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Sammarco A, Finesso G, Zanetti R, Ferro S, Rasotto R, Caliari D, Goldschmidt MH, Orvieto E, Castagnaro M, Cavicchioli L, Zappulli V. Biphasic Feline Mammary Carcinomas Including Carcinoma and Malignant Myoepithelioma. Vet Pathol 2020; 57:377-387. [PMID: 32100640 DOI: 10.1177/0300985820908792] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Feline mammary tumors are usually malignant and aggressive carcinomas. Most cases are simple monophasic carcinomas (1 epithelial population), and additional phenotyping is usually not needed. In this study, we describe 10 malignant mammary tumors from 9 female cats that had unusual histomorphology: they appeared biphasic, with 2 distinct cell populations. Initially, they were morphologically diagnosed as either carcinosarcoma (1/10) or malignant pleomorphic tumor (9/10) of the mammary gland, as the latter did not match any previously described histological subtype. Immunohistochemistry (IHC) was performed for pancytokeratin, cytokeratins 8 and 18, cytokeratin 14, cytokeratins 5 and 6, vimentin, p63, calponin, alpha-smooth muscle actin, Ki-67, ERBB2, estrogen receptor alpha, and progesterone receptor. In 7 of 10 cases, the biphasic nature was confirmed and, on the basis of the IHC results, they were classified as carcinoma and malignant myoepithelioma (4/10), ductal carcinoma (1/10), and carcinosarcoma (2/10). The other 3 of 10 cases were monophasic based on IHC. In the cases of carcinoma and malignant myoepithelioma, the malignant myoepithelial cells were 100% positive for vimentin (4/4) and variably positive for p63, calponin, and cytokeratins (4/4). These findings show that, although rare, biphasic mammary carcinomas do occur in cats. In dogs and humans, tumors composed of malignant epithelial and myoepithelial cells have a less aggressive behavior than certain simple carcinomas, and therefore, their identification might also be clinically significant in the cat.
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Affiliation(s)
- Alessandro Sammarco
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell'Università, Legnaro, Padua, Italy
| | - Giovanni Finesso
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell'Università, Legnaro, Padua, Italy
- National Institute on Aging, National Institutes of Health, Baltimore, MD, USA
| | - Rossella Zanetti
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell'Università, Legnaro, Padua, Italy
| | - Silvia Ferro
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell'Università, Legnaro, Padua, Italy
| | | | | | - Michael H Goldschmidt
- Laboratory of Pathology and Toxicology, Department of Pathobiology, University of Pennsylvania, School of Veterinary Medicine, Philadelphia, PA, USA
| | - Enrico Orvieto
- Pathology Department ULSS5 Polesana, Viale Tre Martiri, Rovigo, Italy
| | - Massimo Castagnaro
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell'Università, Legnaro, Padua, Italy
| | - Laura Cavicchioli
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell'Università, Legnaro, Padua, Italy
| | - Valentina Zappulli
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell'Università, Legnaro, Padua, Italy
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Dagher E, Abadie J, Loussouarn D, Campone M, Nguyen F. Feline Invasive Mammary Carcinomas: Prognostic Value of Histological Grading. Vet Pathol 2019; 56:660-670. [PMID: 31113336 DOI: 10.1177/0300985819846870] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Feline mammary carcinomas are highly malignant tumors usually associated with poor outcome. Nevertheless, survival times can differ significantly according to various prognostic factors. The Elston and Ellis (EE) histologic grading system, originally developed for human breast cancer, is commonly used to grade feline mammary carcinomas, although it is not really adapted for this species, hence the need of a more relevant grading system. Although few veterinary studies attempted to validate previously published results in an independent cohort, the aim of our study was to evaluate the prognostic value of different histologic grading systems in feline invasive mammary carcinomas, including the EE grading system applicable to human breast cancers and the modified and newly designed histologic grading systems recently proposed by Mills et al. Survey data and histologic features of 342 feline invasive mammary carcinomas were analyzed with respect to overall and cancer-specific survival. The histological grading system with best prognostic value was the mitotic-modified Elston and Ellis (MMEE) grading system: grade III carcinomas (P = .04, hazard ratio [HR] = 1.46, 95% CI, 1.01-2.11), grade II (P = .03, HR = 1.39, 95% CI, 1.03-1.88), and grade I carcinomas (HR = 1.00, reference), with decreasing hazard ratios significantly were associated with a worse overall survival, independently from the pathologic tumor size (pT ≥ 20 mm: P = .002, HR = 1.45, 95% CI, 1.15-1.83) and positive nodal stage (P = .001, HR = 1.51, 95% CI, 1.18-1.94). This retrospective study validates Mills et al's proposal to adapt the thresholds for mitotic counts to better assess the histological grade of the highly proliferative mammary carcinomas encountered in the cat.
