Skip to main content
Erschienen in: European Radiology 2/2008

01.02.2008 | Breast

Modern concepts of ductal carcinoma in situ (DCIS) and its diagnosis through percutaneous biopsy

verfasst von: Ute Kettritz

Erschienen in: European Radiology | Ausgabe 2/2008

Einloggen, um Zugang zu erhalten

Abstract

The incidence of ductal breast carcinoma in situ (DCIS) is increasing and currently lies at about 15% of all breast cancers. Detection of DCIS reduces the subsequent incidence of invasive ductal carcinoma. Patients with Breast Imaging Reporting and Data System (BI-RADS) category 4 lesions are best served by minimally invasive biopsies to improve the precision of diagnosing DCIS lesions. Vacuum-assisted biopsies have the greatest sensitivity and specificity of the biopsy techniques and reduce tumor upgrading of DCIS lesions at operation by at least half compared with core-needle biopsy. Moreover, vacuum-assisted biopsies have proved to be safe and reduce health care costs. Since they provide a maximum of preoperative information, vacuum-assisted biopsies could improve outcomes in patients with DCIS.
Literatur
1.
Zurück zum Zitat Winchester DP, Strom EA (1998) Standards for diagnosis and management of ductal carcinoma in situ (DCIS) of the breast. American College of Radiology. American College of Surgeons. College of American Pathologists. Society of Surgical Oncology. CA Cancer J Clin 48:108–128PubMedCrossRef Winchester DP, Strom EA (1998) Standards for diagnosis and management of ductal carcinoma in situ (DCIS) of the breast. American College of Radiology. American College of Surgeons. College of American Pathologists. Society of Surgical Oncology. CA Cancer J Clin 48:108–128PubMedCrossRef
2.
Zurück zum Zitat Ernster VL, Barclay J, Kerlikowske K, Wilkie H, Ballard-Barbash R (2000) Mortality among women with ductal carcinoma in situ of the breast in the population-based surveillance, epidemiology and end results program. Arch Intern Med 160:953–958PubMedCrossRef Ernster VL, Barclay J, Kerlikowske K, Wilkie H, Ballard-Barbash R (2000) Mortality among women with ductal carcinoma in situ of the breast in the population-based surveillance, epidemiology and end results program. Arch Intern Med 160:953–958PubMedCrossRef
3.
Zurück zum Zitat Feig SA (2000) Ductal carcinoma in situ. Implications for screening mammography. Radiol Clin North Am 38:653–668, viiPubMedCrossRef Feig SA (2000) Ductal carcinoma in situ. Implications for screening mammography. Radiol Clin North Am 38:653–668, viiPubMedCrossRef
4.
Zurück zum Zitat Nielsen M, Thomsen JL, Primdahl S, Dyreborg U, Andersen JA (1987) Breast cancer and atypia among young and middle-aged women: a study of 110 medicolegal autopsies. Br J Cancer 56:814–819PubMed Nielsen M, Thomsen JL, Primdahl S, Dyreborg U, Andersen JA (1987) Breast cancer and atypia among young and middle-aged women: a study of 110 medicolegal autopsies. Br J Cancer 56:814–819PubMed
5.
Zurück zum Zitat Pollei SR, Mettler FA Jr, Bartow SA, Moradian G, Moskowitz M (1987) Occult breast cancer: prevalence and radiographic detectability. Radiology 163:459–462PubMed Pollei SR, Mettler FA Jr, Bartow SA, Moradian G, Moskowitz M (1987) Occult breast cancer: prevalence and radiographic detectability. Radiology 163:459–462PubMed
6.
Zurück zum Zitat Alpers CE, Wellings SR (1985) The prevalence of carcinoma in situ in normal and cancer-associated breasts. Hum Pathol 16:796–807PubMedCrossRef Alpers CE, Wellings SR (1985) The prevalence of carcinoma in situ in normal and cancer-associated breasts. Hum Pathol 16:796–807PubMedCrossRef
7.
Zurück zum Zitat Kopans DB, Rafferty E, Georgian-Smith D et al (2003) A simple model of breast carcinoma growth may provide explanations for observations of apparently complex phenomena. Cancer 97:2951–2959PubMedCrossRef Kopans DB, Rafferty E, Georgian-Smith D et al (2003) A simple model of breast carcinoma growth may provide explanations for observations of apparently complex phenomena. Cancer 97:2951–2959PubMedCrossRef
8.
