Spindle cell carcinoma is a rare breast tumor, We present herein three
cases of spindle cell carcinoma of the breast and review its characte
ristics from the literature, Spindle cell carcinoma frequently forms a
large and well-circumscribed tumor with gross cyst formation, Histolo
gically, its dominant component is of sheets of spindle shaped cells,
and it includes such contiguous carcinoma components as squamous diffe
rentiation or invasive ductal carcinoma, Estrogen receptor expression
and lymph node metastasis tend to be low, Despite the sarcomatous feat
ures, spindle cells are likely to be derived from epithelial cells of
mammary glands, Immunohistochemical and ultrastructural examination de
monstrated the expression of keratin and the desmosome-like junctional
structure in the spindle cell components, Relatively favorable progno
sis is expected in spindle cell carcinoma of the breast compared to co
mmon breast carcinoma.