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Affiliation(s)
- Elie Dagher
- 1 AMaROC, Oniris (Nantes Atlantic College of Veterinary Medicine, Food Science and Engineering), France
| | - Jérôme Abadie
- 1 AMaROC, Oniris (Nantes Atlantic College of Veterinary Medicine, Food Science and Engineering), France.,2 CRCINA, INSERM, Université d'Angers, Université de Nantes, Nantes, France
| | - Delphine Loussouarn
- 2 CRCINA, INSERM, Université d'Angers, Université de Nantes, Nantes, France.,3 Department of Pathology, University hospital, Nantes, France
| | - Mario Campone
- 2 CRCINA, INSERM, Université d'Angers, Université de Nantes, Nantes, France.,4 ICO, Integrated Center for Oncology Nantes, Angers, France
| | - Frédérique Nguyen
- 1 AMaROC, Oniris (Nantes Atlantic College of Veterinary Medicine, Food Science and Engineering), France.,2 CRCINA, INSERM, Université d'Angers, Université de Nantes, Nantes, France.,4 ICO, Integrated Center for Oncology Nantes, Angers, France
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Gemignani F, Mayhew PD, Giuffrida MA, Palaigos J, Runge JJ, Holt DE, Robertson NA, Seguin B, Walker M, Singh A, Liptak JM, Romanelli G, Martano M, Boston SE, Lux C, Busetto R, Culp WTN, Skorupski KA, Burton JH. Association of surgical approach with complication rate, progression-free survival time, and disease-specific survival time in cats with mammary adenocarcinoma: 107 cases (1991–2014). J Am Vet Med Assoc 2018; 252:1393-1402. [DOI: 10.2460/javma.252.11.1393] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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A preliminary investigation of the role of the transcription co-activators YAP/TAZ of the Hippo signalling pathway in canine and feline mammary tumours. Vet J 2016; 207:105-111. [DOI: 10.1016/j.tvjl.2015.10.031] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Revised: 10/01/2015] [Accepted: 10/10/2015] [Indexed: 11/21/2022]
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Zappulli V, Rasotto R, Caliari D, Mainenti M, Peña L, Goldschmidt MH, Kiupel M. Prognostic evaluation of feline mammary carcinomas: a review of the literature. Vet Pathol 2014; 52:46-60. [PMID: 24741029 DOI: 10.1177/0300985814528221] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
A large number of studies have investigated feline mammary tumors in an attempt to identify prognostic markers and generate comparative analyses with human breast cancer. Nevertheless, a retrospective base of assessments and the lack of standardization in methodology and study design have caused weakness in study results, making comparison difficult. We examined feline mammary tumor publications and evaluated postulated prognostic parameters according to the recently published "Recommended Guidelines for the Conduct and Evaluation of Prognostic Studies in Veterinary Oncology." Using these criteria, we determined with statistically significant reliability that prognostic parameters for feline mammary tumors are tumor grading and lymph node/lymphovascular invasion. Furthermore, tumor subtype, size, and staging are worthy of further standardized investigation. We present statistical significance for each studied parameter as well as its relevance to disease progression and survival. Our evaluation suggests that marker expression (ie, Ki67, HER2, ER) may provide relevant information applicable for therapeutic predictions; however, consensus efforts and protocol standardization are needed. We identify and discuss major points of concern--such as sample preservation and selection, standardization of immunohistochemical protocols, and evaluation of results--to provide support for subsequent reliable analyses.