Zurück zum Zitat Boecker W, Buerger H (2003) Evidence of progenitor cells of glandular and myoepithelial cell lineages in the human adult female breast epithelium: a new progenitor (adult stem) cell concept. Cell Prolif 36(Suppl 1):73–84PubMedCrossRef Boecker W, Buerger H (2003) Evidence of progenitor cells of glandular and myoepithelial cell lineages in the human adult female breast epithelium: a new progenitor (adult stem) cell concept. Cell Prolif 36(Suppl 1):73–84PubMedCrossRef
9.
Zurück zum Zitat Boecker W (2006) Preneoplasia of the breast. Elsevier Saunders, Munich Boecker W (2006) Preneoplasia of the breast. Elsevier Saunders, Munich
10.
Zurück zum Zitat Burstein HJ, Polyak K, Wong JS, Lester SC, Kaelin CM (2004) Ductal carcinoma in situ of the breast. N Engl J Med 350:1430–1441PubMedCrossRef Burstein HJ, Polyak K, Wong JS, Lester SC, Kaelin CM (2004) Ductal carcinoma in situ of the breast. N Engl J Med 350:1430–1441PubMedCrossRef
11.
Zurück zum Zitat Gallager HS, Martin JE, Moore DL, Paulus DD (1979) The detection and diagnosis of early occult and minimal breast cancer. Curr Probl Cancer 3:1–32PubMedCrossRef Gallager HS, Martin JE, Moore DL, Paulus DD (1979) The detection and diagnosis of early occult and minimal breast cancer. Curr Probl Cancer 3:1–32PubMedCrossRef
12.
Zurück zum Zitat Betsill WL, Rosen PP, Lieberman PH et al (1978) Intraductal carcinoma. Long-term follow-up after treatment by biopsy alone. JAMA 239:1863–1867PubMedCrossRef Betsill WL, Rosen PP, Lieberman PH et al (1978) Intraductal carcinoma. Long-term follow-up after treatment by biopsy alone. JAMA 239:1863–1867PubMedCrossRef
13.
Zurück zum Zitat Page DL, Dupont WD, Rogers LW, Jensen RA, Schuyler PA (1995) Continued local recurrence of carcinoma 15–25 years after a diagnosis of low grade ductal carcinoma in situ of the breast treated only by biopsy. Cancer 76:1197–1200PubMedCrossRef Page DL, Dupont WD, Rogers LW, Jensen RA, Schuyler PA (1995) Continued local recurrence of carcinoma 15–25 years after a diagnosis of low grade ductal carcinoma in situ of the breast treated only by biopsy. Cancer 76:1197–1200PubMedCrossRef
14.
Zurück zum Zitat Silverstein MJ, Poller DN, Waisman JR et al (1995) Prognostic classification of breast ductal carcinoma-in-situ. Lancet 345:1154–1157PubMedCrossRef Silverstein MJ, Poller DN, Waisman JR et al (1995) Prognostic classification of breast ductal carcinoma-in-situ. Lancet 345:1154–1157PubMedCrossRef
15.
Zurück zum Zitat Bijker N, Meijnen P, Peterse JL et al (2006) Breast-conserving treatment with or without radiotherapy in ductal carcinoma-in-situ: ten-year results of European Organisation for Research and Treatment of Cancer randomized phase III trial 10853—a study by the EORTC Breast Cancer Cooperative Group and EORTC Radiotherapy Group. J Clin Oncol 24:3381–3387PubMedCrossRef Bijker N, Meijnen P, Peterse JL et al (2006) Breast-conserving treatment with or without radiotherapy in ductal carcinoma-in-situ: ten-year results of European Organisation for Research and Treatment of Cancer randomized phase III trial 10853—a study by the EORTC Breast Cancer Cooperative Group and EORTC Radiotherapy Group. J Clin Oncol 24:3381–3387PubMedCrossRef
16.
Zurück zum Zitat Wellings SR, Jensen HM, Marcum RG (1975) An atlas of subgross pathology of the human breast with special reference to possible precancerous lesions. J Natl Cancer Inst 55:231–273PubMed Wellings SR, Jensen HM, Marcum RG (1975) An atlas of subgross pathology of the human breast with special reference to possible precancerous lesions. J Natl Cancer Inst 55:231–273PubMed
17.
