Invasive lobular carcinoma


Invasive lobular carcinoma is breast cancer arising from the lobules of the mammary glands. It accounts for 5-10% of invasive breast cancer.
The histologic patterns include:
TypePrevalenceDescriptionImage
Classical40%round or ovoid cells with little cytoplasm in a single-file infiltrating pattern, sometimes concentrically giving a targetoid pattern
Mixed40%No dominant pattern-
Solid10%Sheets of classical-appearing cells with little intervening stroma-
Alveolar5%Aggregates of classical-appearing cells-
Tubulolobular5%Cells form microtubules in >90% of tumor -
PleomorphicClassical-appearing but with pleomorphic cells-

Overall, the five-year survival rate of invasive lobular carcinoma was approximately 85% in 2003.
Loss of E-cadherin is common in lobular carcinoma but is also seen in other breast cancers.
Treatment includes surgery and adjuvant therapy.