Triple negative breast carcinomas: similarities and differences with basal like carcinomas

Appl Immunohistochem Mol Morphol. 2009 Dec;17(6):483-94. doi: 10.1097/PAI.0b013e3181a725eb.

Abstract

The cDNA microarrays allows the classification of breast cancers into 6 groups: luminal A, luminal B, luminal C, normal breast-like, human epidermal growth factor receptor 2-positive, and basal-like. This latter is characterized by the expression of basal cytokeratins (CKs), and frequent negativity for hormone receptors and human epidermal growth factor receptor 2. There is a marked parallelism between triple negative breast carcinomas and basal-like carcinoma, but these are not equivalent terms. Estimated concordance is around 80%. CK5 seems to be the best marker for the identification of these tumors. Other good markers to identify these tumors are CK14, CK17, and epidermal growth factor receptor. A subset of triple negative breast carcinomas has myoepithelial differentiation, with positivities for smooth muscle actin, p63, S-100, and CD10 among others. Recent studies suggest that basal like carcinomas are originated from mammary stem cells.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Angiogenesis Inhibitors / therapeutic use
  • Animals
  • Biomarkers, Tumor / metabolism
  • Breast Neoplasms / classification
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / drug therapy
  • Breast Neoplasms / epidemiology
  • Breast Neoplasms / pathology*
  • Carcinoma, Basal Cell / classification
  • Carcinoma, Basal Cell / diagnosis*
  • Carcinoma, Basal Cell / drug therapy
  • Carcinoma, Basal Cell / epidemiology
  • Carcinoma, Basal Cell / pathology*
  • Cell Transformation, Neoplastic
  • Diagnosis, Differential
  • ErbB Receptors / metabolism
  • Female
  • Humans
  • Incidence
  • Keratins / metabolism
  • Mammary Glands, Human / metabolism*
  • Mammary Glands, Human / pathology
  • Myeloid Progenitor Cells / pathology
  • Receptors, Cell Surface / metabolism

Substances

  • Angiogenesis Inhibitors
  • Biomarkers, Tumor
  • Receptors, Cell Surface
  • Keratins
  • ErbB Receptors