True about histology in infilterating lobular breast carcinoma:
## **Core Concept**
Infiltrating lobular breast carcinoma (ILBC), also known as invasive lobular carcinoma, is a type of breast cancer characterized by its histological features. It originates from the lobules of the breast and invades the surrounding stroma. The histology of ILBC is distinct and helps in its diagnosis.
## **Why the Correct Answer is Right**
The correct answer, , is associated with the characteristic histological feature of infiltrating lobular breast carcinoma, which is the presence of **single-file cells** or **Indian-file pattern**. This pattern is a hallmark of ILBC, where cancer cells infiltrate the stroma in a linear or single-file fashion. This growth pattern is often accompanied by a desmoplastic reaction, which can make the tumor feel harder and more irregular.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is incorrect because it does not accurately describe the characteristic histological feature of ILBC.
- **Option B:** This option is incorrect as it does not represent the typical histological appearance of infiltrating lobular carcinoma.
- **Option D:** This option is incorrect because it does not accurately depict the histological features associated with ILBC.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl for ILBC is that it is often **multifocal and bilateral**, and can be **difficult to detect by palpation or imaging**. Therefore, a high index of suspicion and thorough histological examination are crucial for its diagnosis. Additionally, ILBC tends to have a higher rate of **HER2 positivity** and **hormone receptor negativity** compared to other types of breast cancer.
## **Correct Answer:** . Single-file cells or Indian-file pattern.