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Comparison of MRI Features of Invasive Pleomorphic and Classical Lobular Carcinoma: Differentiation Is Possible?

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Abstract

To evaluate breast MRI and DWI and demographic features of pleomorphic invasive lobular carcinoma (pILC) and classic invasive lobular carcinoma (cILC). Invasive lobular (ILC) is the second most common breast malignancy after invasive ductal carcinoma (IDC) and constitutes the 8–14% of all invasive breast cancers. ILC morphologically can be classified into the classic, alveolar, solid, tubulolobular, and pleomorphic subtypes according to WHO. This study was performed retrospectively. The MRI and demographic features of 18 patients with 23 pILC were compared with those 22 consecutive patients with 27 cILC. There was no significant difference in demographic features of patients, MR appearance, kinetics, and ADC values between two groups. pILC, an aggressive subtype of ILC, cannot be differentiated from cILC with breast MRI.

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References

  1. Al-Baimani K, Bazzarelli A, Clemons M, Robertson SJ, Addison C, Arnaout A (2015) Invasive pleomorphic lobular carcinoma of the breast: pathologic, clinical, and therapeutic considerations. Clin Breast Cancer 15(421–25):2

    Google Scholar 

  2. Invasive lobular carcinoma (2019) Eds: Shin SJ, Desmedt C, Kristiansen G, Reis-Filho JS, Sasano H. in : WHO 5th edition: WHO Classification of Tumours. 5th edition. Breast Tumours, Lyon, pgs: 114–118.

  3. Guiu S, Wolfer A, Jacot W, Fumoleau P, Romieu G, Bonnetain F, Fiche M (2014) Invasive lobular breast cancer and its variants: how special are they for systemic therapy decisions? Crit Rev Oncol Hematol 92:235–257

    Article  PubMed  Google Scholar 

  4. Jung HN, Shin JH, Han BK, Ko EY, Cho EY (2013) Are the imaging features of the pleomorphic variant of invasive lobular carcinoma different from classic ILC of the breast? Breast 22:324–329

    Article  PubMed  Google Scholar 

  5. Yeap PM, Evans A, Purdie CA, Jordan LB, Vinnicombe SJ (2018) A comparison of the imaging features of pleomorphic and classical invasive lobular carcinoma. Breast Cancer Res Treat 172:381–389

    Article  CAS  PubMed  Google Scholar 

  6. Iorfida M, Maiorano E, Orvieto E, Maisonneuve P, Bottiglieri L et al (2012) Invasive lobular breast cancer: subtypes and outcome. Breast Cancer Res Treat 133:713–723

    Article  CAS  PubMed  Google Scholar 

  7. Butler D, Rosa M (2013) Pleomorphic lobular carcinoma of the breast: a morphologically and clinically distinct variant of lobular carcinoma. Arch Pathol Lab Med 137:1688–1692

    Article  PubMed  Google Scholar 

  8. Haque W, Arms A, Verma V, Hatch S, Butler EB, Teh BS (2019) Outcomes of pleomorphic lobular carcinoma versus invasive lobular carcinoma. Breast 43:67–73

    Article  PubMed  Google Scholar 

  9. Johnson K, Sarma D, Hwang ES (2015) Lobular breast cancer series: imaging. Breast Cancer Res 17:94

    Article  PubMed  PubMed Central  Google Scholar 

  10. Menezes GL, Knuttle FM, Stehouwer BL, Pijnapple RM, van den Bosch MA (2014) Magnetic resonance imaging in breast cancer: a literature review and future perspectives. World J Clin Oncol 5:61–70

    Article  PubMed  PubMed Central  Google Scholar 

  11. Mann RM, Hoogeveeen YL, Blickman JG, Boetes C (2008) MRI compared to conventional diagnostic work-up in the detection and evaluation of invasive lobular carcinoma of the breast: a review of existing literature. Breast Cancer Res Treat 107:1–14

    Article  PubMed  Google Scholar 

  12. Kul S, Cansu A, Alhan E, Dinc H, Gunes G, Reis A (2011) Contribution of diffusion-weighted imaging to dynamic contrast-enhanced MRI in the characterization of breast tumors. AJR Am J Roentgenol 196(1):210–7

    Article  PubMed  Google Scholar 

  13. American College of Radiology (2013) ACR BI-RADs magnetic resonance imaging. In: ACR Breast Imaging Reporting and Data System, Breast Imaging Atlas. Reston, ACR

  14. Gupta A, Sharma N, Jha AK, Gandgi A, Singh UR (2012) Pleomorphic variant of lobular carcinoma breast: a rare case report with review of the literature. J Cancer Res Ther 8:320–322

    Article  PubMed  Google Scholar 

  15. Jung SP, Lee SK, Kim S, Choi MY, Bae SY et al (2012) Invasive pleomorphic lobular carcinoma of the breast: clinicopathologic characteristics and prognosis compared with invasive ductal carcinoma. J Breast Cancer 15:313–19

    Article  PubMed  PubMed Central  Google Scholar 

  16. Yildiz S, Toprak H, Ersoy YE, Malya FU, Bakan AA, Aralasmak A, Gucin Z (2018) Contribution of diffusion-weighted imaging to dynamic contrast-enhanced MRI in the characterization of papillary breast lesions. Breast J 24:176–179

    Article  PubMed  Google Scholar 

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Correspondence to Lutfullah Sari.

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All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Yilmaz, T.F., Otcu, H., Sari, L. et al. Comparison of MRI Features of Invasive Pleomorphic and Classical Lobular Carcinoma: Differentiation Is Possible?. Indian J Surg 84 (Suppl 3), 722–727 (2022). https://doi.org/10.1007/s12262-021-03228-9

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  • DOI: https://doi.org/10.1007/s12262-021-03228-9

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