Mammary myofibroblastoma with unusual morphological and immunohistochemical features

Mammary myofibroblastoma (MFB) is a rare mesenchymal tumor, derived from mammary stromal fibro/myofibroblasts, which has various morphological features and characteristic immunohistochemical staining. The epithelioid morphologic variant is defined, accordingly, as a proliferation of exclusively or p...

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Main Authors: Ons Boudaouara, Chiraz Chaari, Abdelkhalek Hassini, Tahya Sellami Boudaouara
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2017-01-01
Series:Indian Journal of Medical and Paediatric Oncology
Subjects:
Online Access:http://www.ijmpo.org/article.asp?issn=0971-5851;year=2017;volume=38;issue=2;spage=223;epage=225;aulast=Boudaouara
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author Ons Boudaouara
Chiraz Chaari
Abdelkhalek Hassini
Tahya Sellami Boudaouara
author_facet Ons Boudaouara
Chiraz Chaari
Abdelkhalek Hassini
Tahya Sellami Boudaouara
author_sort Ons Boudaouara
collection DOAJ
description Mammary myofibroblastoma (MFB) is a rare mesenchymal tumor, derived from mammary stromal fibro/myofibroblasts, which has various morphological features and characteristic immunohistochemical staining. The epithelioid morphologic variant is defined, accordingly, as a proliferation of exclusively or predominantly (>50%) epithelioid cells, variably embedded in a myxoid to fibrous stroma. These histological and cytological features may pose a diagnostic challenge mainly with metaplastic carcinoma and invasive lobular carcinoma of the breast. Thus, immunohistochemical staining by myofibroblastic markers is helpful for confirming diagnosis. Herein, we present a case of MFB in a 43-year-old female. This case report emphasizes the role of immunohistochemistry as gold standard in the diagnosis of MFB. This case is also being presented because of its unusual radiologic findings, its epithelioid histologic variant mimicking malignancy, and its uncommon immunohistochemical phenotype.
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series Indian Journal of Medical and Paediatric Oncology
spelling doaj-art-4dd114e4e4fd4d8faeedf5de67b3b51e2025-08-20T03:03:59ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58512017-01-0138222322510.4103/ijmpo.ijmpo_115_16Mammary myofibroblastoma with unusual morphological and immunohistochemical featuresOns BoudaouaraChiraz ChaariAbdelkhalek HassiniTahya Sellami BoudaouaraMammary myofibroblastoma (MFB) is a rare mesenchymal tumor, derived from mammary stromal fibro/myofibroblasts, which has various morphological features and characteristic immunohistochemical staining. The epithelioid morphologic variant is defined, accordingly, as a proliferation of exclusively or predominantly (>50%) epithelioid cells, variably embedded in a myxoid to fibrous stroma. These histological and cytological features may pose a diagnostic challenge mainly with metaplastic carcinoma and invasive lobular carcinoma of the breast. Thus, immunohistochemical staining by myofibroblastic markers is helpful for confirming diagnosis. Herein, we present a case of MFB in a 43-year-old female. This case report emphasizes the role of immunohistochemistry as gold standard in the diagnosis of MFB. This case is also being presented because of its unusual radiologic findings, its epithelioid histologic variant mimicking malignancy, and its uncommon immunohistochemical phenotype.http://www.ijmpo.org/article.asp?issn=0971-5851;year=2017;volume=38;issue=2;spage=223;epage=225;aulast=BoudaouaraBreast neoplasmsdiagnosisimmunohistochemistrymyofibroblastomastaining and labeling
spellingShingle Ons Boudaouara
Chiraz Chaari
Abdelkhalek Hassini
Tahya Sellami Boudaouara
Mammary myofibroblastoma with unusual morphological and immunohistochemical features
Indian Journal of Medical and Paediatric Oncology
Breast neoplasms
diagnosis
immunohistochemistry
myofibroblastoma
staining and labeling
title Mammary myofibroblastoma with unusual morphological and immunohistochemical features
title_full Mammary myofibroblastoma with unusual morphological and immunohistochemical features
title_fullStr Mammary myofibroblastoma with unusual morphological and immunohistochemical features
title_full_unstemmed Mammary myofibroblastoma with unusual morphological and immunohistochemical features
title_short Mammary myofibroblastoma with unusual morphological and immunohistochemical features
title_sort mammary myofibroblastoma with unusual morphological and immunohistochemical features
topic Breast neoplasms
diagnosis
immunohistochemistry
myofibroblastoma
staining and labeling
url http://www.ijmpo.org/article.asp?issn=0971-5851;year=2017;volume=38;issue=2;spage=223;epage=225;aulast=Boudaouara
work_keys_str_mv AT onsboudaouara mammarymyofibroblastomawithunusualmorphologicalandimmunohistochemicalfeatures
AT chirazchaari mammarymyofibroblastomawithunusualmorphologicalandimmunohistochemicalfeatures
AT abdelkhalekhassini mammarymyofibroblastomawithunusualmorphologicalandimmunohistochemicalfeatures
AT tahyasellamiboudaouara mammarymyofibroblastomawithunusualmorphologicalandimmunohistochemicalfeatures