Zurück zum Zitat Holland R, Hendriks JH, Vebeek AL, Mravunac M, Schuurmans Stekhoven JH (1990) Extent, distribution, and mammographic/histological correlations of breast ductal carcinoma in situ. Lancet 335:519–522PubMedCrossRef Holland R, Hendriks JH, Vebeek AL, Mravunac M, Schuurmans Stekhoven JH (1990) Extent, distribution, and mammographic/histological correlations of breast ductal carcinoma in situ. Lancet 335:519–522PubMedCrossRef
18.
Zurück zum Zitat Lagios MD (1990) Duct carcinoma in situ. Pathology and treatment. Surg Clin North Am 70:853–871PubMed Lagios MD (1990) Duct carcinoma in situ. Pathology and treatment. Surg Clin North Am 70:853–871PubMed
19.
Zurück zum Zitat Ohtake T, Kimijima I, Fukushima T et al (2001) Computer-assisted complete three-dimensional reconstruction of the mammary ductal/lobular systems: implications of ductal anastomoses for breast-conserving surgery. Cancer 91:2263–2272PubMedCrossRef Ohtake T, Kimijima I, Fukushima T et al (2001) Computer-assisted complete three-dimensional reconstruction of the mammary ductal/lobular systems: implications of ductal anastomoses for breast-conserving surgery. Cancer 91:2263–2272PubMedCrossRef
20.
Zurück zum Zitat Faverly DR, Burgers L, Bult P, Holland R (1994) Three dimensional imaging of mammary ductal carcinoma in situ: clinical implications. Semin Diagn Pathol 11:193–198PubMed Faverly DR, Burgers L, Bult P, Holland R (1994) Three dimensional imaging of mammary ductal carcinoma in situ: clinical implications. Semin Diagn Pathol 11:193–198PubMed
21.
Zurück zum Zitat Tavassoli FA (1999) Pathology of the breast. McGraw-Hill, New York Tavassoli FA (1999) Pathology of the breast. McGraw-Hill, New York
22.
Zurück zum Zitat Holland R, Peterse JL, Millis RR et al (1994) Ductal carcinoma in situ: a proposal for a new classification. Semin Diagn Pathol 11:167–180PubMed Holland R, Peterse JL, Millis RR et al (1994) Ductal carcinoma in situ: a proposal for a new classification. Semin Diagn Pathol 11:167–180PubMed
23.
Zurück zum Zitat Sloane JP, Amendoeira I, Apostolikas N et al (1998) Consistency achieved by 23 European pathologists in categorizing ductal carcinoma in situ of the breast using five classifications. European commission working group on breast screening pathology. Hum Pathol 29:1056–1062PubMed Sloane JP, Amendoeira I, Apostolikas N et al (1998) Consistency achieved by 23 European pathologists in categorizing ductal carcinoma in situ of the breast using five classifications. European commission working group on breast screening pathology. Hum Pathol 29:1056–1062PubMed
24.
Zurück zum Zitat Lagios MD, Margolin FR, Westdahl PR, Rose MR (1989) Mammographically detected duct carcinoma in situ. Frequency of local recurrence following tylectomy and prognostic effect of nuclear grade on local recurrence. Cancer 63:618–624PubMedCrossRef Lagios MD, Margolin FR, Westdahl PR, Rose MR (1989) Mammographically detected duct carcinoma in situ. Frequency of local recurrence following tylectomy and prognostic effect of nuclear grade on local recurrence. Cancer 63:618–624PubMedCrossRef
25.
Zurück zum Zitat Solin LJ, Yeh IT, Kurtz J et al (1993) Ductal carcinoma in situ (intraductal carcinoma) of the breast treated with breast-conserving surgery and definitive irradiation. Correlation of pathologic parameters with outcome of treatment. Cancer 71:2532–2542PubMedCrossRef Solin LJ, Yeh IT, Kurtz J et al (1993) Ductal carcinoma in situ (intraductal carcinoma) of the breast treated with breast-conserving surgery and definitive irradiation. Correlation of pathologic parameters with outcome of treatment. Cancer 71:2532–2542PubMedCrossRef
26.
