TABLE 1

The 15 Different Types of Breast Cancer (BC)

TypeCharacteristics
Ductal carcinoma in situNoninvasive BC that starts inside milk ducts, is not life-threatening, and increases risk that invasive BC will develop
Invasive ductal carcinomaMost common type of BC (80% of all cases); more common in women over 55 y old
 Tubular carcinoma of breastSmall tumors (∼≤1 cm); low-grade and slow-growing
 Medullary carcinoma of breastRare; soft, fleshy mass, affecting women in their late 40s to early 50s; high-grade in appearance, low-grade in behavior; slow-growing; usually does not spread outside breast
 Mucinous carcinoma of breast (also called colloid carcinoma)Rare, usually occurring in postmenopausal women; abnormal cells that appear to float in pools of mucin (a key ingredient in mucus)
 Papillary carcinoma of breastRare, usually occurring in older postmenopausal women; well-defined border; small, fingerlike projections; often classified as grade 2
 Cribriform carcinoma of breastInvasion of breast connective tissues by cancer cells in nestlike formations between ducts and lobules, creating distinctive holes with Swiss cheese appearance; usually low-grade
Invasive lobular carcinoma (also called infiltrating lobular carcinoma)Second most common type of BC (10% of all cases of invasive BC); becomes more common as women grow older (two thirds of cases are in women 55 y or older)
Inflammatory BCRare (1% of all cases of invasive BC) and aggressive; starts with reddening and swelling of breast instead of distinct lump; grows and spreads quickly; is more common in black women and can also affect men
Lobular carcinoma in situLobules of abnormal cell growth that increase risk that invasive BC will develop later in life; occurs in premenopausal women (40–50 y old) and is extremely uncommon in men
Male BCRare (<1% of all cases of BC; in 2019, ∼2,670 men were expected to be diagnosed with BC)
Molecular subtypes of BC, based on the genes expressedLuminal A, luminal B, triple-negative, and HER2-enriched (Table 2)
Paget disease of nippleRare (<5% of all BC cases in United States); cells collect in or around nipple; 97% of patients also have cancer elsewhere in breast (ductal carcinoma in situ or invasive cancer); unusual changes in nipple and areola are often first indication that BC is present
Phyllodes tumors of breastRare (<1% of all breast tumors); called phyllodes (“leaflike,” in Greek) because tumor cells grow in leaflike pattern; tends to grow quickly; rarely spreads outside breast
Metastatic (stage IV) BCSpread of cancer to liver, brain, bones, or lungs; will occur in 30% of women diagnosed with early-stage BC (if in bone, metastatic tumor comprises BC cells, not bone cells)