Abstract

Matrix-producing carcinoma (MPC) is a rare subtype of metaplastic breast carcinoma (MBC) that was first described in 1989 by Wargotz and Norris. It accounts for less than 1% of breast carcinomas and has distinctive clinical, morphological, and immunohistochemical features. Histologically it consists of invasive carcinoma of no special type with transition to cartilaginous or osseous matrix without a spindle cell component. Data on this entity are limited with the literature consisting mostly of case reports and a small number of case series.We report a case of matrix-producing breast carcinoma, with excellent clinical outcome. We also discuss the histogenesis, imaging, histological, and immunohistochemical characteristics, treatment, and focus on the differential diagnosis of this rare tumor.

Highlights

  • Metaplastic breast carcinoma (MBC) is a heterogeneous group of malignant epithelial tumors that undergoes metaplasia into mesenchymal or squamous differentiation

  • Matrix-producing carcinoma (MPC) is a rare subtype of metaplastic breast carcinoma (MBC) that was first described in 1989 by Wargotz and Norris. It accounts for less than 1% of breast carcinomas and has distinctive clinical, morphological, and immunohistochemical features. It consists of invasive carcinoma of no special type with transition to cartilaginous or osseous matrix without a spindle cell component

  • We report a case of matrix-producing breast carcinoma, with excellent clinical outcome

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Summary

Introduction

Metaplastic breast carcinoma (MBC) is a heterogeneous group of malignant epithelial tumors that undergoes metaplasia into mesenchymal or squamous differentiation. This group currently includes fibromatosis-like metaplastic carcinoma, low-grade adenosquamous carcinoma, spindle cell carcinoma, carcinoma with mesenchymal differentiation, and squamous cell carcinoma. They are very rare accounting for less than 1% of breast carcinomas. Matrix-producing carcinoma (MPC) is a rare subtype of MBC. It is defined as a carcinoma with a direct transition from invasive carcinoma no special type to cartilage or osseous component lacking an intervening spindle cell component [1]. The patient received adjuvant chemotherapy and is alive without evidence of recurrence or distant metastasis 38 months after surgery

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