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Book ; Online ; E-Book: Mesenchymal tumors of the breast and their mimics

Rowe, J. Jordi / Downs-Kelly, Erinn

a diagnostic approach

2021

Author's details	J. Jordi Rowea and Erinn Downs-Kelly, editors
Keywords	Breast/Tumors/Diagnosis ; Càncer de mama ; Diagnòstic
Subject code	616.9
Language	English
Size	1 online resource (264 pages)
Publisher	Springer
Publishing place	Cham, Switzerland
Document type	Book ; Online ; E-Book
Remark	Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
ISBN	3-030-74474-4 ; 3-030-74473-6 ; 978-3-030-74474-8 ; 978-3-030-74473-1
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Breast Amyloidosis Presenting as Grouped Calcifications and the Role of Fluorescent Microscopy by Enhancing Amyloid Detection via Congo Red Stain.

McIntire, Patrick J / Duckworth, Lauren / Rodriguez, E Rene / Downs-Kelly, Erinn / Hoda, Raza S

International journal of surgical pathology

2022 Volume 31, Issue 7, Page(s) 1329–1330

MeSH term(s)	Humans ; Congo Red ; Microscopy ; Amyloidosis/diagnosis ; Amyloid ; Coloring Agents ; Staining and Labeling
Chemical Substances	Congo Red (3U05FHG59S) ; Amyloid ; Coloring Agents
Language	English
Publishing date	2022-12-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	1336393-1
ISSN	1940-2465 ; 1066-8969
ISSN (online)	1940-2465
ISSN	1066-8969
DOI	10.1177/10668969221142045
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Article ; Online: The 21-Gene Recurrence Score in Special Histologic Subtypes of Breast Cancer.

Gulbahce, H Evin / Downs-Kelly, Erinn / Herget, Kimberly A / Stoddard, Gregory J

Archives of pathology & laboratory medicine

2021 Volume 146, Issue 4, Page(s) 478–484

Abstract: Context.—: Recurrence score (RS) testing was developed and validated in invasive ductal and rare lobular carcinomas, although it is used for all special types of breast cancers.: Objective.—: To determine association of histologic type (HT) and RS, ... ...

Abstract	Context.—: Recurrence score (RS) testing was developed and validated in invasive ductal and rare lobular carcinomas, although it is used for all special types of breast cancers. Objective.—: To determine association of histologic type (HT) and RS, specifically high-risk RS. Design.—: We used RSs linked to Surveillance, Epidemiology, and End Results Program registries of invasive breast cancers diagnosed in 2004 through 2015. Multivariable logistic regression was used to evaluate association between HT and high-risk RS. Relationships between HT and low-, intermediate-, and high-risk RS were compared with χ2 test. Kaplan-Meier curves were compared using log-rank test. Results.—: A total of 110 318 patients had RS testing. Of these, 23 220 (21%) had low, 70 822 (64.2%) intermediate, and 16 276 (14.8%) high RS. Histologic types were 80 476 (73%) ductal, 12 713 (11.5%) lobular, 12 449 (11.3%) mixed, 2151 (2%) mucinous, 610 (0.6%) tubular, 382 (0.4%) micropapillary, 365 (0.3%) salivary, 208 (0.2%) papillary, 49 (0.04%) medullary, 26 (0.02%) metaplastic, 26 (0.02%) neuroendocrine, and 863 (0.8%) unknown. The distribution of low-, intermediate-, and high-risk RS was significantly different among HTs. Higher percentages of high-risk RS were identified in patients with ductal, medullary, and metaplastic types (P < .001). The odds of having high-risk RS were lower for some HTs, including micropapillary, after multivariable adjustment (P < .05). The low number of estrogen receptor-positive medullary and metaplastic carcinomas tested had higher odds of having high-risk RS. In T1 and T2 tumors, when ductal, lobular, mixed, and other types combined were compared, the mortality was different. Conclusions.—: This population-based study of RS in HTs showed high-risk RSs are identified in traditionally good prognostic subtypes. Micropapillary carcinoma has lower odds of high-risk RS even after multivariable adjustment.
MeSH term(s)	Breast Neoplasms/pathology ; Carcinoma, Ductal, Breast/genetics ; Carcinoma, Ductal, Breast/pathology ; Carcinoma, Lobular/genetics ; Carcinoma, Lobular/pathology ; Carcinoma, Papillary ; Female ; Humans ; Prognosis ; Risk Factors
Language	English
Publishing date	2021-08-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	194119-7
ISSN	1543-2165 ; 0363-0153 ; 0096-8528 ; 0003-9985
ISSN (online)	1543-2165
ISSN	0363-0153 ; 0096-8528 ; 0003-9985
DOI	10.5858/arpa.2020-0837-OA
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Article ; Online: Amyloid in the breast: retrospective review with clinicopathological and radiological correlation of 32 cases from a single institution.

