Definition/General

Introduction:
-Usual ductal hyperplasia (UDH) is a benign proliferative breast lesion characterized by an increased number of epithelial cells within a duct, without cytological atypia
-It is also known as epitheliosis.
Origin:
-UDH arises from the terminal duct-lobular unit (TDLU)
-It is a polyclonal proliferation of epithelial, myoepithelial, and metaplastic apocrine cells.
Classification:
-UDH is classified as a benign proliferative breast lesion without atypia
-It is distinguished from atypical ductal hyperplasia (ADH) by its cytological and architectural features.
Epidemiology:
-UDH is an extremely common finding in breast biopsies and is often associated with fibrocystic changes
-It can be seen in women of all ages but is most common in the perimenopausal period.

Clinical Features

Presentation:
-UDH is typically an incidental microscopic finding and is not associated with a palpable mass
-It can be associated with mammographic calcifications.
Symptoms: Asymptomatic.
Risk Factors: Not applicable.
Screening: UDH can be associated with microcalcifications on mammography.

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Gross Description

Appearance: There are no specific gross findings for UDH.
Characteristics: Not applicable.
Size Location: Not applicable.
Multifocality: UDH is often multifocal.

Microscopic Description

Histological Features:
-The ducts are filled with a proliferation of epithelial cells in a haphazard arrangement
-The cells are heterogeneous, with variable sizes and shapes
-The key features are irregular, slit-like secondary lumens at the periphery of the duct and cellular streaming and swirling.
Cellular Characteristics:
-The cells are a mixed population of epithelial and myoepithelial cells
-The nuclei are oval to spindle-shaped, with fine chromatin and inconspicuous nucleoli
-There is nuclear overlapping and variation in cell orientation.
Architectural Patterns:
-The proliferation is solid or fenestrated, with irregular, slit-like spaces
-Cellular streaming, swirling, and bridging are characteristic.
Grading Criteria: This is a benign lesion.

Immunohistochemistry

Positive Markers:
-UDH shows a mosaic or mixed pattern of staining for cytokeratins
-It is positive for both low molecular weight (e.g., CK7, CK8/18) and high molecular weight (e.g., CK5/6) cytokeratins
-It is also positive for ER, but the staining is typically weak and heterogeneous.
Negative Markers: Not applicable.
Diagnostic Utility: IHC for CK5/6 is very useful to differentiate UDH (mosaic positivity) from ADH and low-grade DCIS (negative).
Molecular Subtypes: Not applicable.

Molecular/Genetic

Genetic Mutations: UDH is a polyclonal proliferation and does not typically show the clonal genetic alterations seen in ADH and DCIS.
Molecular Markers: No specific molecular markers are routinely used for diagnosis.
Prognostic Significance: UDH is associated with a small increased risk (about 1.5-2 fold) of developing invasive breast cancer.
Therapeutic Targets:
-No specific treatment is required for UDH
-Management is focused on the associated lesions, if any.

Differential Diagnosis

Similar Entities:
-Atypical ductal hyperplasia (ADH)
-Low-grade DCIS.
Distinguishing Features:
-ADH and low-grade DCIS are composed of a monotonous population of cells, form rigid, geometric spaces, and are negative for CK5/6
-UDH has a heterogeneous cell population, irregular slit-like spaces, and a mosaic pattern of CK5/6 staining.
Diagnostic Challenges:
-The main challenge is distinguishing florid UDH from ADH or low-grade DCIS
-The architectural pattern and IHC for CK5/6 are key distinguishing features.
Rare Variants: Not applicable.

Sample Pathology Report

Template Format

Sample Pathology Report

Complete Report: This is an example of how the final pathology report should be structured for this condition.

Specimen Information

[specimen type], measuring [size] cm in greatest dimension

Diagnosis

[diagnosis name]

Classification

Classification: [classification system] [grade/type]

Histological Features

Shows [architectural pattern] with [nuclear features] and [mitotic activity]

Size and Extent

Size: [X] cm, extent: [local/regional/metastatic]

Margins

Margins are [involved/uninvolved] with closest margin [X] mm

Lymphovascular Invasion

Lymphovascular invasion: [present/absent]

Lymph Node Status

Lymph nodes: [X] positive out of [X] examined

Special Studies

IHC: [marker]: [result]

Molecular: [test]: [result]

[other study]: [result]

Final Diagnosis

Final diagnosis: [complete diagnosis]