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Calcifications of Lobular Carcinoma In Situ of the Breast

Radiologic—Pathologic 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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