Duckworth, Lauren A / Cotta, Claudiu V / Rowe, J Jordi / Downs-Kelly, Erinn / Komforti, Miglena K

Histopathology

2021 Volume 79, Issue 1, Page(s) 57–66

Abstract: Aims: Mammary amyloid is an uncommon and easily overlooked pathological diagnosis with ambivalent presentation. Herein, we delineate the clinicopathological and radiographic characteristics of mammary amyloid.: Methods and results: The Department of ... ...

Abstract	Aims: Mammary amyloid is an uncommon and easily overlooked pathological diagnosis with ambivalent presentation. Herein, we delineate the clinicopathological and radiographic characteristics of mammary amyloid. Methods and results: The Department of Pathology database was searched from 1993 to 2019 for keywords 'breast' and 'amyloid', yielding 32 cases from 23 patients, including consultation cases. All patients were female, age range = 52-81 (mean = 67.4 years). The left breast was involved more than the right (43 versus 33%, respectively); bilateral amyloid involvement was also present (24%). Amyloid was most often associated with a benign histopathological diagnosis (57%), lymphoma in 39% [all B cell lymphomas; five of nine were mucosa-associated lymphoid tissue (MALT) lymphoma] and rarely with a concurrent epithelial malignancy (invasive lobular carcinoma, 4%). Of the 14 patients with available clinical history, amyloid presented as a mass clinically or radiographically (six patients, 43%), as microcalcifications (five patients, 36%), and only occasionally as an asymmetry (14%) or fibroglandular density (7%). Microscopic examination detected microcalcifications in an additional nine cases (total 14 patients; 44% of the cohort). Interestingly, one patient had concurrent epithelial and haematological malignancy and amyloid within an axillary lymph node. Co-morbidities included autoimmune diseases and multiple myeloma. Conclusion: The majority of mammary amyloid cases are associated with benign histopathological findings, while imaging most frequently noted microcalcifications or mass lesions. To avoid overlooking amyloid as simply fat necrosis or fibroelastotic stromal change, a low threshold for performing ancillary stains should be considered in elderly women with benign core needle findings performed for mass lesions or microcalcifications.
MeSH term(s)	Aged ; Aged, 80 and over ; Amyloidosis/pathology ; Breast Diseases/pathology ; Humans ; Middle Aged ; Retrospective Studies
Language	English
Publishing date	2021-05-06
Publishing country	England
Document type	Journal Article
ZDB-ID	131914-0
ISSN	1365-2559 ; 0309-0167
ISSN (online)	1365-2559
ISSN	0309-0167
DOI	10.1111/his.14329
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Article ; Online: Two Instrument Comparison of Reagents From a US FDA-Approved Assay for the Assessment of Ki-67 in High-Risk Early Breast Cancer.

Komforti, Miglena / Downs-Kelly, Erinn / Sapunar, Francisco / Wijayawardana, Sameera R / Gruver, Aaron M / Badve, Sunil S

Applied immunohistochemistry & molecular morphology : AIMM

2022 Volume 30, Issue 8, Page(s) 577–583

Abstract: The objective of this study was to measure concordance of results obtained from the US Food and Drug Administration-approved Ki-67 immunohistochemistry MIB-1 pharmDx assay performed on the Dako Omnis automated staining instrument (Omnis) versus results ... ...

