Ductal carcinoma in situ (DCIS) is a heterogeneous group of premalignant lesions that have the presence of neoplasticclonal proliferation of noninvasive epithelial cells confined to...
CBE with patient in upright and supine position; evaluating for asymmetry, spontaneous discharge, skin changes (peau d’orange, erythema, scaling); nipple retraction/excoriation ...
Secondary chemoprevention following breast-conserving surgery for ER+ DCIS:
Tamoxifen for pre-menopausal patients or tamoxifen or an aromatase inhibitor for post-menopa...
History and physical exam should occur every 6 to 12 months for the first 5 years and then annually after that.
Mammography every 12 months (first mammogram 6 to 1...
D05.10 Intraductal carcinoma in situ of unspecified breast
D05.11 Intraductal carcinoma in situ of right breast
D05.12 Intraductal carcinoma in situ of left breast
R92.0 Mammographic microcalc...
DCIS is a heterogeneous group of noninvasive neoplastic breast ductal epithelial cell lesions.
The incidence of DCIS has continued to increase in women with increase in age;more stable ...
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<bold>FIG. 11.6.</bold> An 11-mm mass with spiculated borders and a few associated microcalcifications. Invasive ductal cancer and ductal carcinoma <italic>in situ</bold> were found at pathology.
<bold>FIG. 11.6.</bold> An 11-mm mass with spiculated borders and a few associated microcalcifications. Invasive ductal cancer...
<bold>FIG. 11.18.</bold> Ductogram performed for bloody nipple discharge. Multiple, irregular intraluminal filling defects are noted in the contrast-filled (white) ductal system (<italic>arrowheads</bold>). Extensive ductal carcinoma <italic>in situ</bold> was found at surgical biopsy.
<bold>FIG. 11.18.</bold> Ductogram performed for bloody nipple discharge. Multiple, irregular intraluminal filling defects are...
<bold>FIG. 12.4.</bold> Solid masses. <bold>A:</bold> Invasive lobular carcinoma. This small solid mass (<italic>arrow</bold>) has indistinct margins, an irregular shape, a nonparallel orientation, and posterior shadowing, all features of malignancy. <bold>B:</bold> Mixed invasive ductal and lobular carcinoma. This larger mass has all of the features characterizing the smaller version in <bold>A.</bold> In addition, the infiltrative nature of the cancer is seen in spicules (<italic>arrows</bold>) extending into the surrounding f...
<bold>FIG. 12.4.</bold> Solid masses. <bold>A:</bold> Invasive lobular carcinoma. This small solid mass (<ital...
<bold>FIG. 34.1.</bold> Cut surface of an excision specimen containing an invasive ductal carcinoma. The tumor appears as an irregular area of whitish tissue.
<bold>FIG. 34.1.</bold> Cut surface of an excision specimen containing an invasive ductal carcinoma. The tumor appears as an i...
<bold>FIG. 34.2.</bold> Invasive ductal carcinoma. <bold>A:</bold> Histologic grade 1. <bold>B:</bold> Histologic grade 2. <bold>C:</bold> Histologic grade 3.
<bold>FIG. 34.2.</bold> Invasive ductal carcinoma. <bold>A:</bold> Histologic grade 1. <bold>B:</bold>...
Mammogram of breast cancer (note the irregular shape and borders of the growth)
<bold>FIG. 5.2.</bold> Nipple inversion from breast cancer.
<bold>FIG. 9.4.</bold> Atypical ductal hyperplasia. Near the center of this space is a proliferation of relatively uniform epithelial cells with monomorphic, round nuclei. However, this proliferation involves only a portion of the space. In other areas, the proliferating epithelial cells maintain their orientation to one another. Thus, this lesion has some of the features of low-grade ductal carcinoma <italic>in situ</bold> and is best categorized as atypical ductal hyperplasia.
<bold>FIG. 9.4.</bold> Atypical ductal hyperplasia. Near the center of this space is a proliferation of relatively uniform epi...
<bold>FIG. 11.4.</bold> Craniocaudal view shows a new small density in the lateral aspect of the breast (<italic>arrows</bold>) <bold>(A)</bold>. Incidental note is made of artery calcification. Diagnostic spot compression magnification view confirms the presence of a 5-mm noncalcified mass (<italic>arrows</bold>) <bold>(B)</bold>. Invasive ductal carcinoma found at pathology.
<bold>FIG. 11.4.</bold> Craniocaudal view shows a new small density in the lateral aspect of the breast (<italic>arrows...
Carcinoma of the breast. Mammogram. An irregularly shaped, dense mass (arrows) is seen in this otherwise fatty breast.
Pt s/p mastectomy for breast cancer with nodules in the chest wall (bx proven recurrent cancer)