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Encapsulated Papillary Carcinoma

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  • First Online:
Encyclopedia of Pathology

Part of the book series: Encyclopedia of Pathology ((EP))

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Synonyms

Encysted papillary carcinoma; Intracystic papillary carcinoma

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...

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References and Further Reading

  • Collins, L. C., Carlo, V. P., Hwang, H., Barry, T. S., Gown, A. M., & Schnitt, S. J. (2006). Intracystic papillary carcinomas of the breast: A reevaluation using a panel of myoepithelial cell markers. The American Journal of Surgical Pathology, 30, 1002–1007.

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  • Costa, I., Fonseca, D., Lopes, P., Bento, M. J., & Lopes, C. (1998). Intracystic (encysted) papillary carcinoma of the breast: A clinical, pathological, and immunohistochemical study. Human Pathology, 29, 1097–1104.

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  • Duprez, R., Wilkerson, P. M., Lacroix-Triki, M., Lambros, M. B., MacKay, A., Hern, R. A., Gauthier, A., Pawar, V., Colombo, P. E., Daley, F., Natrajan, R., Ward, E., MacGrogan, G., Arbion, F., Michenet, P., Weigelt, B., Vincent-Salomon, A., & Reis-Filho, J. S. (2012). Immunophenotypic and genomic characterization of papillary carcinomas of the breast. The Journal of Pathology, 226, 427–441.

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  • Esposito, N. N., Dabbs, D. J., & Bhargava, R. (2009). Are encapsulated papillary carcinomas of the breast in situ or invasive? A basement membrane study of 27 cases. American Journal of Clinical Pathology, 131, 228–242.

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  • Fayanju, O. M., Ritter, J., Gillanders, W. E., Eberlein, T. J., Dietz, J. R., Aft, R., & Margenthaler, J. A. (2007). Therapeutic management of intracystic papillary carcinoma of the breast: The roles of radiation and endocrine therapy. The American Journal of Surgery, 194, 497–500.

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  • Hill, C. B., & Yeh, I. T. (2005). Myoepithelial cell staining patterns of papillary breast lesions: From intraductal papillomas to invasive papillary carcinomas. American Journal of Clinical Pathology, 123, 36–44.

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  • KÅ‘vári, 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.

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  • 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.

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  • 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.

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  • 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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  • 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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Correspondence to Anna Sapino .

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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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