Table of Contents
Definition / general | Epidemiology | Prognostic factors | Case reports | Microscopic (histologic) description | Microscopic (histologic) images | Positive stains | Negative stains | Electron microscopy description | Differential diagnosis | Additional referencesCite this page: Oncocytic carcinoma. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/breastmalignantoncocyticcarcinoma.html. Accessed July 14th, 2017.
Definition / general
- Composed of 70%+ oncocytic cells
- Also called malignant oncocytoma
Epidemiology
- Very rare (< 20 cases reported), usually age 60+ years
Prognostic factors
- Usually high grade (grade 3)
Case reports
- 46 year old woman (Zentralbl Allg Pathol 1987;133:279)
- 70 year old woman (Zentralbl Allg Pathol 1989;135:357)
- 76 year old man (Arch Pathol Lab Med 1989;113:1396)
Microscopic (histologic) description
- Well circumscribed, abundant granular eosinophilic cytoplasm and low grade nuclei with conspicuous nucleoli (Am J Surg Pathol 1998;22:221)
- Similar to apocrine carcinoma on H&E, but different staining pattern
- No / rare mitotic figures
Positive stains
- Antimitochondrial antibody, HER2 (Hum Pathol 2011;42:166)
Negative stains
Electron microscopy description
- Numerous mitochondria dispersed throughout cell, occupying 60%+ of cytoplasm
Differential diagnosis
- Apocrine carcinoma: GCDFP-15+, negative for antimitochondrial antibody
Additional references