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Affiliation(s)
- V Zappulli
- Department of Comparative Biomedicine and Food Science, University of Padua, Italy
| | | | - D Caliari
- Department of Comparative Biomedicine and Food Science, University of Padua, Italy
| | - M Mainenti
- Department of Comparative Biomedicine and Food Science, University of Padua, Italy
| | - L Peña
- Department of Animal Medicine, Surgery, and Pathology, Complutense University of Madrid, Spain
| | - M H Goldschmidt
- Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, PA, USA
| | - M Kiupel
- Department of Pathobiology and Diagnostic Investigation, College of Veterinary Medicine, Michigan State University, East Lansing, MI, USA
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Zappulli V, Caliari D, Rasotto R, Ferro S, Castagnaro M, Goldschmidt M. Proposed Classification of the Feline “Complex” Mammary Tumors as Ductal and Intraductal Papillary Mammary Tumors. Vet Pathol 2013; 50:1070-7. [DOI: 10.1177/0300985813488894] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- V. Zappulli
- Department of Comparative Biomedicine and Food Science, University of Padua, Padua, Italy
| | - D. Caliari
- Department of Comparative Biomedicine and Food Science, University of Padua, Padua, Italy
| | - R. Rasotto
- Department of Comparative Biomedicine and Food Science, University of Padua, Padua, Italy
| | - S. Ferro
- Department of Comparative Biomedicine and Food Science, University of Padua, Padua, Italy
| | - M. Castagnaro
- Department of Comparative Biomedicine and Food Science, University of Padua, Padua, Italy
| | - M. Goldschmidt
- Department of Pathobiology, University of Pennsylvania, School of Veterinary Medicine, Philadelphia, PA, USA
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Abstract
PRACTICAL RELEVANCE Mammary tumours are among the most common neoplasms in both cats and dogs, but the prevalence of malignant histological types is far higher in cats (ratio of malignant:benign is at least 4:1). CLINICAL CHALLENGES The more aggressive nature of mammary neoplasia in cats poses challenges for management. Prognosis is affected by tumour size and, therefore, early recognition and treatment of mammary tumours is paramount. Although the primary tumour can be excised surgically, no studies have shown that chemotherapy significantly extends survival time; hence, metastatic spread remains an important clinical problem. PATIENT GROUP Mammary tumours usually affect older female cats, mainly entire females. Siamese and Oriental breeds may be predisposed. Male cats can develop mammary neoplasia, but this is rare. EVIDENCE BASE This review summarises the current literature relating to aetiology, pathology, presentation, diagnosis, staging, treatment and prognosis of feline mammary tumours.
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Affiliation(s)
- Joanna Morris
- School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Bearsden Road, Bearsden, Glasgow G61 1QH, UK.
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Seixas F, Palmeira C, Pires MA, Bento MJ, Lopes C. Grade is an independent prognostic factor for feline mammary carcinomas: a clinicopathological and survival analysis. Vet J 2009; 187:65-71. [PMID: 19955006 DOI: 10.1016/j.tvjl.2009.10.030] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2008] [Revised: 10/29/2009] [Accepted: 10/31/2009] [Indexed: 10/20/2022]
Abstract
Feline mammary carcinomas (FMC) are highly infiltrative tumours which show a strong tendency for local recurrence and metastasis. Histological type assessment of these tumours is not sufficiently discriminatory in predicting prognosis and in this study the prognostic significance of the Elston and Ellis method of histological grading was evaluated. Ninety-two feline mammary carcinomas from 84 cats were graded and 64 queens were included in a follow-up study. Grade was significantly related to tumour size (P=0.006), clinical stage (P=0.005), lymphovascular invasion (P<0.0001), mitotic index (P<0.0001), Ki67 index (P=0.001), overall survival (P=0.0001) and disease-free survival (P<0.0001). Cox regression analysis identified grade as an independent prognostic factor. Multivariable analysis also showed regional lymph node metastasis and lymphovascular emboli as independent prognostic factors related to overall survival and to disease-free-survival, respectively. The study demonstrated that histological grading can be used as a prognostic factor to evaluate the biological behaviour of FMC.
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Affiliation(s)
- Fernanda Seixas
- Centre of Animal and Veterinary Sciences, University of Trás-os-Montes e Alto Douro, 5000-811 Vila Real, Portugal.
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