Zurück zum Zitat Silverstein MJ, Lagios MD, Craig PH et al (1996) A prognostic index for ductal carcinoma in situ of the breast. Cancer 77:2267–2274PubMedCrossRef Silverstein MJ, Lagios MD, Craig PH et al (1996) A prognostic index for ductal carcinoma in situ of the breast. Cancer 77:2267–2274PubMedCrossRef
27.
Zurück zum Zitat Evans AJ, Pinder S, Ellis IO et al (1994) Screening-detected and symptomatic ductal carcinoma in situ: mammographic features with pathologic correlation. Radiology 191:237–240PubMed Evans AJ, Pinder S, Ellis IO et al (1994) Screening-detected and symptomatic ductal carcinoma in situ: mammographic features with pathologic correlation. Radiology 191:237–240PubMed
28.
Zurück zum Zitat Stomper PC, Connolly JL, Meyer JE, Harris JR (1989) Clinically occult ductal carcinoma in situ detected with mammography: analysis of 100 cases with radiologic-pathologic correlation. Radiology 172:235–241PubMed Stomper PC, Connolly JL, Meyer JE, Harris JR (1989) Clinically occult ductal carcinoma in situ detected with mammography: analysis of 100 cases with radiologic-pathologic correlation. Radiology 172:235–241PubMed
29.
Zurück zum Zitat Holland R, Hendriks JH (1994) Microcalcifications associated with ductal carcinoma in situ: mammographic-pathologic correlation. Semin Diagn Pathol 11:181–192PubMed Holland R, Hendriks JH (1994) Microcalcifications associated with ductal carcinoma in situ: mammographic-pathologic correlation. Semin Diagn Pathol 11:181–192PubMed
30.
Zurück zum Zitat Morakkabati-Spitz N, Leutner C, Schild H, Traeber F, Kuhl C (2005) Diagnostic usefulness of segmental and linear enhancement in dynamic breast MRI. Eur Radiol 15:2010–2017PubMedCrossRef Morakkabati-Spitz N, Leutner C, Schild H, Traeber F, Kuhl C (2005) Diagnostic usefulness of segmental and linear enhancement in dynamic breast MRI. Eur Radiol 15:2010–2017PubMedCrossRef
31.
Zurück zum Zitat Oshida K, Nagashima T, Ueda T et al (2005) Pharmacokinetic analysis of ductal carcinoma in situ of the breast using dynamic MR mammography. Eur Radiol 15:1353–1360PubMedCrossRef Oshida K, Nagashima T, Ueda T et al (2005) Pharmacokinetic analysis of ductal carcinoma in situ of the breast using dynamic MR mammography. Eur Radiol 15:1353–1360PubMedCrossRef
32.
Zurück zum Zitat Leinsinger G, Schlossbauer T, Scherr M, Lange O, Reiser M, Wismuller A (2006) Cluster analysis of signal-intensity time course in dynamic breast MRI: does unsupervised vector quantization help to evaluate small mammographic lesions? Eur Radiol 16:1138–1146PubMedCrossRef Leinsinger G, Schlossbauer T, Scherr M, Lange O, Reiser M, Wismuller A (2006) Cluster analysis of signal-intensity time course in dynamic breast MRI: does unsupervised vector quantization help to evaluate small mammographic lesions? Eur Radiol 16:1138–1146PubMedCrossRef
33.
Zurück zum Zitat Schouten van der Velden AP, Boetes C, Bult P, Wobbes T (2006) The value of magnetic resonance imaging in diagnosis and size assessment of in situ and small invasive breast carcinoma. Am J Surg 192:172–178PubMedCrossRef Schouten van der Velden AP, Boetes C, Bult P, Wobbes T (2006) The value of magnetic resonance imaging in diagnosis and size assessment of in situ and small invasive breast carcinoma. Am J Surg 192:172–178PubMedCrossRef
34.
Zurück zum Zitat Kettritz U, Morack G, Decker T (2005) Stereotactic vacuum-assisted breast biopsies in 500 women with microcalcifications: radiological and pathological correlations. Eur J Radiol 55:270–276PubMedCrossRef Kettritz U, Morack G, Decker T (2005) Stereotactic vacuum-assisted breast biopsies in 500 women with microcalcifications: radiological and pathological correlations. Eur J Radiol 55:270–276PubMedCrossRef
35.
