Summary
Ductal carcinoma in situ (DCIS) has been detected primarily by palpation, calcification on mammogram (MMG), and nipple discharge. Ultrasonographic investigation of DCIS has been performed, but has not up to now revealed any form of DCIS that could not be discovered by the above three methods. In the present report, we describe a form of DCIS that has not been detected by earlier methods, and propose to refer to this new DCIS as 3 non-DCIS to distinguish it from conventional DCIS: 3 non-DCIS represents nonpalpable DCIS without calcification on MMG and without nipple discharge. Only the method of ultrasound screening described in this chapter can detect 3 non-DCIS. We diagnosed 23 patients as 3 non-DCIS at this institution between May 1997 and March 2003. There was neither calcification, mass, nor distortion on MMG in these patients. On ultrasonography, a small mass measuring 10mm or less was revealed. Thorough examination by fine-needle aspiration cytology showed 90% of the patients were positive. On analysis of subtype of DCIS, 22 of the 23 cases of DCIS were classified into pure noncomedo type and 1 was mixed type. Lesions in 3 non-DCIS were frequently less extensive than those in conventional DCIS.
Access provided by Autonomous University of Puebla. Download to read the full chapter text
Chapter PDF
Similar content being viewed by others
Key words
References
Ueno E (1996) Recent progress of imaging diagnosis for breast cancer: breast ultrasound and color Doppler. Jpn J Breast Cancer 11(2):216–231
Kamio T, Kameoka S, Muraki H, et al. (1991) Significance of ductal findings in ultrasonic examination of the breast. Diagnosis of intraductal tumor and intraductal spreading of braeast cancer. In: Topics in breast ultrasound. Shinohara, Tokyo, pp 200–205
Takebe K, Nakamura K, Yamamoto Y (1999) The contribution of ultrasound examination to the diagnosis of nonpalpable breast cancer. Jpn J Breast Cancer 14(4):444–450
Fisher B, Dignam J, Walmark N, et al. (1998) Lumpectomy and radiation therapy for the treatment of intraductal breast cancer: findings from National Ajduvant Breast and Bowel Project B17. J Clin Oncol 16:441–452
Julien JP, Bijker N, Fentiman IS (2000) Radiotherapy in breast-conserving treatment for ductal carcinoma in situ: first results of the EORTC randomaised phase III trial 10853. Lancet 355:528–533
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2005 Springer-Verlag Tokyo
About this paper
Cite this paper
Takebe, K., Izumori, A. (2005). The Ultrasonic Diagnosis of Nonpalpable DCIS Without Calcification on MMG and Nipple Discharge: Advocacy of a New Term, 3 Non-DCIS. In: Ueno, E., Shiina, T., Kubota, M., Sawai, K. (eds) Research and Development in Breast Ultrasound. Springer, Tokyo. https://doi.org/10.1007/4-431-27008-6_17
Download citation
DOI: https://doi.org/10.1007/4-431-27008-6_17
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-40277-0
Online ISBN: 978-4-431-27008-9
eBook Packages: MedicineMedicine (R0)