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Writer's pictureGeethanjali Gude, MD

MICROGLANDULAR ADENOSIS

MORPHOLOGY

• A haphazard proliferation of small, round, uniform, tubular glands composed of a single layer of epithelium (without associated myoepithelial cells) that have bland nuclei and amphophilic cytoplasm

• Luminal spaces are open and often have eosinophilic colloid-like secretion


OTHER HIGH YIELD POINTS

• About 25% of cases are associated with invasive carcinoma

• Hypothesized to be non-obligate precursor of basal-type breast cancer

• IHC: (+) Cytokeratin, s100; (-)for ER, PR, HER2, and myoepithelial markers

• Molecular findings include copy number alterations, TP53 mutations, PIK3CA, and BRCA1 mutations



Image: Haphazard proliferation of small, round, uniform, tubular glands composed of a single layer of epithelium (without associated myoepithelial cells) that have bland nuclei and amphophilic cytoplasm. Luminal spaces have eosinophilic colloid-like secretion.
















Path Presenter Whole Slide Image:





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