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Table 1 Literature overview of breast MECs

From: High-grade HER2-positive mucoepidermoid carcinoma of the breast: a case report and review of the literature

No

Authors

Year of publication

Age

Tumor dimension (cm)

Grading

Lymph node metastasis

Distant Metastasis

Type of surgery

Adjuvant therapy

Follow-up (months)

ER−PR status

HER2 status

Molecular analysis (MAML2translocation)

1

Patchefsky et al. [10]

1979

70

5

LG

NA

No

Q

NA

10 alive

NA

NA

NA

2

  

66

1.3

LG

No

No

RM

NA

94 DOR

NA

NA

NA

3

Kovi et al. [11]

1981

46

11

HG

Yes

NA

MRM

NA

NA

NA

NA

NA

4

Fisher et al. [12]

1983

60

4

LG

NA

No

SM

NA

48 alive

NA

NA

NA

5

  

49

3.7

LG

No

No

RM

NA

108 alive

NA

NA

NA

6

  

57

2.5

LG

No

No

MRM

NA

120 alive

NA

NA

NA

7

  

71

2

LG

No

No

MRM

NA

48 alive

NA

NA

NA

8

  

65

2

LG

NA

No

L

NA

60 alive

NA

NA

NA

9

Ratanarapee et al. [13]

1983

27

NA

HG

Yes

Yes

NA

NA

14 DOD

NA

NA

NA

10b

Leong and Williams [14]

1985

57

3.5

HC

No

Yes

SM

No

7 DOD

NA

NA

NA

11

Hastrup and Sehested [15]

1985

59

1

HG

No

Yes

RM

RT+CT+HT

25 DOD

−−

NA

NA

12b

Hanna and Kahn [16]

1985

31

NA

NA

Yes

No

MRM

CT

14 alive

+−

NA

NA

13b

  

51

2

NA

No

No

MRM

No

8 alive

+−

NA

NA

14b

Pettinato et al. [17]

1989

72

7

HG

Yes

Yes

MRM

CT

10 DOD

NA

NA

NA

15b

Luchtrath and Moll [18]

1989

60

5

HG

Yes

Yes

RM

NA

30 DOD

NA

NA

NA

16

Chang et al. [19]

1998

54

4.5

HG

No

No

MRM

CT

48 alive

NA

NA

NA

17

Markopoulos et al. [20]

1998

40

2

HG

No

No

L+ALND

NA

60 alive

NA

NA

NA

18

Berry et al. [21]

1998

51

3.5

HG

No

no

MRM

NA

NA

NA

NA

NA

19

Tjalma et al. [22]

2002

58

3.5

HG on LG

Yes

Yes

RM

NA

156 alive

NA

NA

NA

20

Terzi et al. [23]

2004

79

8

HG

Yes

No

MRM

NA

NA

NA

NA

NA

21

Di Tommaso et al. [24]

2004

36

0.6

HG

NA

No

Q+ALND

NA

18 alive

NA

NA

NA

22

  

55

1.1

IG

Na

No

Q+ALND

NA

3 alive

NA

NA

NA

23

  

54

1.5

LG

NA

No

Q+ALND

NA

13 alive

NA

NA

NA

24

  

29

0.8

LG

NA

No

L

NA

90 alive

NA

NA

NA

25

  

80

0.5

LG

NA

No

L

NA

5 alive

NA

NA

NA

26

Gomez−Aracil et al. [25]

2006

69

6

HG

Yes

No

MRM

CT

54 alive

+−

NA

NA

27

Horii et al. [26]

2006

54

2.5

LG

No

No

MRM

HT

36 alive

+−

NA

28b

Hornychova et al. [27]

2007

30

8

LG

No

No

MRM

RT+CT

60 alive

−−

NA

29

  

63

1.8

HG

No

No

MRM

RT+CT

18 alive

−−

NA

30b

Camelo-Piragua et al. [8]

2009

49

> 5, multiple microinvasive foci with extensive in situ

IG

Yes

No

MRM

CT

8 alive

−−

+ (del.11q21)

31b

Basbug et al. [28]

2011

69

10

HG

No

No

MRM

RT+CT

12 alive

−−

NA

32

Turk et al. [29]

2013

40

5.5

NA

Yes

No

MRM

CT

5 alive

−−

NA

33b

Palermo et al. [30]