Zurück zum Zitat American College of Radiology (2003) Breast Imaging Reporting and Data System Atlas (BI-RADS Atlas), 4th edn. American College of Radiology, Reston American College of Radiology (2003) Breast Imaging Reporting and Data System Atlas (BI-RADS Atlas), 4th edn. American College of Radiology, Reston
36.
Zurück zum Zitat Liberman L, Abramson AF, Squires FB, Glassman JR, Morris EA, Dershaw DD (1998) The breast imaging reporting and data system: positive predictive value of mammographic features and final assessment categories. AJR Am J Roentgenol 171:35–40PubMed Liberman L, Abramson AF, Squires FB, Glassman JR, Morris EA, Dershaw DD (1998) The breast imaging reporting and data system: positive predictive value of mammographic features and final assessment categories. AJR Am J Roentgenol 171:35–40PubMed
37.
Zurück zum Zitat Fondrinier E, Lorimier G, Guerin-Boblet V, Bertrand AF, Mayras C, Dauver N (2002) Breast microcalcifications: multivariate analysis of radiologic and clinical factors for carcinoma. World J Surg 26:290–296.PubMedCrossRef Fondrinier E, Lorimier G, Guerin-Boblet V, Bertrand AF, Mayras C, Dauver N (2002) Breast microcalcifications: multivariate analysis of radiologic and clinical factors for carcinoma. World J Surg 26:290–296.PubMedCrossRef
38.
Zurück zum Zitat Evans A, Pinder S, Wilson R et al (1994) Ductal carcinoma in situ of the breast: correlation between mammographic and pathologic findings. AJR Am J Roentgenol 162:1307–1311PubMed Evans A, Pinder S, Wilson R et al (1994) Ductal carcinoma in situ of the breast: correlation between mammographic and pathologic findings. AJR Am J Roentgenol 162:1307–1311PubMed
39.
Zurück zum Zitat Jackman RJ, Marzoni FA Jr (1997) Needle-localized breast biopsy: why do we fail? Radiology 204:677–684PubMed Jackman RJ, Marzoni FA Jr (1997) Needle-localized breast biopsy: why do we fail? Radiology 204:677–684PubMed
40.
Zurück zum Zitat Abrahamson PE, Dunlap LA, Amamoo MA, Schell MJ, Braeuning MP, Pisano ED (2003) Factors predicting successful needle-localized breast biopsy. Acad Radiol 10:601–606PubMedCrossRef Abrahamson PE, Dunlap LA, Amamoo MA, Schell MJ, Braeuning MP, Pisano ED (2003) Factors predicting successful needle-localized breast biopsy. Acad Radiol 10:601–606PubMedCrossRef
41.
Zurück zum Zitat Rissanen TJ, Makarainen HP, Mattila SI et al (1993) Wire localized biopsy of breast lesions: a review of 425 cases found in screening or clinical mammography. Clin Radiol 47:14–22PubMedCrossRef Rissanen TJ, Makarainen HP, Mattila SI et al (1993) Wire localized biopsy of breast lesions: a review of 425 cases found in screening or clinical mammography. Clin Radiol 47:14–22PubMedCrossRef
42.
Zurück zum Zitat Liberman L, LaTrenta LR, Dershaw DD et al (1997) Impact of core biopsy on the surgical management of impalpable breast cancer. AJR Am J Roentgenol 168:495–499PubMed Liberman L, LaTrenta LR, Dershaw DD et al (1997) Impact of core biopsy on the surgical management of impalpable breast cancer. AJR Am J Roentgenol 168:495–499PubMed
43.
Zurück zum Zitat Gundry KR, Berg WA (1998) Treatment issues and core needle breast biopsy: clinical context. AJR Am J Roentgenol 171:41–49PubMed Gundry KR, Berg WA (1998) Treatment issues and core needle breast biopsy: clinical context. AJR Am J Roentgenol 171:41–49PubMed
44.
Zurück zum Zitat Verkooijen HM, Borel Rinkes IH, Peeters PH et al (2001) Impact of stereotactic large-core needle biopsy on diagnosis and surgical treatment of nonpalpable breast cancer. Eur J Surg Oncol 27:244–249PubMedCrossRef Verkooijen HM, Borel Rinkes IH, Peeters PH et al (2001) Impact of stereotactic large-core needle biopsy on diagnosis and surgical treatment of nonpalpable breast cancer. Eur J Surg Oncol 27:244–249PubMedCrossRef
45.
