Histologic Types of Breast Cancer
Malignant tumors of the breast
may arise from any of the major components of the breast. The American JointCommittee on Cancer classifies most breast
malignancies into one of three histologic categories according to their correspond-ing
cells of origin: ductal, lobular, and nipple. Seventy toeighty percent of
breast cancers are invasive ductal carcino-mas. These are most common among
women in their 50s and have a tendency to spread to regional lymph nodes.
Invasive lobular carcinomas comprise 5% to 50% of breast cancers. This type is
often multifocal and bilat-eral. Table 31.3 summarizes the differences between
the two processes. Paget disease of the nipple presents as a superficial skin
lesion similar to eczema.
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