Triple-Negative Breast Cancer Histological Subtypes with a Favourable Prognosis

Triple-negative breast cancers (TNBC), as a group of tumours, have a worse prognosis than stage-matched non-TNBC and lack the benefits of routinely available targeted therapy. However, TNBC is a heterogeneous group of neoplasms, which includes some special type carcinomas with a relatively indolent...

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Autores principales: Gábor Cserni, Cecily M. Quinn, Maria Pia Foschini, Simonetta Bianchi, Grace Callagy, Ewa Chmielik, Thomas Decker, Falko Fend, Anikó Kovács, Paul J. van Diest, Ian O. Ellis, Emad Rakha, Tibor Tot, European Working Group for Breast Screening Pathology
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/16138480a83a426f85f5aec622bb0733
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spelling oai:doaj.org-article:16138480a83a426f85f5aec622bb07332021-11-25T17:02:44ZTriple-Negative Breast Cancer Histological Subtypes with a Favourable Prognosis10.3390/cancers132256942072-6694https://doaj.org/article/16138480a83a426f85f5aec622bb07332021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5694https://doaj.org/toc/2072-6694Triple-negative breast cancers (TNBC), as a group of tumours, have a worse prognosis than stage-matched non-TNBC and lack the benefits of routinely available targeted therapy. However, TNBC is a heterogeneous group of neoplasms, which includes some special type carcinomas with a relatively indolent course. This review on behalf of the European Working Group for Breast Screening Pathology reviews the literature on the special histological types of BC that are reported to have a triple negative phenotype and indolent behaviour. These include adenoid cystic carcinoma of classical type, low-grade adenosquamous carcinoma, fibromatosis-like metaplastic carcinoma, low-grade mucoepidermoid carcinoma, secretory carcinoma, acinic cell carcinoma, and tall cell carcinoma with reversed polarity. The pathological and known molecular features as well as clinical data including treatment and prognosis of these special TNBC subtypes are summarised and it is concluded that many patients with these rare TNBC pure subtypes are unlikely to benefit from systemic chemotherapy. A consensus statement of the working group relating to the multidisciplinary approach and treatment of these rare tumour types concludes the review.Gábor CserniCecily M. QuinnMaria Pia FoschiniSimonetta BianchiGrace CallagyEwa ChmielikThomas DeckerFalko FendAnikó KovácsPaul J. van DiestIan O. EllisEmad RakhaTibor TotEuropean Working Group for Breast Screening PathologyMDPI AGarticleacinic cell carcinomaadenoid cystic carcinomafibromatosis like metaplastic carcinomalow-grade adenosquamous carcinomamucoepidermoid carcinomasecretory carcinomaNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5694, p 5694 (2021)
institution DOAJ
collection DOAJ
language EN
topic acinic cell carcinoma
adenoid cystic carcinoma
fibromatosis like metaplastic carcinoma
low-grade adenosquamous carcinoma
mucoepidermoid carcinoma
secretory carcinoma
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle acinic cell carcinoma
adenoid cystic carcinoma
fibromatosis like metaplastic carcinoma
low-grade adenosquamous carcinoma
mucoepidermoid carcinoma
secretory carcinoma
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Gábor Cserni
Cecily M. Quinn
Maria Pia Foschini
Simonetta Bianchi
Grace Callagy
Ewa Chmielik
Thomas Decker
Falko Fend
Anikó Kovács
Paul J. van Diest
Ian O. Ellis
Emad Rakha
Tibor Tot
European Working Group for Breast Screening Pathology
Triple-Negative Breast Cancer Histological Subtypes with a Favourable Prognosis
description Triple-negative breast cancers (TNBC), as a group of tumours, have a worse prognosis than stage-matched non-TNBC and lack the benefits of routinely available targeted therapy. However, TNBC is a heterogeneous group of neoplasms, which includes some special type carcinomas with a relatively indolent course. This review on behalf of the European Working Group for Breast Screening Pathology reviews the literature on the special histological types of BC that are reported to have a triple negative phenotype and indolent behaviour. These include adenoid cystic carcinoma of classical type, low-grade adenosquamous carcinoma, fibromatosis-like metaplastic carcinoma, low-grade mucoepidermoid carcinoma, secretory carcinoma, acinic cell carcinoma, and tall cell carcinoma with reversed polarity. The pathological and known molecular features as well as clinical data including treatment and prognosis of these special TNBC subtypes are summarised and it is concluded that many patients with these rare TNBC pure subtypes are unlikely to benefit from systemic chemotherapy. A consensus statement of the working group relating to the multidisciplinary approach and treatment of these rare tumour types concludes the review.
format article
author Gábor Cserni
Cecily M. Quinn
Maria Pia Foschini
Simonetta Bianchi
Grace Callagy
Ewa Chmielik
Thomas Decker
Falko Fend
Anikó Kovács
Paul J. van Diest
Ian O. Ellis
Emad Rakha
Tibor Tot
European Working Group for Breast Screening Pathology
author_facet Gábor Cserni
Cecily M. Quinn
Maria Pia Foschini
Simonetta Bianchi
Grace Callagy
Ewa Chmielik
Thomas Decker
Falko Fend
Anikó Kovács
Paul J. van Diest
Ian O. Ellis
Emad Rakha
Tibor Tot
European Working Group for Breast Screening Pathology
author_sort Gábor Cserni
title Triple-Negative Breast Cancer Histological Subtypes with a Favourable Prognosis
title_short Triple-Negative Breast Cancer Histological Subtypes with a Favourable Prognosis
title_full Triple-Negative Breast Cancer Histological Subtypes with a Favourable Prognosis
title_fullStr Triple-Negative Breast Cancer Histological Subtypes with a Favourable Prognosis
title_full_unstemmed Triple-Negative Breast Cancer Histological Subtypes with a Favourable Prognosis
title_sort triple-negative breast cancer histological subtypes with a favourable prognosis
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/16138480a83a426f85f5aec622bb0733
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