Clinical Radiology
Volume 65, Issue 3 , Pages 181-184 , March 2010

Lesion size is a major determinant of the mammographic features of ductal carcinoma in situ: findings from the Sloane project

  • A. Evans

      Affiliations

    • Ninewells Hospital and Medical School, Mailbox 4, Dundee DD1 9SY, Scotland UK
    • Corresponding Author InformationGuarantor and correspondent: Centre for Oncology and Molecular Medicine, Ninewells Hospital and Medical School, mailbox 4, Dundee DD1 9SY, Scotland UK. Tel :+44 (0) 1382 632196; fax:+44 (0) 1382 496363.
  • ,
  • K. Clements

      Affiliations

    • West Midlands Cancer Intelligence Unit, Birmingham UK
  • ,
  • A. Maxwell

      Affiliations

    • Breast Unit, Royal Bolton Hospital, Bolton, UK
  • ,
  • H. Bishop

      Affiliations

    • Breast Unit, Royal Bolton Hospital, Bolton, UK
  • ,
  • A. Hanby

      Affiliations

    • Leeds Institute of Molecular Medicine, Leeds, UK
  • ,
  • G. Lawrence

      Affiliations

    • West Midlands Cancer Intelligence Unit, Birmingham UK
  • ,
  • S.E. Pinder

      Affiliations

    • Kings College London, Guys and St Thomas' Hospitals, London, UK
  • ,
  • on behalf of the Sloane Project Steering Group

Received 14 November 2008 ,Revised 28 April 2009 ,Accepted 8 May 2009.

References 

  1. Holland R, Hendricks JHCL, Verbeek ALM, et al. Extent, distribution and mammographic/histological correlations of breast ductal carcinoma in situ. Lancet. 1990;335:519–522
  2. Evans AJ, Pinder SE, Wilson ARM, et al. Ductal carcinoma in situ of the breast: correlation between mammographic and pathologic findings. AJR Am J Roentgenol. 1994;162:1307–1311
  3. Barreau B, Mascarel I, Feuga C, et al. Mammography of ductal carcinoma in situ of the breast: review of 909 cases with radiographic–pathologic correlations. Eur J Radiol. 2005;54:55–61
  4. Dinkel HP, Gassel AM, Tschammler A. Is the appearance of microcalcifications on mammography useful in predicting histological grade of malignancy in ductal cancer in situ?. Br J Radiol. 2000;73:938–944
  5. Slanetz PJ, Giardino AA, Oyama T, et al. Mammographic appearance of ductal carcinoma in situ does not reliably predict histological subtype. Breast J. 2001;7:417–421
  6. Evans AJ, Wilson ARM, Burrell HC, et al. Mammographic features of ductal carcinoma in situ (DCIS) present on previous mammography. Clin Radiol. 1999;54:644–646
  7. Pathology reporting of breast disease. Publication 58. Sheffield: NHSBSP; January 2005;
  8. Evans AJ, Pinder SE, Wilson ARM, et al. The detection of DCIS at mammographic screening enables the diagnosis of small, grade 3 invasive tumours. Br J Cancer. 1997;75:542–544
  9. Evans A, Blanks R. Should breast screening programmes limit their detection of ductal carcinoma in situ?. Clin Radiol. 2002;57:1086–1089
  10. Ferranti C, Coopmans de Yoldi G, Biganzoli E, et al. Relationship between age, mammographic features and pathological tumour characteristics in non-palpable breast cancer. Br J Radiol. 2000;73:698–705
  11. Burnett SJ, Ng YY, Perry NM, et al. Benign biopsies in the prevalent round of breast screening: a review of 137 cases. Clin Radiol. 1995;50:254–258
  12. Burrell HC, Pinder SE, Wilson AR, et al. The positive predictive value of mammographic signs; a review of 425 non-palpable breast lesions. Clin Radiol. 1996;51:277–281
  13. Warren R, Eleti A. Overdiagnosis and overtreatment of breast cancer: is overdiagnosis an issue for radiologists?. Breast Cancer Res. 2006;8:205
  14. Evans AJ, Pinder S, Ellis IO, et al. Correlations between the mammographic features of ductal carcinoma in situ (DCIS) and C-erbB-2 oncogene. Clin Radiol. 1994;49:559–562
  15. Evans A. The diagnosis and management of pre-invasive breast disease: radiological diagnosis. Breast Cancer Res. 2003;5:250–253
  16. Quinn CM, Ostrowski JL. Cytological and architectural heterogeneity in ductal carcinoma in situ of the breast. J Clin Path. 1997;50:595–599

PII: S0009-9260(09)00415-2

doi: 10.1016/j.crad.2009.05.017

Clinical Radiology
Volume 65, Issue 3 , Pages 181-184 , March 2010