Diagnosis and treatment of multi-center breast intraductal carcinoma

VernacularTitle:多中心性乳腺导管内癌的诊疗分析
Author: Zhi LI ; Bo CHENG ; Bo ZHANG ; Tao HUANG
Publication Type:Journal Article
Keywords: Breast neoplasms; Mammography; Mastectomy
From: Chinese Journal of General Surgery 2011;26(2):109-111
CountryChina
Language:Chinese
Abstract: Objective To investigate clinical characteristics of the multi-center breast DCIS (ductal carcinoma in situ), in order to improve the rate of early diagnosis. Methods Clinical data of 23 multi-center breast DCIS patients admitted and operated on from September 2003 to February 2009 at our department were retrospectively reviewed. Results There were 4 cases associated with nipple discharge,and 18 cases with preoperative negative physical examination (78%). In the preoperative examination within 6 months, the positive rate of mammography was 90% mainly characterized by the existence of diffuse and multiple small calcifications. The positive rate of MRI was 25%, B ultrasound had no positive findings. The patients that were confirmed multi-center breast DCIS by intraoperative frozen section examination received mastectomy and ipsilateral axillary L1, L2 lymph node dissection. Conclusion The diffuse and multiple small calcification is one of early clinical characteristics of multi-center breast DCIS. Although the disease has a wide range of lesion, it still is an early tumor, and has a favourite prognosis after comprehensive treatment.