Skip to main content

Advertisement

Log in

Prognostic Molecular and Biological Characteristics of Phyllodes Tumors of the Breast

  • Published:
Bulletin of Experimental Biology and Medicine Aims and scope

Prognosis for some histological variants of a rare breast disease, phyllodes tumors, is evaluated. The prognostic potential of some molecular biological factors significantly correlating with breast cancer prognosis is evaluated on a unique clinical material (244 cases with benign, intermediate, and malignant phyllodes tumors). The development of benign phyllodes tumor relapse directly correlated with the number of G0/1-phase cells and inversely correlated with the number of cells in the G2+M and S phases. The level of steroid hormone receptors in phyllodes tumors cannot serve as a prognostic marker predicting the disease course. The presence of somatic mutations of TP53 gene and loss of heterozygosity of specific intragenic loci in the tumor correlate with the development of disease relapse (p<0.05).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Belkacémi Y, Bousquet G, Marsiglia H, Ray-Coquard I, Magné N, Malard Y, Lacroix M, Gutierrez C, Senkus E, Christie D, Drumea K, Lagneau E, Kadish SP, Scandolaro L, Azria D, Ozsahin M. Phyllodes tumor of the breast. Int. J. Radiat. Oncol. Biol. Phys. 2008;70(2):492-500.

    PubMed  Google Scholar 

  2. Cheah AL, Billings SD, Rowe JJ. Mesenchymal tumours of the breast and their mimics: a review with approach to diagnosis. Pathology. 2016;48(5):406-424. doi: https://doi.org/10.1016/j.pathol.2016.05.006

    Article  PubMed  Google Scholar 

  3. Jardim DL, Conley A, Subbiah V. Comprehensive characterization of malignant phyllodes tumor by whole genomic and proteomic analysis: biological implications for targeted therapy opportunities. Orphanet. J. Rare Dis. 2013;8:112. doi: https://doi.org/10.1186/1750-1172-8-112

    Article  PubMed  PubMed Central  Google Scholar 

  4. Jones AM, Mitter R, Springall R, Graham T, Winter E, Gillett C, Hanby AM, Tomlinson IP, Sawyer EJ; Phyllodes Tumour Consortium. A comprehensive genetic profile of phyllodes tumours of the breast detects important mutations, intra-tumoral genetic heterogeneity and new genetic changes on recurrence. J. Pathol. 2008;214(5):533-544. doi: https://doi.org/10.1002/path.2320

    Article  CAS  PubMed  Google Scholar 

  5. Kim S, Kim JY, Kim DH, Jung W. H, Koo JS. Analysis of phyllodes tumor recurrence according to the histologic grade. Breast Cancer Res. Treat. 2013;141(3):353-363. doi: https://doi.org/10.1007/s10549-013-2684-x

    Article  PubMed  Google Scholar 

  6. Laé M, Vincent-Salomon A, Savignoni A, Huon I, Fréneaux P, Sigal-Zafrani B, Aurias A, Sastre-Garau X, Couturier J. Phyllodes tumors of the breast segregate in two groups according to genetic criteria. Mod. Pathol. 2007;20(4):435-444.

    PubMed  Google Scholar 

  7. Lim WK, Ong CK, Tan J, Thike AA, Ng CC, Rajasegaran V, Myint SS, Nagarajan S, Nasir ND, McPherson JR, Cutcutache I, Poore G, Tay ST, Ooi WS, Tan VK, Hartman M, Ong KW, Tan BK, Rozen SG, Tan PH, Tan P, Teh BT. Exome sequencing identifies highly recurrent MED12 somatic mutations in breast fibroadenoma. Nat. Genet. 2014;46(8):877-880. doi: https://doi.org/10.1038/ng.3037

