In the four cases (cases 1–4) falling into the proper 2003 WHO definition of NE carcinomas of the breast [3] and showing CHGA and/or SYP protein expression in the majority of cancer cells, gene expression analysis matched the IHC data, thus confirming by an alternative procedure, the existence of a subset of carcinomas of the breast fully oriented towards NE differentiation. The gene discussed is CHGA; the disease is medical procedure.