Abstract	The objective of this study was to measure concordance of results obtained from the US Food and Drug Administration-approved Ki-67 immunohistochemistry MIB-1 pharmDx assay performed on the Dako Omnis automated staining instrument (Omnis) versus results produced from the assay reagents applied using an optimized protocol on the more widely available Autostainer Link 48 (ASL48) platform. Tissue sections obtained from 40 formalin-fixed paraffin-embedded breast carcinoma samples, with available Oncotype DX Breast Recurrence Score (RS) results, were stained. Three certified pathologists scored slides at 3 timepoints, totaling 360 observations for each instrument (N=720 total) using the approved scoring approach. Using the ≥20% cutoff, agreement was calculated with corresponding 2-sided 95% percentile bootstrap confidence intervals (CIs). Pairwise comparisons (N=360) from the interinstrument evaluation, performed with all observers, resulted in 325 (90.3%) concordant outcomes (244 negative and 81 positive) and 35 (9.7%) discordant outcomes. The overall agreement was 90.3% (95% confidence interval, 85.6% to 94.4%). No significant systematic differences were observed between instruments. Specimens scored from the Omnis were on average <1% higher than ASL48, with high correlation and little bias between the continuous Ki-67 scores (concordance correlation coefficient=0.916). Most specimens with a Ki-67 score ≥20% had a RS >25. This study demonstrated that good concordance can be achieved with the reagents run on the ASL48 instrument when using an optimized protocol and standardized scoring.
MeSH term(s)	Breast Neoplasms/diagnosis ; Female ; Humans ; Immunohistochemistry ; Indicators and Reagents ; Ki-67 Antigen ; United States ; United States Food and Drug Administration
Chemical Substances	Indicators and Reagents ; Ki-67 Antigen
Language	English
Publishing date	2022-07-27
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1473273-7
ISSN	1533-4058 ; 1062-3345 ; 1541-2016
ISSN (online)	1533-4058
ISSN	1062-3345 ; 1541-2016
DOI	10.1097/PAI.0000000000001050
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Article ; Online: Re-Classification with Outcome Correlation of Previously Diagnosed Malignant Phyllodes Tumors Applying the 2016 Consensus Guidelines.

Duckworth, Lauren A / Hoda, Raza / Komforti, Miglena K / Rowe, J Jordi / Downs-Kelly, Erinn / McIntire, Patrick J

International journal of surgical pathology

2022 Volume 31, Issue 5, Page(s) 557–563

Abstract: Background. ...

Abstract	Background.
MeSH term(s)	Humans ; Female ; Phyllodes Tumor/diagnosis ; Phyllodes Tumor/surgery ; Phyllodes Tumor/pathology ; Stromal Cells/pathology ; Breast/pathology ; Pathologists ; Breast Neoplasms/diagnosis ; Breast Neoplasms/surgery ; Breast Neoplasms/pathology ; Neoplasm Recurrence, Local/diagnosis ; Neoplasm Recurrence, Local/pathology
Language	English
Publishing date	2022-07-03
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	1336393-1
ISSN	1940-2465 ; 1066-8969
ISSN (online)	1940-2465
ISSN	1066-8969
DOI	10.1177/10668969221106105
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Article ; Online: Spatial Transcriptomics Suggests That Alterations Occur in the Preneoplastic Breast Microenvironment of BRCA1/2 Mutation Carriers.

Caputo, Anthony / Vipparthi, Kavya / Bazeley, Peter / Downs-Kelly, Erinn / McIntire, Patrick / Duckworth, Lauren A / Ni, Ying / Hu, Bo / Keri, Ruth A / Karaayvaz, Mihriban

Molecular cancer research : MCR

2023 Volume 22, Issue 2, Page(s) 169–180

Abstract: Breast cancer is the most common cancer in females, affecting one in every eight women and accounting for the majority of cancer-related deaths in women worldwide. Germline mutations in the BRCA1 and BRCA2 genes are significant risk factors for specific ... ...

