Calcifications of Lobular Carcinoma In Situ of the Breast
RadiologicPathologic Correlation
Dianne Georgian-Smith1 and
Thomas J. Lawton2
1
Department of Radiology, University of Washington Medical Center, Box 357115,
HSB RR-215, 1959 N.E. Pacific St., Seattle, WA 98195-7115.
2
Department of Pathology, University of Washington Medical Center, Seattle, WA
98195-6100.

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Fig. 1A. Classic lobular carcinoma in situ in 43-year-old woman.
Photomicrograph of biopsy specimen shows calcifications (double
arrows) in lobular carcinoma in situ and similar-appearing calcifications
(single arrow) in focus of adenosis. (H and E, x100)
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Fig. 2A. Pleomorphic lobular carcinoma in situ in 34-year-old woman.
Photomicrograph of biopsy specimen shows central necrosis and calcification
(arrow) in lobule with lobular carcinoma in situ
(arrowheads). (H and E, x400)
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Fig. 2B. Pleomorphic lobular carcinoma in situ in 34-year-old woman.
Photomicrograph of biopsy specimen shows membranous staining of cells
(solid arrows) in benign lobules with complete absence of staining of
cells in lobular carcinoma in situ (open arrows). (E-cadherin
immunostain, x100)
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Fig. 2C. Pleomorphic lobular carcinoma in situ in 34-year-old woman.
Mammogram shows cluster of calcifications with three large (1 mm) pleomorphic
calcifications (arrow) surrounded by punctate calcifications.
Although no calcifications were branching in morphology, calcifications were
thought to represent ductalcomedocarcinoma in situ. E-cadherin staining in
(B) was significant in distinguishing lobular carcinoma in situ from
ductal carcinoma in situ. (Spot magnification, x1.7)
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Fig. 1B. Classic lobular carcinoma in situ in 43-year-old woman.
Mammogram shows cluster of punctate calcifications in lobular carcinoma in
situ (arrow). Benign calcifications were in adjacent tissues
(arrowheads). (Spot magnification, x1.7)
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Fig. 3. Mammogram of 58-year-old woman shows cluster of punctate
calcifications (arrows) smaller than or equal to 0.5 mm. Appearance
of calcifications was similar to that seen in all patients. Calcifications
were in pleomorphic lobular carcinoma in situ.
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Fig. 4. Photomicrograph of biopsy specimen shows pleomorphic lobular
carcinoma in situ with focus of infiltrating lobular carcinoma (double
arrows) adjacent to lobular carcinoma in situ (single arrows).
Cytologic features of cells in infiltrating lobular carcinoma were identical
to cells in lobular carcinoma in situ. (H and E, x400)
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Copyright © 2001 by the American Roentgen Ray Society.