Human pathology

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mammary carcinomas

breast carcinomas, breast cancer

Definition: Mammary malignant epithelial tumors.

Classification

- secretory breast carcinoma

Susceptibility

- BRCA1
- BRCA2
- FGFR2
- TNRC9
- MAP3K1
- LSP1
- 10q23.32-q25.3 locus (17171685)

Molecular biology

- allelotypes
- expression profiling
- proteomics: 11721633

Comparative genomic hybridization (16457699)

CGH revealed approximately 20 regions of recurrent increased DNA sequence copy number in breast tumors. These regions are predicted to encode dominantly acting genes that may play a role in tumor progression or response to therapy.

Amplified regions

- 1q32.1 amplification (66%) (16457699)
- 8p12 amplification
- 8q24.3 amplification (79%): MYC (MIM.190080) (16457699)
- 11q13 amplification: CCND1 (MIM.168461) and EMS1 (MIM.164765)
- 12q13 amplification
- 16p13.3 amplification (57%)
- 17q12 amplification: ERBB2 (MIM.164870)
- 20q13 amplification (18%)

In breast cancer, ERBB2, CCND1 and EMS1 amplification and overexpression are associated with decreased life expectancy, whereas MYC amplification has been associated with lymph node involvement, advanced stage, and an increased rate of relapse.

20q13 gains in greater than 25% of cancers of the ovary, colon, head and neck, brain, and pancreas.

LOH

- 1p
- 4p
- 5q
- 8p12-p23
- 11q
- 13q > RB1 (26%) (16457699)
- 14q
- 16q
- 17p
- 17q

Epigenetics

- hypermethylation and hypomethylation of CpG islands (16575877)

Video

- Metastatic breast carcinoma by Washington Deceit

- breast cancer cells in culture

Reviews

- Vargo-Gogola T, Rosen JM. Modelling breast cancer: one size does not fit all. Nat Rev Cancer. 2007 Sep;7(9):659-72. PMID: 17721431

- Stingl J, Caldas C. Molecular heterogeneity of breast carcinomas and the cancer stem cell hypothesis. Nat Rev Cancer. 2007 Oct;7(10):791-9. PMID: 17851544

- Weigelt B, Peterse JL, van ’t Veer LJ. Breast cancer metastasis: markers and models. Nat Rev Cancer. 2005 Aug;5(8):591-602. PMID: 16056258

- Hunter DJ, Riboli E, Haiman CA, Albanes D, et al.; National Cancer Institute Breast and Prostate Cancer Cohort Consortium. A candidate gene approach to searching for low-penetrance breast and prostate cancer genes. Nat Rev Cancer. 2005 Dec;5(12):977-85. PMID: 16341085

- O’Connell P. Genetic and cytogenetic analyses of breast cancer yield different perspectives of a complex disease. Breast Cancer Res Treat. 2003 Apr;78(3):347-57. PMID: 12755493

- Albertson DG. Profiling breast cancer by array CGH. Breast Cancer Res Treat. 2003 Apr;78(3):289-98. PMID: 12755488

- Nathanson KL, Weber BL. "Other" breast cancer susceptibility genes: searching for more holy grail. Hum Mol Genet. 2001 Apr;10(7):715-20. PMID: 11257104

- Welcsh PL, King MC. BRCA1 and BRCA2 and the genetics of breast and ovarian cancer. Hum Mol Genet. 2001 Apr;10(7):705-13. PMID: 11257103

- Barcellos-Hoff MH. Three down and counting: the transformation of human mammary cells from normal to malignant in three steps. Trends Mol Med. 2001 Apr;7(4):142-3. PMID: 11286925

- Stratton MR. Recent advances in understanding of genetic susceptibility to breast cancer. Hum Mol Genet. 1996;5 Spec No:1515-9. PMID: 8875258

References

- Bergamaschi A, Kim YH, Wang P, Sorlie T, Hernandez-Boussard T, Lonning PE, Tibshirani R, Borresen-Dale AL, Pollack JR. Distinct patterns of DNA copy number alteration are associated with different clinicopathological features and gene-expression subtypes of breast cancer. Genes Chromosomes Cancer. 2006 Nov;45(11):1033-40. PMID: 16897746

- Naylor TL, Greshock J, Wang Y, Colligon T, Yu QC, Clemmer V, Zaks TZ, Weber BL. High resolution genomic analysis of sporadic breast cancer using array-based comparative genomic hybridization. Breast Cancer Res. 2005;7(6):R1186-98. PMID: 16457699

- Piotrowski A, Benetkiewicz M, Menzel U, de Stahl TD, Mantripragada K, Grigelionis G, Buckley PG, Jankowski M, Hoffman J, Bala D, Srutek E, Laskowski R, Zegarski W, Dumanski JP. Microarray-based survey of CpG islands identifies concurrent hyper- and hypomethylation patterns in tissues derived from patients with breast cancer. Genes Chromosomes Cancer. 2006 Jul;45(7):656-67. PMID: 16575877