Table 3

Basement membrane (BM) and myoepithelial cells (MEC) in various breast lesions

Breast lesionClassificationBMMEC
Microglandular adenosisBenign but infiltrativePresentAbsent
Infiltrating epitheliosisBenign/focally infiltrativeMainly presentFocally absent
Collagenous spherulosisBenignPresentPresent
Metaplastic apocrine changesBenignPresentCan be attenuated or absent in occasional cases.
Lactational changesBenignPresentCan be attenuated or absent in occasional cases.
Ductal carcinoma in situ (DCIS)Malignant in situBM is preserved at the periphery but can be different from the normal BM around the TDLU and breast ducts.Present but can be focally attenuated.
Encapsulated papillary carcinomaLow grade invasiveTypically, thick capsule-like structure at the periphery.Absent in 70%–80% of cases at the periphery.
Solid papillary carcinomaLow grade invasiveTypically, thin capsule-like structure (BM) at the periphery.Absent in 50%–70% of cases at the periphery.
Adenoid cystic carcinomaMalignant invasiveBM-like material at the periphery of the cribriform structures and within the false lumen (pseudocyst).Absent
  • TDLU, terminal duct lobular unit.