    Article  CAS  PubMed  Google Scholar 

  8. Mituś J, Reinfuss M, Mituś JW, Jakubowicz J, Blecharz P, Wysocki WM, Skotnicki P. Malignant phyllodes tumor of the breast: treatment and prognosis. Breast J. 2014;20(6):639-644. doi: https://doi.org/10.1111/tbj.12333

    Article  PubMed  Google Scholar 

  9. Tan BY, Acs G, Apple SK, Badve S, Bleiweiss IJ, Brogi E, Calvo JP, Dabbs DJ, Ellis IO, Eusebi V, Farshid G, Fox SB, Ichihara S, Lakhani SR, Rakha EA, Reis-Filho JS, Richardson AL, Sahin A, Schmitt FC, Schnitt SJ, Siziopikou KP, Soares FA, Tse GM, Vincent-Salomon A, Tan PH. Phyllodes tumours of the breast: a consensus review. Histopathology. 2016;68(1):5-21. doi: https://doi.org/10.1111/his.12876

    Article  PubMed  PubMed Central  Google Scholar 

  10. Tan J, Ong CK, Lim WK, Ng CC, Thike AA, Ng LM, Rajasegaran V, Myint SS, Nagarajan S, Thangaraju S, Dey S, Nasir ND, Wijaya GC, Lim JQ, Huang D, Li Z, Wong BH, Chan JY, McPherson JR, Cutcutache I, Poore G, Tay ST, Tan WJ, Putti TC, Ahmad BS, Iau P, Chan CW, Tang AP, Yong WS, Madhukumar P, Ho GH, Tan VK, Wong CY, Hartman M, Ong KW, Tan BK, Rozen SG, Tan P, Tan PH, Teh BT. Genomic landscapes of breast fibroepithelial tumors. Nat. Genet. 2015;47(11):1341-1345. doi: https://doi.org/10.1038/ng.3409

    Article  CAS  PubMed  Google Scholar 

  11. Tan WJ, Lai JC, Thike AA, Lim JC, Tan SY, Koh VC, Lim TH, Bay BH, Tan MH, Tan PH. Novel genetic aberrations in breast phyllodes tumours: comparison between prognostically distinct groups. Breast Cancer Res. Treat. 2014;145(3):635-645. doi: https://doi.org/10.1007/s10549-014-2982-y

    Article  CAS  PubMed  Google Scholar 

  12. Tse GM, Lee CS, Kung FY, Scolyer RA, Law BK, Lau TS, Putti TC. Hormonal receptors expression in epithelial cells of mammary phyllodes tumors correlates with pathologic grade of the tumor: a multicenter study of 143 cases. Am. J. Clin. Pathol. 2002;118(4):522-526.

    CAS  PubMed  Google Scholar 

  13. Vidal M, Peg V, Galván P, Tres A, Cortés J, Ramón y Cajal S, Rubio IT, Prat A. Gene expression-based classifications of fi-broadenomas and phyllodes tumours of the breast. Mol. Oncol. 2015;9(6):1081-1090. doi: https://doi.org/10.1016/j.molonc.2015.01.003

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Vousden KH. Outcomes of p53 activation-- spoilt for choice. J. Cell. Sci. 2006;119(Pt 24):5015-5020.

  15. Zhang Y, Kleer CG. Phyllodes Tumor of the Breast: Histopathologic Features, Differential Diagnosis, and Molecular/Genetic Updates. Arch. Pathol. Lab. Med. 2016;140(7):665-671. doi: https://doi.org/10.5858/arpa.2016-0042-RA

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E. A. Kim.

Additional information

Translated from Byulleten’ Eksperimental’noi Biologii i Meditsiny, Vol. 169, No. 6, pp. 752-756, June, 2020

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vorotnikov, I.K., Vysotskaya, I.V., Denchik, D.A. et al. Prognostic Molecular and Biological Characteristics of Phyllodes Tumors of the Breast. Bull Exp Biol Med 169, 806–810 (2020). https://doi.org/10.1007/s10517-020-04985-5

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10517-020-04985-5

Key Words

Navigation