer, F. C., Lambros, M. B. K., Natrajan, R., Mehta, R., Mackay, A., Savage, K., Parry, S., Ashworth, A., Badve, S., & Reis-Filho, J. S. (2010). Genomic and immunohistochemical analysis of adenosquamous carcinoma of the breast. Modern Pathology, 23, 951–960.
Kawaguchi, K., & Shin, S. J. (2012). Immunohistochemical staining characteristics of low-grade adenosquamous carcinoma of the breast. American Journal of Surgical Pathology, 36, 1009–1020.
Rosen, P. P., & Ernsberger, D. (1987). Low-grade adenosquamous carcinoma: A variant of metaplastic mammary carcinoma. American Journal of Surgical Pathology, 11, 351–358.
Senger, J. L., Meiers, P., & Kanthan, R. (2015). Bilateral synchronous low-grade adenosquamous carcinoma of the breast: A case report with review of current literature. International Journal of Surgery Case Reports, 14, 53–57.
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Sidoni, A. (2018). Low-Grade Adenosquamous Carcinoma. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4712-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_4712-1
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