Zurück zum Zitat Pisano ED, Fajardo LL, Tsimikas J et al (1998) Rate of insufficient samples for fine-needle aspiration for nonpalpable breast lesions in a multicenter clinical trial: The radiologic diagnostic oncology group 5 study. The RDOG5 investigators. Cancer 82:679–688PubMedCrossRef Pisano ED, Fajardo LL, Tsimikas J et al (1998) Rate of insufficient samples for fine-needle aspiration for nonpalpable breast lesions in a multicenter clinical trial: The radiologic diagnostic oncology group 5 study. The RDOG5 investigators. Cancer 82:679–688PubMedCrossRef
46.
Zurück zum Zitat Parker SH, Burbank F, Jackman RJ et al (1994) Percutaneous large-core breast biopsy: a multi-institutional study. Radiology 193:359–364PubMed Parker SH, Burbank F, Jackman RJ et al (1994) Percutaneous large-core breast biopsy: a multi-institutional study. Radiology 193:359–364PubMed
47.
Zurück zum Zitat Verkooijen HM (2002) Diagnostic accuracy of stereotactic large-core needle biopsy for nonpalpable breast disease: results of a multicenter prospective study with 95% surgical confirmation. Int J Cancer 99:853–859PubMedCrossRef Verkooijen HM (2002) Diagnostic accuracy of stereotactic large-core needle biopsy for nonpalpable breast disease: results of a multicenter prospective study with 95% surgical confirmation. Int J Cancer 99:853–859PubMedCrossRef
48.
Zurück zum Zitat Schulz-Wendtland R, Kramer S, Lang N, Bautz W (1998) Ultrasonic guided microbiopsy in mammary diagnosis: indications, technique and results. Anticancer Res 18:2145–2146PubMed Schulz-Wendtland R, Kramer S, Lang N, Bautz W (1998) Ultrasonic guided microbiopsy in mammary diagnosis: indications, technique and results. Anticancer Res 18:2145–2146PubMed
49.
Zurück zum Zitat Brenner RJ, Fajardo L, Fisher PR et al (1996) Percutaneous core biopsy of the breast: effect of operator experience and number of samples on diagnostic accuracy. AJR Am J Roentgenol 341–346 Brenner RJ, Fajardo L, Fisher PR et al (1996) Percutaneous core biopsy of the breast: effect of operator experience and number of samples on diagnostic accuracy. AJR Am J Roentgenol 341–346
50.
Zurück zum Zitat Philpotts LE, Shaheen NA, Carter D, Lange RC, Lee CH (1999) Comparison of rebiopsy rates after stereotactic core needle biopsy of the breast with 11-gauge vacuum suction probe versus 14-gauge needle and automatic gun. AJR Am J Roentgenol 172:683–687PubMed Philpotts LE, Shaheen NA, Carter D, Lange RC, Lee CH (1999) Comparison of rebiopsy rates after stereotactic core needle biopsy of the breast with 11-gauge vacuum suction probe versus 14-gauge needle and automatic gun. AJR Am J Roentgenol 172:683–687PubMed
51.
Zurück zum Zitat Jackman RJ, Rodriguez-Soto J (2006) Breast microcalcifications: retrieval failure at prone stereotactic core and vacuum breast biopsy—frequency, causes, and outcome. Radiology 239:61–70PubMedCrossRef Jackman RJ, Rodriguez-Soto J (2006) Breast microcalcifications: retrieval failure at prone stereotactic core and vacuum breast biopsy—frequency, causes, and outcome. Radiology 239:61–70PubMedCrossRef
52.
Zurück zum Zitat Burbank F, Parker SH, Fogarty TJ (1996) Stereotactic breast biopsy: improved tissue harvesting with the Mammotome. Am Surg 738–744. Burbank F, Parker SH, Fogarty TJ (1996) Stereotactic breast biopsy: improved tissue harvesting with the Mammotome. Am Surg 738–744.
53.
