CD34+ fibrocytes are preserved in most invasive lobular carcinomas of the breast

Pathol Res Pract. 2007;203(9):695-8. doi: 10.1016/j.prp.2007.05.009. Epub 2007 Jul 25.

Abstract

It is generally agreed that invasive carcinomas of the breast consistently lack stromal CD34+ fibrocytes. The pertinent literature shows that this assumption is well based for invasive ductal carcinomas, but evidence of loss of stromal CD34+ cells in lobular carcinomas is weak. We present a series of 22 invasive lobular carcinomas (ILCs) which, in contrast to invasive ductal carcinomas, display a gradual reduction of stromal CD34+ fibrocytes. One third of the study population showed a completely preserved population of CD34+ fibrocytes, in another third, this cell population was reduced in comparison to normal breast tissue, and in the remaining third, loss of CD34+ fibrocytes comparable to that occurring in virtually all invasive ductal carcinomas was found. The present study shows that loss of CD34+ fibrocytes is not a consistent feature of invasive carcinomas of the breast. Therefore, a preserved CD34+ stromal cell population does not exclude malignancy, and analysis of the stromal CD34 expression should be handled with care when used as a diagnostic tool.

MeSH terms

  • Actins / analysis
  • Aged
  • Antigens, CD34 / analysis*
  • Breast Neoplasms / chemistry
  • Breast Neoplasms / diagnosis
  • Breast Neoplasms / immunology*
  • Breast Neoplasms / pathology
  • Carcinoma, Lobular / chemistry
  • Carcinoma, Lobular / diagnosis
  • Carcinoma, Lobular / immunology*
  • Carcinoma, Lobular / pathology
  • Female
  • Humans
  • Middle Aged
  • Neoplasm Invasiveness
  • Stromal Cells / chemistry
  • Stromal Cells / immunology*

Substances

  • Actins
  • Antigens, CD34