Journals / Turkish Journal of Medical Sciences / 2021 / Cilt: 51 - Sayı: 6

Clinicopathological features of mammary Paget’s disease: a single-center experience in Turkey

Pages
2994–3000
Publication Date
2022-11-06
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Invasive ductal carcinoma group had a mean overall survival of rate of 57.8 ± 6.6 months.

📌 3 Key Takeaways

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Objective & Hypothesis:Background/aim: Paget’s disease (PD) of the breast is a very rare presentation of breast malignancy, accounting for 1%–3% of all primary breast tumors.
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Key Findings & Data:Results: There were 46 female patients diagnosed with PD.
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Conclusion & Impact:Invasive ductal carcinoma group had a mean overall survival of rate of 57.8 ± 6.6 months.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background/aim: Paget’s disease (PD) of the breast is a very rare presentation of breast malignancy, accounting for 1%–3% of all primary breast tumors. We aimed to evaluate and compare the clinicopathological features and clinical outcome of PD accompanied by in situ carcinoma and invasive cancer. Materials and methods: We used the archive of our pathology laboratory retrospectively for age, sex, history of surgery, histopathological findings, treatment modalities, and follow-up information. We used the Kaplan–Meier method for survival analysis. Results: There were 46 female patients diagnosed with PD. In 39 (84.7%) patients, invasive carcinoma accompanied PD, while 7 (15.3%) patients had ductal carcinoma in situ. The median age at diagnosis was 53.5 years. The median follow-up period was 47 months. Of the 39 invasive carcinoma, 10 (25.6%) died during the follow-up period. Invasive ductal carcinoma group had a mean overall survival of rate of 57.8 ± 6.6 months. According to univariate analysis, only the tumor type was found to impact overall survival (p < 0.001). Conclusions: The current study displayed the tumor type as the only parameter affecting overall survival in the invasive carcinoma group. Although it was not statistically significant, breast cancers accompanied by PD were found to be predominantly advanced stage tumors, high grade, hormone receptor negative, and HER2 positive.Key words: Paget’s disease, breast carcinoma, pathology, molecular subtype, immunohistochemistry

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Cite This Article

TEKİNDAL, M. A., GÜR, Ö., YİĞİT, S., ETİT, D., ATAHAN, K., ACAR, N., ALTINDAĞ2, S. D., KAR, H., KÜÇÜKZEYBEK, B., AKGÜL, Ö. (2022). Clinicopathological features of mammary Paget’s disease: a single-center experience in Turkey. Turkish Journal of Medical Sciences, Cilt: 51 - Sayı: 6, 2994–3000. https://ajindex.com/articles/609834

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References (1)

  1. Lee HW, Kim TE, Cho SY, Kim SW, Kil WH et al. Invasive Paget disease of the breast: 20 years of experience at a single institution. Human Pathology 2014; 45 (12): 2480-2487. doi: 10.1016/j.humpath.2014.08.015 2. Helme S, Harvey K, AgrawalA. Breast-conserving surgery in patients with Paget’s disease. The British Journal of Surgery 2015; 102 (10): 1167-1174. doi: 10.1002/bjs.9863 3. Wu Q, Ding X, Li J, Sun S, Zhu S et al. Surgical treatment in Paget’s disease with invasive ductal carcinoma: an observational study based on SEER. Scientific Reports 2017; 7: 45510. doi: 10.1038/srep45510 4. Caliskan M, Gatti G, Sosnovskikh I, Rotmensz N, Botteri E et al. Paget’s disease of the breast: the experience of the European Institute of Oncology and review of the literature. Breast Cancer Research and Treatment 2008; 112 (3): 513–521. doi: 10.1007/s10549-007-9880-5 5. Yao Y, Sun L, Meng Y, Zhuang Y, Zhao L et al. Breast-Conserving Surgery in Patients With Mammary Paget’s Disease. The Journal of Surgical Research 2019; 241: 178-187. doi: 10.1016/j. jss.2019.03.025 6. Sisti A, Huayllani MT, Restrepo DJ, Boczar D, Advani P et al. Paget disease of the breast: A national retrospective analysis of the US population. Breast Disease 2020; 39 (3-4): 119-126. doi: 10.3233/BD-200439 7. Sandoval-Leon AC, Drews-Elger K, Gomez-Fernandez CR, Yepes MM, Lippman ME. Paget’s disease of the nipple. Breast Cancer Research and Treatment 2013; 141 (1): 1-12. doi: 10.1007/s10549-013-2661-4 8. Zhao Y, Sun HF, Chen MT, Gao SP, Li LD et al. Clinicopathological characteristics and survival outcomes in Paget disease: a SEER population-based study. Cancer Medicine 2018; 7 (6): 2307-2318. doi: 10.1002/cam4.1475 9. Wong SM, Freedman RA, Sagara Y, Stamell EF, Desantis SD et al. The effect of Paget disease on axillary lymph node metastases and survival in invasive ductal carcinoma. Cancer 2015; 121 (24): 4333-4340. doi: 10.1002/cncr.29687 10. Chen S, Chen H, Yi Y, Jiang X, Lei H et al. Comparative study of breast cancer with or without concomitant Paget disease: An analysis of the SEER database. Cancer Medicine 2019; 8 (8): 4043-4054. doi: 10.1002/ cam4.2242 11. Hammond ME, Hayes DF, Dowsett M. American Society of Clinical Oncology; College of American Pathologists, American Society of Clinical Oncology/College of American Pathologists guideline recommendations for immunohistochemical testing of estrogen and progesterone receptors in breast cancer. Archives of Pathology & Laboratory Medicine 2010; 13