Tenascin expression in elastotic cuffs of invasive ductal carcinoma of the breast

M. Melis, A. Baiocchini, G. Soda, D. Bosco

Research output: Contribution to journalArticle

Abstract

We studied immunohistochemically one thousand one hundred and thirty-seven cases of primary invasive breast cancers (NST) and adjacent normal mammary glands for tenascin expression, and compared their elastic content to verify if a relationship exists between tenascin expression and elastosis. Periductal, perivascular and stromal elastosis were graded on a scale from 0 to 3 (absent to massive). All carcinomas showed tenascin expression and elastosis with various histological appearances. In the adjacent breast, teanscon was distributed around the normal ducts or with extasia and uctal hyperplasia without atypia. Digestion of the sections with elastase prior to staining resulted in a loss of the specific staining reactions in all areas where elastosis was present. Tenascin staining was observed in the mesenchyme closely surrounding the neoplastic ducts and the cancer cell nests. Stromal tenascin staining appeared stronger in these carcinomas that exhibited marked desmoplastic reactions. The highly differentiated rumours contained more elastosis in their tumour tissue than the poorly differentiated ones, whereas tenascin expression was stronger in poorly differentiated tumours than well differentiated rumours. A strong staining for tenascin was observed in the elastotic cuff. Tenascin staining did not disappear afterwards with elastase. We did not find a statistically significant correlation between tenascin expression, elastosis and prognostic factors such as size of the tumour, lymph node metastasis, tumour necrosis and age. In our study tenascin proved to be an additional element in elastotic areas even though the significance of an association between elastosis and tenascin is still unkown, as is that of elastosis itself.

Original languageEnglish
Pages (from-to)479-484
Number of pages6
JournalPathology Research and Practice
Volume193
Issue number7
Publication statusPublished - 1997

Keywords

  • Breast rumours
  • Elastosis
  • Tenascin

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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