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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Encapsulated papillary carcinoma (EPC)
Synonyms
Intracystic papillary carcinoma
Definitions
Carcinoma with papillary architecture consisting of papillae with fibrovascular cores within single circumscribed cystic space; fibrous capsule; lacks myoepithelial layer as in invasive carcinomas, but clinical behavior parallels in situ carcinoma
IMAGING
General Features
Mammographic Findings
Ultrasonographic Findings
Ductography
MR Findings
Image-Guided Biopsy
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Jiang T et al: Magnetic resonance imaging features of breast encapsulated papillary carcinoma. J Comput Assist Tomogr. 42(4):536-41, 2018
Li X et al: Encapsulated papillary carcinoma of the breast: a clinicopathological study of 49 cases. Curr Probl Cancer. 42(3):291-301, 2018
Steponavičienė L et al: Diagnosis, treatment, and outcomes of encapsulated papillary carcinoma: a single institution experience. Acta Med Litu. 25(2):66-75, 2018
Yee C et al: Early local recurrence in a patient with encapsulated papillary carcinoma of the breast. Clin Breast Cancer. 18(4):e447-8, 2018
Rakha EA et al: Papillary carcinoma of the breast: diagnostic agreement and management implications. Histopathology. 69(5):862-70, 2016
Tariq N et al: Encapsulated papillary carcinoma (EPC) of breast: a clinical, pathological and immunohistochemical analysis of eight cases. J Pak Med Assoc. 66(11):1490-3, 2016
George K et al: Encapsulated papillary carcinoma of the breast: an overview. J Cancer Res Ther. 9(4):564-70, 2013
Dhebri AR et al: Intracystic papillary carcinoma of breast: report of three cases and review of the literature. BMJ Case Rep. 2012, 2012
Eiada R et al: Papillary lesions of the breast: MRI, ultrasound, and mammographic appearances. AJR Am J Roentgenol. 198(2):264-71, 2012
Jakate K et al: Papillary lesions of the breast: impact of breast pathology subspecialization on core biopsy and excision diagnoses. Am J Surg Pathol. 36(4):544-51, 2012
Rakha EA et al: Encapsulated papillary carcinoma of the breast: a study of invasion associated markers. J Clin Pathol. 65(8):710-14, 2012
Bhargava R et al: Intracystic papillary carcinomas of the breast are more similar to in situ carcinomas than to invasive carcinoma. Am J Surg Pathol. 35(5):778-9; author reply 779-81, 2011
Kamyab A et al: Intracystic papillary carcinoma with associated intraductal carcinoma of the breast in a male. Am Surg. 77(12):E267-8, 2011
Rakha EA et al: Encapsulated papillary carcinoma of the breast: an invasive tumor with excellent prognosis. Am J Surg Pathol. 35(8):1093-103, 2011
Wynveen CA et al: Intracystic papillary carcinoma of the breast: an in situ or invasive tumor? Results of immunohistochemical analysis and clinical follow-up. Am J Surg Pathol. 35(1):1-14, 2011
Linda A et al: Unusual malignant tumors of the breast: MRI features and pathologic correlation. Eur J Radiol. 75(2):178-84, 2010
Rodríguez MC et al: Best cases from the AFIP: intracystic papillary carcinoma of the breast. Radiographics. 30(7):2021-7, 2010
Yoo JL et al: Can MR imaging contribute in characterizing well-circumscribed breast carcinomas? Radiographics. 30(6):1689-702, 2010
Tse GM et al: The role of immunohistochemistry in the differential diagnosis of papillary lesions of the breast. J Clin Pathol. 62(5):407-13, 2009
Grabowski J et al: Intracystic papillary carcinoma: a review of 917 cases. Cancer. 113(5):916-20, 2008
Collins LC et al: Intracystic papillary carcinomas of the breast: a reevaluation using a panel of myoepithelial cell markers. Am J Surg Pathol. 30(8):1002-7, 2006
Mercado CL et al: Papillary lesions of the breast at percutaneous core-needle biopsy. Radiology. 238(3):801-8, 2006
Carder PJ et al: Needle core biopsy can reliably distinguish between benign and malignant papillary lesions of the breast. Histopathology. 46(3):320-7, 2005
Hill CB et al: Myoepithelial cell staining patterns of papillary breast lesions: from intraductal papillomas to invasive papillary carcinomas. Am J Clin Pathol. 123(1):36-44, 2005
Yang WT et al: Sonographic, mammographic, and histopathologic correlation of symptomatic ductal carcinoma in situ. AJR Am J Roentgenol. 182(1):101-10, 2004
Liberman L et al: Case 35: intracystic papillary carcinoma with invasion. Radiology. 219(3):781-4, 2001
Liberman L et al: Percutaneous large-core biopsy of papillary breast lesions. AJR Am J Roentgenol. 172(2):331-7, 1999
McCulloch GL et al: Radiological features of papillary carcinoma of the breast. Clin Radiol. 52(11):865-8, 1997
Soo MS et al: Papillary carcinoma of the breast: imaging findings. AJR Am J Roentgenol. 164(2):321-6, 1995
Kraus FT et al: The differential diagnosis of papillary tumors of the breast. Cancer. 15:444-55, 1962
