Cutaneous Adnexal Cylindroma of Breast: Epithelial Immunoreactivities for GATA-3, Mammaglobin, and E-Cadherin Do Not Equate to a Mammary Ductal Neoplasm

Cylindromas are benign epithelial neoplasms derived from cutaneous eccrine adnexal structures. These tumors are most commonly encountered on the head, neck, and scalp of older women. In rare instances, solitary cylindromas may arise at other body sites. In the current case, a cylindroma of the skin...

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Main Authors: A. Halima, A. M. Pannunzio, E. M. Erstine, J. S. Ko, W. F. Bergfeld, R. M. Malaya, M. B. Frankel, B. C. Calhoun, C. D. Sturgis
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2018/4039545
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author A. Halima
A. M. Pannunzio
E. M. Erstine
J. S. Ko
W. F. Bergfeld
R. M. Malaya
M. B. Frankel
B. C. Calhoun
C. D. Sturgis
author_facet A. Halima
A. M. Pannunzio
E. M. Erstine
J. S. Ko
W. F. Bergfeld
R. M. Malaya
M. B. Frankel
B. C. Calhoun
C. D. Sturgis
author_sort A. Halima
collection DOAJ
description Cylindromas are benign epithelial neoplasms derived from cutaneous eccrine adnexal structures. These tumors are most commonly encountered on the head, neck, and scalp of older women. In rare instances, solitary cylindromas may arise at other body sites. In the current case, a cylindroma of the skin of the breast was diagnosed by complete excision. Immunohistochemical studies confirmed the tumor cells to be immunoreactive with cytokeratin AE1/3, cytokeratin 5/6, cytokeratin 7, p63, and SOX10. The neoplastic cells were also noted to be immunoreactive with markers typically expected to be positive in ductal epithelium of the breast including GATA3, mammaglobin, and E-cadherin. The case emphasizes the importance of correlating clinical setting, imaging studies, patient history, and careful microscopic evaluation in arriving at an accurate diagnosis. This case also illustrates the point that not all “breast” tumors that are confirmed to be positive for GATA3, mammaglobin, and E-cadherin are derived from mammary ducts.
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institution Kabale University
issn 2090-6781
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language English
publishDate 2018-01-01
publisher Wiley
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series Case Reports in Pathology
spelling doaj-art-0eb3f8110fd14989af07d376c3b96a3a2025-02-03T05:44:29ZengWileyCase Reports in Pathology2090-67812090-679X2018-01-01201810.1155/2018/40395454039545Cutaneous Adnexal Cylindroma of Breast: Epithelial Immunoreactivities for GATA-3, Mammaglobin, and E-Cadherin Do Not Equate to a Mammary Ductal NeoplasmA. Halima0A. M. Pannunzio1E. M. Erstine2J. S. Ko3W. F. Bergfeld4R. M. Malaya5M. B. Frankel6B. C. Calhoun7C. D. Sturgis8RJ Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USARJ Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USARJ Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USARJ Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USARJ Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USAGeneral Surgery, Cleveland Clinic, Cleveland, OH, USADiagnostic Radiology, Cleveland Clinic, Cleveland, OH, USARJ Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USARJ Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USACylindromas are benign epithelial neoplasms derived from cutaneous eccrine adnexal structures. These tumors are most commonly encountered on the head, neck, and scalp of older women. In rare instances, solitary cylindromas may arise at other body sites. In the current case, a cylindroma of the skin of the breast was diagnosed by complete excision. Immunohistochemical studies confirmed the tumor cells to be immunoreactive with cytokeratin AE1/3, cytokeratin 5/6, cytokeratin 7, p63, and SOX10. The neoplastic cells were also noted to be immunoreactive with markers typically expected to be positive in ductal epithelium of the breast including GATA3, mammaglobin, and E-cadherin. The case emphasizes the importance of correlating clinical setting, imaging studies, patient history, and careful microscopic evaluation in arriving at an accurate diagnosis. This case also illustrates the point that not all “breast” tumors that are confirmed to be positive for GATA3, mammaglobin, and E-cadherin are derived from mammary ducts.http://dx.doi.org/10.1155/2018/4039545
spellingShingle A. Halima
A. M. Pannunzio
E. M. Erstine
J. S. Ko
W. F. Bergfeld
R. M. Malaya
M. B. Frankel
B. C. Calhoun
C. D. Sturgis
Cutaneous Adnexal Cylindroma of Breast: Epithelial Immunoreactivities for GATA-3, Mammaglobin, and E-Cadherin Do Not Equate to a Mammary Ductal Neoplasm
Case Reports in Pathology
title Cutaneous Adnexal Cylindroma of Breast: Epithelial Immunoreactivities for GATA-3, Mammaglobin, and E-Cadherin Do Not Equate to a Mammary Ductal Neoplasm
title_full Cutaneous Adnexal Cylindroma of Breast: Epithelial Immunoreactivities for GATA-3, Mammaglobin, and E-Cadherin Do Not Equate to a Mammary Ductal Neoplasm
title_fullStr Cutaneous Adnexal Cylindroma of Breast: Epithelial Immunoreactivities for GATA-3, Mammaglobin, and E-Cadherin Do Not Equate to a Mammary Ductal Neoplasm
title_full_unstemmed Cutaneous Adnexal Cylindroma of Breast: Epithelial Immunoreactivities for GATA-3, Mammaglobin, and E-Cadherin Do Not Equate to a Mammary Ductal Neoplasm
title_short Cutaneous Adnexal Cylindroma of Breast: Epithelial Immunoreactivities for GATA-3, Mammaglobin, and E-Cadherin Do Not Equate to a Mammary Ductal Neoplasm
title_sort cutaneous adnexal cylindroma of breast epithelial immunoreactivities for gata 3 mammaglobin and e cadherin do not equate to a mammary ductal neoplasm
url http://dx.doi.org/10.1155/2018/4039545
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