Abstract	Breast cancer is the most common cancer in females, affecting one in every eight women and accounting for the majority of cancer-related deaths in women worldwide. Germline mutations in the BRCA1 and BRCA2 genes are significant risk factors for specific subtypes of breast cancer. BRCA1 mutations are associated with basal-like breast cancers, whereas BRCA2 mutations are associated with luminal-like disease. Defects in mammary epithelial cell differentiation have been previously recognized in germline BRCA1/2 mutation carriers even before cancer incidence. However, the underlying mechanism is largely unknown. Here, we employ spatial transcriptomics to investigate defects in mammary epithelial cell differentiation accompanied by distinct microenvironmental alterations in preneoplastic breast tissues from BRCA1/2 mutation carriers and normal breast tissues from noncarrier controls. We uncovered spatially defined receptor-ligand interactions in these tissues for the investigation of autocrine and paracrine signaling. We discovered that β1-integrin-mediated autocrine signaling in BRCA2-deficient mammary epithelial cells may differ from BRCA1-deficient mammary epithelial cells. In addition, we found that the epithelial-to-stromal paracrine signaling in the breast tissues of BRCA1/2 mutation carriers is greater than in control tissues. More integrin-ligand pairs were differentially correlated in BRCA1/2-mutant breast tissues than noncarrier breast tissues with more integrin receptor-expressing stromal cells. Implications: These results suggest alterations in the communication between mammary epithelial cells and the microenvironment in BRCA1 and BRCA2 mutation carriers, laying the foundation for designing innovative breast cancer chemo-prevention strategies for high-risk patients.
MeSH term(s)	Humans ; Female ; BRCA1 Protein/genetics ; BRCA2 Protein/genetics ; Ligands ; Mutation ; Genes, BRCA1 ; Breast Neoplasms/genetics ; Breast Neoplasms/prevention & control ; Germ-Line Mutation ; Gene Expression Profiling ; Integrins ; Genetic Predisposition to Disease ; Tumor Microenvironment/genetics
Chemical Substances	BRCA1 protein, human ; BRCA1 Protein ; BRCA2 protein, human ; BRCA2 Protein ; Ligands ; Integrins
Language	English
Publishing date	2023-10-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2098788-2
ISSN	1557-3125 ; 1541-7786
ISSN (online)	1557-3125
ISSN	1541-7786
DOI	10.1158/1541-7786.MCR-23-0489
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Article: Alterations in the preneoplastic breast microenvironment of

Caputo, Anthony / Vipparthi, Kavya / Bazeley, Peter / Downs-Kelly, Erinn / McIntire, Patrick / Ni, Ying / Hu, Bo / Keri, Ruth A / Karaayvaz, Mihriban

bioRxiv : the preprint server for biology

2023

Abstract	Breast cancer is the most common cancer in females, affecting one in every eight women and accounting for the majority of cancer-related deaths in women worldwide. Germline mutations in the
Language	English
Publishing date	2023-05-25
Publishing country	United States
Document type	Preprint
DOI	10.1101/2023.05.24.542078
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Article ; Online: Outcomes of ipsilateral breast tumor recurrence after breast conserving surgery: Repeat lumpectomy as an alternative to salvage mastectomy.

ElSherif, Ayat / Shah, Chirag / Downs-Kelly, Erinn / Alhareb, Alia / Valente, Stephanie A / Tu, Chao / Al-Hilli, Zahraa

Surgery

2021 Volume 171, Issue 3, Page(s) 673–681

Abstract: Background: We examined the outcomes of salvage mastectomy and repeat lumpectomy for management of ipsilateral breast tumor recurrence.: Methods: Between 2013 and 2019, 113 patients with an ipsilateral breast tumor recurrence after breast conserving ... ...

