Diagnostic value of mammographic calcification for ductal carcinoma in situ without palpable lumps
10.3760/cma.j.issn.1674-6090.2018.05.008
- VernacularTitle:乳腺X线钙化对临床未及肿块导管原位癌的诊断
- Author:
Peng XU
1
;
Hua XU
;
Cuiping WANG
;
Zhengshuai TAN
;
Kun FANG
;
Peiying LI
;
Qitang WANG
Author Information
1. 青岛大学附属中心医院乳腺中心
- Keywords:
Breast;
Calcification;
Full field digital mammography;
Ductal carcinoma in situ
- From:
Chinese Journal of Endocrine Surgery
2018;12(5):386-390
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnostic value of calcification by full field digital mammography in cases without breast palpable lumps or nodules in ductal carcinoma in situ(DC1S).Methods Based on breast imaging-reporting and data system (BI-RADS)proposed by the American College of Radiology (ACR),the cases without palpable lumps or nodules,but with calcification (over Category 4a)found by full field digital mammography admitted from Oct.2014 to Oct.2016 were analyzed.They underwent excisional biopsy after three-dimensional guide wire positioning or three-dimensional vacuum rotary cutting.After being filmed again to make sure the resection was complete,the isolated specimen were sent to pathological examination.The pathology and calcification were analyzed and summarized.Results Among 126 cases,71 (56.3％)were breast adenosis,41 (32.5％) were DCIS,6(4.8％) were infiltrating ductal carcinoma (IDC),and 8 (6.3％)were other types.The detection rate of DCIS in younger group was higher.The calcifications in DCIS were mostly linear-branching,segmental calcification,and those in IDC were mostly pleomorphic,clustering or regional calcification.Conclusion Full field digital mammography has great diagnostic value for DCIS in cases with calcification but without palpable breast lumps or nodules.