2013

80

4

HG

No

No

NA

NA

NA

−−

NA

NA

34

Fujino et al. [31]

2016

71

1.7

IG

No

No

SM

NA

NA

−−

− (RT−PCR)

35

Cheng et al. [32]

2017

61

3

LG

No

No

SM

No

4 alive

++

NA

36

  

66

1.3

LG

No

No

SM

No

9 alive

+−

NA

37

  

49

1.5

LG

No

No

MRM

No

41 alive

−−

NA

38

  

39

1.5

LG

Yes

No

MRM

No

156 alive

++

NA

39

Sherwell-Cabello et al. [33]

2017

86

6

LG

No

No

MRM

No

3 alive

−−

NA

40b

Burghel et al. [34]a

2018

73

< 2

LG

No

No

L

No

50 alive

NA

NA

NA

41

GR Bean et al. [6]

2018

49

5

IG

Yes

No

MRM

CT

12 alive

−−

+ (FISH, RT−PCR)

42

  

53

1.6

LG

No

No

L

RT

16 alive

−−

+ (FISH, NGS, RT−PCR)

43

Mingfei Yan et al. [5

2019

60

1.9

LG

NA

No

L

NA

60 alive

−−

+ (FISH)

44

Ru-Pei Ye et al. [35]

2020

42

2.6

LG

NA

No

MRM

CT

12 alive

−−

NA

45

Fresia Pareja et al. [7]a

2020

NA

NA

LG

NA

NA

NA

NA

NA

−−

+ (FISH, RNA sequencing RT−PCR)

46

Linda Metaxa et al. [36]

2020

63

2.1

LG

No

No

L

No

36 alive

+ NA

NA

NA

47

Black et al. [37]

2023

65

1.3

LG

No

No

L

RT

30 alive

+−

+ (FISH, RT−PCR, NGS)c

48

He et al. [38]

2023

39

1.2

LG

No

No

NA

NA

24

−−

+ (FISH)

49

37

1.2

LG

No

No

NA

NA

30

−−

+ (FISH)

50

40

1.5

IG

No

No

NA

NA

12

−−

+ (FISH)

51−63b, d

Venetis et al. [39]

2023

41–75

(n = 13)

≤ 2/(n = 8)

2.1–5/(n = 2)

> 5/(n = 1)

NA/(n = 3)

LG (n = 10)

HG

(n = 3)

No (n = 11)

Yes (n = 1)

NA (n = 1)

No (n = 10)

Yes (n = 2)

NA (n = 1)

NA (n = 13)

NA (n = 13)

NA (n = 13)

+(2/13)/−(13/13)

−(13/13)

−(10/10); (FISH)

8/13 (NGS)

64

Present case

2023

58

2

HG

No

No

SM

CT+TT

61 alive

+−

+

− (FISH)

  1. The table summarizes the 64 cases of breast MECs so far reported in literature, with the addition of our case. Reports are listed in chronological order including available information about grading, regional and distant metastasis, therapy, follow-up, receptors status, and molecular analysis. A clear correlation between grading, distant metastasis, and deaths of disease can be observed. Relatively few data are available about molecular analysis, which was performed only in most recent cases. In italics are shown the cases that report the presence of mature squamous cells, intercellular bridges, and/or squamous pearl formation; therefore, not being fully consistent with the current diagnostic criteria of the WHO. The table has been adapted from Ru-Pei Ye et al. [35] and Murat Basbug et al. [28]
  2. NA not available, RM radical mastectomy, MRM modified radical mastectomy, SM simple mastectomy, Q quadrantectomy, L lumpectomy, ALND axillary lymph node dissection, RT radiotherapy, CT chemotherapy, HT hormonal therapy (tamoxifen or aromatase inhibitor), TT targeted therapy, DOD died of disease, DOR died of other reasons, RT–PCR reverse transcriptase polymerase chain reaction, FISH fluorescence in situ hybridization, NGS next-generation sequencing (DNA)
  3. aUpdated information obtained by correspondent authors via email
  4. bCases in which presence of mature squamous cells, intercellular bridges and/or squamous pearls formation is reported
  5. cCase 47 report CRTC3:MAML2 translocation
  6. dVenetis et al. report presence of squamous differentiation in 4/13 cases, and absence of true keratinization in all cases of the series (n = 13); FISH was performed in 10 of the 13 cases, in 8/13 cases NGS data were also available