Genetic Alterations in Presumptive Precursor Lesions of Breast Carcinomas

The hypothetical multistep model of breast carcinogenesis suggests a transition from normal epithelium to invasive carcinoma via intraductal hyperplasia (without and with atypia) and in situcarcinoma. These presumptive precursor lesions are currently defined by their histological features, and their...

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Main Authors: Michaela Aubele, Martin Werner, Heinz Höfler
Format: Article
Language:English
Published: Wiley 2002-01-01
Series:Analytical Cellular Pathology
Online Access:http://dx.doi.org/10.1155/2002/371680
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author Michaela Aubele
Martin Werner
Heinz Höfler
author_facet Michaela Aubele
Martin Werner
Heinz Höfler
author_sort Michaela Aubele
collection DOAJ
description The hypothetical multistep model of breast carcinogenesis suggests a transition from normal epithelium to invasive carcinoma via intraductal hyperplasia (without and with atypia) and in situcarcinoma. These presumptive precursor lesions are currently defined by their histological features, and their prognosis is imprecisely estimated from indirect epidemiological evidence. Cytogenetic and molecular‐genetic analysis of these lesions give evidence for an accumulation of various genetic alterations during breast tumorigenesis. Using immuno‐histochemistry overexpression of the c‐erbB‐2 oncogene was found in ductal carcinoma in situ(DCIS), but not in atypical intraductal hyperplasia (AIDH) and intraductal hyperplasia (IDH). An expression of mutant p53 tumor suppressor gene as well as expression of cyclin D1 was identified in DCIS. In IDH lesions loss of heterozygosity (LOH) at various loci could be identified, and comparative genomic hybridization (CGH) and fluorescence in situhybridization (FISH) studies delivered evidence for DNA amplification on chromosomal region 20q13 in the early stage of IDH. However, little is currently known about genetic alterations in those premalignant lesions, and the chronology of genetic alterations and histopathological changes during carcinogenesis is mainly undiscovered. Figure 1 can be viewed in colour on http://www.esacp.org/acp/2002/24‐23/aubele.htm
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spelling doaj-art-ae42d8c7c9e24615bbbaa500799739ca2025-02-03T01:03:47ZengWileyAnalytical Cellular Pathology0921-89121878-36512002-01-01242-3697610.1155/2002/371680Genetic Alterations in Presumptive Precursor Lesions of Breast CarcinomasMichaela Aubele0Martin Werner1Heinz Höfler2GSF‐National Research Center for Environment and Health, Institute of Pathology Neuherberg, GermanyTechnische Universität München, Institute of Pathology, Munich, GermanyGSF‐National Research Center for Environment and Health, Institute of Pathology Neuherberg, GermanyThe hypothetical multistep model of breast carcinogenesis suggests a transition from normal epithelium to invasive carcinoma via intraductal hyperplasia (without and with atypia) and in situcarcinoma. These presumptive precursor lesions are currently defined by their histological features, and their prognosis is imprecisely estimated from indirect epidemiological evidence. Cytogenetic and molecular‐genetic analysis of these lesions give evidence for an accumulation of various genetic alterations during breast tumorigenesis. Using immuno‐histochemistry overexpression of the c‐erbB‐2 oncogene was found in ductal carcinoma in situ(DCIS), but not in atypical intraductal hyperplasia (AIDH) and intraductal hyperplasia (IDH). An expression of mutant p53 tumor suppressor gene as well as expression of cyclin D1 was identified in DCIS. In IDH lesions loss of heterozygosity (LOH) at various loci could be identified, and comparative genomic hybridization (CGH) and fluorescence in situhybridization (FISH) studies delivered evidence for DNA amplification on chromosomal region 20q13 in the early stage of IDH. However, little is currently known about genetic alterations in those premalignant lesions, and the chronology of genetic alterations and histopathological changes during carcinogenesis is mainly undiscovered. Figure 1 can be viewed in colour on http://www.esacp.org/acp/2002/24‐23/aubele.htmhttp://dx.doi.org/10.1155/2002/371680
spellingShingle Michaela Aubele
Martin Werner
Heinz Höfler
Genetic Alterations in Presumptive Precursor Lesions of Breast Carcinomas
Analytical Cellular Pathology
title Genetic Alterations in Presumptive Precursor Lesions of Breast Carcinomas
title_full Genetic Alterations in Presumptive Precursor Lesions of Breast Carcinomas
title_fullStr Genetic Alterations in Presumptive Precursor Lesions of Breast Carcinomas
title_full_unstemmed Genetic Alterations in Presumptive Precursor Lesions of Breast Carcinomas
title_short Genetic Alterations in Presumptive Precursor Lesions of Breast Carcinomas
title_sort genetic alterations in presumptive precursor lesions of breast carcinomas
url http://dx.doi.org/10.1155/2002/371680
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