Pathologic Features of Breast Cancers in Women with Previous Benign Breast Disease

Timothy W. Jacobs, Celia Byrne, Graham Colditz, James L. Connolly, Stuart J. Schnitt

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

To compare pathologic features of the cancers arising after different types of benign breast disease (BBD), we reviewed the invasive breast cancer slides of 169 women with a previous benign biopsy result. Lesions were categorized previously as nonproliferative, proliferative without atypia, or atypical hyperplasia. Pathologic features of the cancers were evaluated without knowledge of the previous BBD category. Estrogen and progesterone receptor immunohistochemistry was performed on available tissue blocks. The median times between a benign result and cancer were 100, 124, and 92 months for women with nonproliferative lesions, proliferative lesions without atypia, and atypical hyperplasia, respectively. Cancers in the 3 groups did not differ significantly in tumor size, axillary lymph node status, or histologic grade, and there was no significant difference in the distribution of histologic types of breast cancer. Lymphatic vessel invasion, extensive intraductal component, and hormone receptor status did not differ among BBD categories. The pathologic features of breast cancers that develop in women with a previous benign biopsy result do not vary according to the histologic category of the previous BBD.

Original languageEnglish
Pages (from-to)362-369
Number of pages8
JournalAmerican journal of clinical pathology
Volume115
Issue number3
DOIs
StatePublished - Mar 2001

Keywords

  • Atypical hyperplasia
  • Benign breast disease
  • Breast cancer
  • Invasive carcinoma

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