Abstract	Background: We examined the outcomes of salvage mastectomy and repeat lumpectomy for management of ipsilateral breast tumor recurrence. Methods: Between 2013 and 2019, 113 patients with an ipsilateral breast tumor recurrence after breast conserving surgery were identified. Patients and tumor characteristics at initial diagnosis and at recurrence were collected. Outcomes evaluated included second recurrence and overall survival. Complications at 30-days and 90-days after surgery for ipsilateral breast tumor recurrence were evaluated. Results: Seventy-two percent of patients underwent salvage mastectomy (n = 84) and 28% underwent repeat lumpectomy (n = 32 overall, n = 13 reirradiation). Salvage mastectomy patients were younger at initial diagnosis (P = .007) with longer time to ipsilateral breast tumor recurrence from first diagnosis (P = .03). At 2.5 years median follow-up, the overall incidence of second recurrence was 8% with 5% rate (n = 4) in salvage mastectomy group versus 16% (n = 5) in repeat lumpectomy group; however, among patients undergoing repeat lumpectomy with reirradiation (n = 13), only one patient developed a second recurrence (8%). There was no significant difference in rates of second local recurrence (P = .11), disease free survival (P = .13), or overall survival (P = .95) between repeat lumpectomy with reirradiation and salvage mastectomy. Conclusion: At a short-term follow-up, repeat lumpectomy with reirradiation could be considered in a select group of patients presenting with an ipsilateral breast tumor recurrence with multidisciplinary input with low rates of postoperative complications and equivalent survival outcomes.
MeSH term(s)	Aged ; Breast Neoplasms/mortality ; Breast Neoplasms/radiotherapy ; Breast Neoplasms/surgery ; Combined Modality Therapy ; Disease-Free Survival ; Female ; Humans ; Incidence ; Margins of Excision ; Mastectomy ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Recurrence, Local/epidemiology ; Neoplasm Recurrence, Local/pathology ; Neoplasm Recurrence, Local/therapy ; Neoplasm Staging ; Reoperation ; Retrospective Studies ; Salvage Therapy ; Survival Rate
Language	English
Publishing date	2021-12-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2021.10.069
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Article ; Online: Pancreatic metastases to the colon: an unusual cause of colonic obstruction.

Park, Deborah Yae-Jung / Krishnamurthi, Smitha / Chahal, Prabhleen / Downs-Kelly, Erinn / Morris-Stiff, Gareth

BMJ case reports

2019 Volume 12, Issue 11

Abstract: We report a case of a 73-year-old woman who developed pancreatic adenocarcinoma and presented with a colonic obstruction due to isolated metastasis to the colon, the primary lesion being diagnosed subsequently on imaging. The histopathological findings ... ...

Abstract	We report a case of a 73-year-old woman who developed pancreatic adenocarcinoma and presented with a colonic obstruction due to isolated metastasis to the colon, the primary lesion being diagnosed subsequently on imaging. The histopathological findings of the pancreatic mass exhibited a morphology and immunohistochemical profile consistent with a pancreatic adenocarcinoma and led to further analysis of the colonic pathology which ultimately confirmed the lesion was a pancreatic metastases rather than a primary colonic carcinoma. As the pancreatic cancer had metastasised to the colon, it was inoperable. The patient continued on palliative chemotherapy and passed 7 months after presentation for evaluation of her pancreatic mass due to progression of the pancreatic cancer. This report demonstrates a rare presentation of pancreatic cancer with colonic obstruction due to isolated metastatic disease and illustrated the importance of careful evaluation of histopathological findings.
MeSH term(s)	Adenocarcinoma/complications ; Adenocarcinoma/secondary ; Colonic Diseases/etiology ; Colonic Neoplasms/complications ; Colonic Neoplasms/secondary ; Female ; Humans ; Intestinal Obstruction/etiology ; Middle Aged ; Pancreatic Neoplasms/pathology
Language	English
Publishing date	2019-11-26
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2018-228578
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