Breast malignant
Sarcoma
Undifferentiated pleomorphic sarcoma (UPS)


Topic Completed: 1 November 2016

Revised: 19 September 2019

Copyright: 2002-2019, PathologyOutlines.com, Inc.

PubMed Search: Undifferentiated pleomorphic sarcoma [title]

Emily S. Reisenbichler, M.D.
Page views in 2018: 1,487
Page views in 2019 to date: 1,435
Cite this page: Reisenbichler ES. Undifferentiated pleomorphic sarcoma (UPS). PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/breastmalignantmfh.html. Accessed September 23rd, 2019.
Definition / general
  • See also Soft tissue topic
  • A malignant tumor showing no line of differentiation
  • Not part of the WHO classification of breast tumors
  • Previously known as malignant fibrous histiocytoma (MFH)
Essential features
  • High grade sarcoma with no distinctive microscopic, immunohistochemical or molecular features fitting any specific line of differentiation
  • Diagnosis of exclusion
  • Undifferentiated sarcomas account for approximately 20% of soft tissue sarcomas in other parts of the body but are exceedingly rare in the breast
Etiology
  • May occur as a primary / de novo tumor or in the postradiation setting
Clinical features
  • Most occur in fifth to sixth decade of life
  • Majority present as rapidly enlarging palpable mass but can be incidental finding at screening
Diagnosis
  • A limited core biopsy may underestimate tumor grade as grading systems such as the 3 tier French (FNCLCC) system are dependent on percentage necrosis and mitotic rate
Radiology description
Prognostic factors
  • Close / involved margins, large tumor size (> 5 cm) and high grade histology typically indicate a worse prognosis
Case reports
Treatment
  • Surgical resection with a negative margin (R0) is standard treatment
  • Sentinel lymph node biopsy is not warranted
  • Adjuvant radiation is often utilized in large tumors or following incomplete (R1 / R2) surgical resections
  • Response to adjuvant chemotherapy is typically low but may be used in patients with large, unresectable or metastatic tumors
Clinical images

Images hosted on other servers:

Cystic tumor with skin tethering

Gross images

Images hosted on other servers:

Tumor invades skin

Specimen includes ribs posteriorly

Microscopic (histologic) description
  • Cell morphology may be spindle, round / epithelioid or pleomorphic, demonstrating marked cytologic atypia
  • Often high mitotic activity
  • May be associated with multinucleated giant cells or an inflammatory background
Microscopic (histologic) images

Contributed by
Emily S. Reisenbichler, M.D.

Missing Image

Various images


 Contributed by
 Mark R. Wick M.D.

Various images



Images hosted on other servers:

Marked nuclear pleomorphism and giant cells

Tumor necrosis
after neoadjuvant
chemotherapy

Cytology description
  • Single or clustered spindled cells with nuclear pleomorphism
  • Absence of an epithelial component
Positive stains
Negative stains
  • Typically negative for most markers
Molecular / cytogenetics description
  • Complex karyotypes without specific recurrent aberrations
Differential diagnosis
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