Zurück zum Zitat Parker SH, Klaus AJ (1997) Performing a breast biopsy with a directional, vacuum-assisted biopsy instrument. Radiographics 17:1233–1252PubMed Parker SH, Klaus AJ (1997) Performing a breast biopsy with a directional, vacuum-assisted biopsy instrument. Radiographics 17:1233–1252PubMed
54.
Zurück zum Zitat Meyer JE, Smith DN, DiPiro PJ et al (1997) Stereotactic breast biopsy of clustered microcalcifications with a directional, vacuum-assisted device. Radiology 204:575–576PubMed Meyer JE, Smith DN, DiPiro PJ et al (1997) Stereotactic breast biopsy of clustered microcalcifications with a directional, vacuum-assisted device. Radiology 204:575–576PubMed
55.
Zurück zum Zitat Liberman L, Smolkin JH, Dershaw DD, Morris EA, Abramson AF, Rosen PP (1998) Calcification retrieval at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy. Radiology 208:251–260PubMed Liberman L, Smolkin JH, Dershaw DD, Morris EA, Abramson AF, Rosen PP (1998) Calcification retrieval at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy. Radiology 208:251–260PubMed
56.
Zurück zum Zitat Stomper PC, Margolin FR (1994) Ductal carcinoma in situ: the mammographer’s perspective. AJR Am J Roentgenol 162:585–591PubMed Stomper PC, Margolin FR (1994) Ductal carcinoma in situ: the mammographer’s perspective. AJR Am J Roentgenol 162:585–591PubMed
57.
Zurück zum Zitat Kettritz U, Rotter K, Schreer I et al (2004) Stereotactic vacuum-assisted breast biopsy in 2874 patients. Cancer 100:245–251PubMedCrossRef Kettritz U, Rotter K, Schreer I et al (2004) Stereotactic vacuum-assisted breast biopsy in 2874 patients. Cancer 100:245–251PubMedCrossRef
58.
Zurück zum Zitat Heywang-Kobrunner SH, Schreer I, Decker T, Böcker W (2003) Interdisciplinary consensus on the use and technique of vacuum assisted stereotactic breast biopsy. Eur J Radiol 47:232–236PubMedCrossRef Heywang-Kobrunner SH, Schreer I, Decker T, Böcker W (2003) Interdisciplinary consensus on the use and technique of vacuum assisted stereotactic breast biopsy. Eur J Radiol 47:232–236PubMedCrossRef
59.
Zurück zum Zitat Silverstein MJ, Lagios MD, Groshen S et al (1999) The influence of margin width on local control of ductal carcinoma in situ of the breast. N Engl J Med 340:1455–1461PubMedCrossRef Silverstein MJ, Lagios MD, Groshen S et al (1999) The influence of margin width on local control of ductal carcinoma in situ of the breast. N Engl J Med 340:1455–1461PubMedCrossRef
60.
Zurück zum Zitat Silverstein MJ, Barth A, Poller DN et al (1995) Ten-year results comparing mastectomy to excision and radiation therapy for ductal carcinoma in situ of the breast. Eur J Cancer 31A:1425–1427PubMedCrossRef Silverstein MJ, Barth A, Poller DN et al (1995) Ten-year results comparing mastectomy to excision and radiation therapy for ductal carcinoma in situ of the breast. Eur J Cancer 31A:1425–1427PubMedCrossRef
61.
Zurück zum Zitat Tunon-de-Lara C, de-Mascarel I, Mac-Grogan G et al (2001) Analysis of 676 cases of ductal carcinoma in situ of the breast from 1971 to 1995: diagnosis and treatment-the experience of one institute. Am J Clin Oncol 24:531–536PubMedCrossRef Tunon-de-Lara C, de-Mascarel I, Mac-Grogan G et al (2001) Analysis of 676 cases of ductal carcinoma in situ of the breast from 1971 to 1995: diagnosis and treatment-the experience of one institute. Am J Clin Oncol 24:531–536PubMedCrossRef
62.
Zurück zum Zitat Fisher B, Dignam J, Wolmark N et al (1998) Lumpectomy and radiation therapy for the treatment of intraductal breast cancer: findings from national surgical adjuvant breast and bowel project B-17. J Clin Oncol 16:441–452PubMed Fisher B, Dignam J, Wolmark N et al (1998) Lumpectomy and radiation therapy for the treatment of intraductal breast cancer: findings from national surgical adjuvant breast and bowel project B-17. J Clin Oncol 16:441–452PubMed
63.