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Encapsulated papillary carcinoma (EPC)
Synonyms
Intracystic papillary carcinoma
Definitions
Carcinoma with papillary architecture consisting of papillae with fibrovascular cores within single circumscribed cystic space; fibrous capsule; lacks myoepithelial layer as in invasive carcinomas, but clinical behavior parallels in situ carcinoma
IMAGING
General Features
Mammographic Findings
Ultrasonographic Findings
Ductography
MR Findings
Image-Guided Biopsy
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Jiang T et al: Magnetic resonance imaging features of breast encapsulated papillary carcinoma. J Comput Assist Tomogr. 42(4):536-41, 2018
Li X et al: Encapsulated papillary carcinoma of the breast: a clinicopathological study of 49 cases. Curr Probl Cancer. 42(3):291-301, 2018
Steponavičienė L et al: Diagnosis, treatment, and outcomes of encapsulated papillary carcinoma: a single institution experience. Acta Med Litu. 25(2):66-75, 2018
Yee C et al: Early local recurrence in a patient with encapsulated papillary carcinoma of the breast. Clin Breast Cancer. 18(4):e447-8, 2018
Rakha EA et al: Papillary carcinoma of the breast: diagnostic agreement and management implications. Histopathology. 69(5):862-70, 2016
Tariq N et al: Encapsulated papillary carcinoma (EPC) of breast: a clinical, pathological and immunohistochemical analysis of eight cases. J Pak Med Assoc. 66(11):1490-3, 2016
George K et al: Encapsulated papillary carcinoma of the breast: an overview. J Cancer Res Ther. 9(4):564-70, 2013
Dhebri AR et al: Intracystic papillary carcinoma of breast: report of three cases and review of the literature. BMJ Case Rep. 2012, 2012
Eiada R et al: Papillary lesions of the breast: MRI, ultrasound, and mammographic appearances. AJR Am J Roentgenol. 198(2):264-71, 2012
Jakate K et al: Papillary lesions of the breast: impact of breast pathology subspecialization on core biopsy and excision diagnoses. Am J Surg Pathol. 36(4):544-51, 2012
Rakha EA et al: Encapsulated papillary carcinoma of the breast: a study of invasion associated markers. J Clin Pathol. 65(8):710-14, 2012
Bhargava R et al: Intracystic papillary carcinomas of the breast are more similar to in situ carcinomas than to invasive carcinoma. Am J Surg Pathol. 35(5):778-9; author reply 779-81, 2011
Kamyab A et al: Intracystic papillary carcinoma with associated intraductal carcinoma of the breast in a male. Am Surg. 77(12):E267-8, 2011
Rakha EA et al: Encapsulated papillary carcinoma of the breast: an invasive tumor with excellent prognosis. Am J Surg Pathol. 35(8):1093-103, 2011
Wynveen CA et al: Intracystic papillary carcinoma of the breast: an in situ or invasive tumor? Results of immunohistochemical analysis and clinical follow-up. Am J Surg Pathol. 35(1):1-14, 2011
Linda A et al: Unusual malignant tumors of the breast: MRI features and pathologic correlation. Eur J Radiol. 75(2):178-84, 2010
Rodríguez MC et al: Best cases from the AFIP: intracystic papillary carcinoma of the breast. Radiographics. 30(7):2021-7, 2010
Yoo JL et al: Can MR imaging contribute in characterizing well-circumscribed breast carcinomas? Radiographics. 30(6):1689-702, 2010
Tse GM et al: The role of immunohistochemistry in the differential diagnosis of papillary lesions of the breast. J Clin Pathol. 62(5):407-13, 2009
Grabowski J et al: Intracystic papillary carcinoma: a review of 917 cases. Cancer. 113(5):916-20, 2008
Collins LC et al: Intracystic papillary carcinomas of the breast: a reevaluation using a panel of myoepithelial cell markers. Am J Surg Pathol. 30(8):1002-7, 2006
Mercado CL et al: Papillary lesions of the breast at percutaneous core-needle biopsy. Radiology. 238(3):801-8, 2006
Carder PJ et al: Needle core biopsy can reliably distinguish between benign and malignant papillary lesions of the breast. Histopathology. 46(3):320-7, 2005
Hill CB et al: Myoepithelial cell staining patterns of papillary breast lesions: from intraductal papillomas to invasive papillary carcinomas. Am J Clin Pathol. 123(1):36-44, 2005
Yang WT et al: Sonographic, mammographic, and histopathologic correlation of symptomatic ductal carcinoma in situ. AJR Am J Roentgenol. 182(1):101-10, 2004
Liberman L et al: Case 35: intracystic papillary carcinoma with invasion. Radiology. 219(3):781-4, 2001
Liberman L et al: Percutaneous large-core biopsy of papillary breast lesions. AJR Am J Roentgenol. 172(2):331-7, 1999
McCulloch GL et al: Radiological features of papillary carcinoma of the breast. Clin Radiol. 52(11):865-8, 1997
Soo MS et al: Papillary carcinoma of the breast: imaging findings. AJR Am J Roentgenol. 164(2):321-6, 1995
Kraus FT et al: The differential diagnosis of papillary tumors of the breast. Cancer. 15:444-55, 1962
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