Definition
Encapsulated papillary carcinoma (EPC) was described for the first time in 1969 as a papillary entity arising from the ductal–lobular system, developing in a cyst, and surrounded by a fibrous capsule.
The WHO Working Group, in the fourth edition, considered EPC as a malignant non-invasive neoplastic ductal proliferation with a papillary architecture circumscribed by a fibrous capsule (Lakhani et al. 2012). However, cases of EPC may show invasion.
Clinical Features
Incidence
EPC is an extremely uncommon type of carcinoma and it accounts less than 2% of all breast cancers (Li et al. 2018).
Age
It generally affects postmenopausal women; the mean age at diagnosis is around 65–70 years (Mogal et al. 2016).
Sex
This malignancy is frequently diagnosed in female patients, but EPCs have also been described in men.
Site
EPC is usually unifocal. It may arise in the larger and more centrally placed ducts, often...
References and Further Reading
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Kővári, B., Ormándi, K., Simonka, Z., Vörös, A., & Cserni, G. (2018). Apocrine encapsulated papillary carcinoma of the breast: The first reported case with an infiltrative component. Journal of Breast Cancer, 21, 227–230.
Lakhani, S.R., Ellis, I.O., Schnitt, S.J., Tan, P.H., & van de Vijver, M.J.. (2012). WHO classification of tumors of the breast (pp. 106–107). World Health Organization. ISBN-10: 9283224337. Lyon, IARC press.
Lefkowitz, M., Lefkowitz, W., & Wargotz, E. S. (1994). Intraductal (intracystic) papillary carcinoma of the breast and its variants: A clinicopathological study of 77 cases. Human Pathology, 25, 802–809.
Li, X., Xu, Y., Ye, H., Qin, S., Hou, F., & Liu, W. (2018). Encapsulated papillary carcinoma of the breast: A clinicopathological study of 49 cases. Current Problems in Cancer, 42, 291–301.
Mogal, H., Brown, D. R., Isom, S., Griffith, K., & Howard-McNatt, M. (2016). Intracystic papillary carcinoma of the breast: A SEER database analysis of implications for therapy. The Breast, 27, 87–92.
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Solorzano, C. C., Middleton, L. P., Hunt, K. K., Mirza, N., Meric, F., Kuerer, H. M., Ross, M. I., Ames, F. C., Feig, B. W., Pollock, R. E., Singletary, S. E., & Babiera, G. (2002). Treatment and outcome of patients with intracystic papillary carcinoma of the breast. The American Journal of Surgery, 184, 364–368.
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Zhang, J., Zhang, T., Wu, N., Zhao, X., Wang, Q., Jiang, Y., Gao, M., & Gu, L. (2018). Intracystic papillary carcinoma of the breast: Experience of a major Chinese cancer center. Pathology-Research and Practice, 214, 579–585.
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Cascardi, E., Sapino, A. (2019). Encapsulated Papillary Carcinoma. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4747-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_4747-1
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