Zurück zum Zitat Julien JP, Bijker N, Fentiman IS et al (2000) Radiotherapy in breast-conserving treatment for ductal carcinoma in situ: first results of the EORTC randomised phase III trial 10853. EORTC Breast Cancer Cooperative Group and EORTC Radiotherapy Group. Lancet 355:528–533PubMedCrossRef Julien JP, Bijker N, Fentiman IS et al (2000) Radiotherapy in breast-conserving treatment for ductal carcinoma in situ: first results of the EORTC randomised phase III trial 10853. EORTC Breast Cancer Cooperative Group and EORTC Radiotherapy Group. Lancet 355:528–533PubMedCrossRef
64.
Zurück zum Zitat Mokbel K, Cutuli B (2006) Heterogeneity of ductal carcinoma in situ and its effects on management. Lancet Oncol 7:756–765PubMedCrossRef Mokbel K, Cutuli B (2006) Heterogeneity of ductal carcinoma in situ and its effects on management. Lancet Oncol 7:756–765PubMedCrossRef
65.
Zurück zum Zitat Moran CJ, Kell MR, Flanagan FL, Kennedy M, Gorey TF, Kerin MJ (2007) Role of sentinel lymph node biopsy in high-risk ductal carcinoma in situ patients. Am J Surg 194:172–175PubMedCrossRef Moran CJ, Kell MR, Flanagan FL, Kennedy M, Gorey TF, Kerin MJ (2007) Role of sentinel lymph node biopsy in high-risk ductal carcinoma in situ patients. Am J Surg 194:172–175PubMedCrossRef
66.
Zurück zum Zitat Darling ML, Smith DN, Lester SC et al (2000) Atypical ductal hyperplasia and ductal carcinoma in situ as revealed by large-core needle breast biopsy: results of surgical excision. AJR Am J Roentgenol 175:1341–1346PubMed Darling ML, Smith DN, Lester SC et al (2000) Atypical ductal hyperplasia and ductal carcinoma in situ as revealed by large-core needle breast biopsy: results of surgical excision. AJR Am J Roentgenol 175:1341–1346PubMed
67.
Zurück zum Zitat Won B, Reynolds HE, Lazaridis CL, Jackson VP (1999) Stereotactic biopsy of ductal carcinoma in situ of the breast using an 11-gauge vacuum-assisted device: persistent underestimation of disease. AJR Am J Roentgenol 173:227–229PubMed Won B, Reynolds HE, Lazaridis CL, Jackson VP (1999) Stereotactic biopsy of ductal carcinoma in situ of the breast using an 11-gauge vacuum-assisted device: persistent underestimation of disease. AJR Am J Roentgenol 173:227–229PubMed
68.
Zurück zum Zitat Liberman L, Cohen MA, Dershaw DD, Abramson AF, Hann LE, Rosen PP (1995) Atypical ductal hyperplasia diagnosed at stereotaxic core biopsy of breast lesions: an indication for surgical biopsy. AJR Am J Roentgenol 164:1111–1113PubMed Liberman L, Cohen MA, Dershaw DD, Abramson AF, Hann LE, Rosen PP (1995) Atypical ductal hyperplasia diagnosed at stereotaxic core biopsy of breast lesions: an indication for surgical biopsy. AJR Am J Roentgenol 164:1111–1113PubMed
69.
Zurück zum Zitat Jackman RJ, Burbank F, Parker SH et al (2001) Stereotactic breast biopsy of nonpalpable lesions: determinants of ductal carcinoma in situ underestimation rates. Radiology 218:497–502PubMed Jackman RJ, Burbank F, Parker SH et al (2001) Stereotactic breast biopsy of nonpalpable lesions: determinants of ductal carcinoma in situ underestimation rates. Radiology 218:497–502PubMed
Metadaten
Titel
Modern concepts of ductal carcinoma in situ (DCIS) and its diagnosis through percutaneous biopsy
verfasst von
Ute Kettritz
Publikationsdatum
01.02.2008
Verlag
Springer-Verlag
Erschienen in
European Radiology / Ausgabe 2/2008
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-007-0753-4

Weitere Artikel der Ausgabe 2/2008

European Radiology 2/2008 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.