Short Review: General Overview of Invasive Lobular Carcinoma (Breast)

KRoSlideReview
KRoSlideReview
7.4 هزار بار بازدید - 4 سال پیش - This video covers multiple cases
This video covers multiple cases of invasive lobular carcinoma, classical type (breast). Routine H&E and selected immunohistochemical stains are reviewed along with grading schemata.

Please let me know in the comments if you have any suggestions for improvements, topics you found confusing, or things that you think may be interesting to have a review on.

Demographics: 00:00
Histology and Differentials:
    Cases 1-3 (grade 1): 01:15
    Cases 4-6 (grade 2): 10:27
IHC and Specials:
    Case 3 (AE1/AE3): 09:50
    Case 4 (ER and PR): 12:10
Treatment and Prognosis: 16:17

Clarification: After completing this video, I realized that I did not cover the rest of the genetics often associated with ILC and a few extra differentials.

These are the mutations you can see (these are not required for diagnosis and some are very rare):
- Gains of 1q and 16q (most common)
- Amplification of 1q32, 8p12-p11.2, 11q13
- Gains of 8q
- Losses of 8p23-q21, 11q14.1-q25, 13q
- CDH1 mutations / loss of 16q (E-cadherin is present at 16q22.1)
- HER2 mutations (RARE)

These are some differential diagnoses to consider:
- Mixed carcinoma (contains both ductal and lobular features)
- Tubulolobular carcinoma
- Gastric signet ring cell carcinoma/hereditary diffuse gastric carcinoma syndrome
- Lymphoma
- Metastatic melanoma
- Myofibroblastoma (epithelioid variant)
- Lymphoid aggregate

This video is for educational purposes only and does not represent or replace medical advice. Please consult your physician if you have questions as a patient. If you are a physician, please ensure you research subjects to ensure you have the most up to date information.

All content presented by KL Roncin, MD, unless otherwise noted. Comments and opinions are my own and are current as of the time the video was taken, unless otherwise noted. Please like and subscribe to my channel to receive notifications on any new pathology content!

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4 سال پیش در تاریخ 1399/02/14 منتشر شده است.
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