Journal
EUROPEAN JOURNAL OF RADIOLOGY
Volume 54, Issue 1, Pages 55-61Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.ejrad.2004.11.019
Keywords
ductal carcinoma in situ; breast; mammography; microcalcifications
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We retrospectively analysed mammnographies of 909 ductal carcinoma in situ (DCIS) (1980-1999) and compared our results to those of literature. Microcalcifications were present in 75% of the cases, and soft-tissue abnormalities in 27% cases with association with calcifications in 14% of cases. Palpable masses were found in 12% of the cases and nipple discharge was present in 12% of the cases. The radiographic-pathologic correlation allowed to suspect the DCIS aggressiveness on radiologic signs. Granular, linear, branching and/or galactophoric topography of the microcalcifications were correlated with necrosis, grade 3, comedocarcinoma type. A number of microcalcifications higher than 20 was correlated with necrosis and grade 3. Mammographic size was correlated to histologic size. Masses were correlated with grade 1. A diagnosis strategy can be proposed with a multidisciplinar approach. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
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