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Sonographic, Mammographic, and Histopathologic Correlation of Symptomatic Ductal Carcinoma In Situ

¹ Department of Diagnostic Radiology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, China.
² Present address: Department of Diagnostic Radiology, University of Texas M. D. Anderson Cancer Center, Unit 57, 1515 Holcombe Blvd., Houston, TX 77030.
³ Department of Anatomical and Cellular Pathology, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, China.

View larger version (146K): [in a new window]   Fig. 1A. —69-year-old woman with Van Nuys group 1 [7] ductal carcinoma in situ who presented with palpable mass. Right mediolateral oblique mammogram with spot magnification shows irregular isodense mass with indistinct margins (arrow).

View larger version (116K): [in a new window]   Fig. 1B. —69-year-old woman with Van Nuys group 1 [7] ductal carcinoma in situ who presented with palpable mass. Sonogram of same lesion as seen in A shows irregularly shaped hypoechoic solid mass with angular margins (arrowheads) and no posterior acoustic phenomena.

View larger version (102K): [in a new window]   Fig. 2A. —73-year-old woman with Van Nuys group 1 [7] ductal carcinoma in situ who presented with spontaneous uniorificial bloody nipple discharge. Left galactogram with spot magnification shows poor filling and abrupt truncation of main lactiferous duct (arrowheads). Findings on mammography (not shown) were negative.

View larger version (115K): [in a new window]   Fig. 2B. —73-year-old woman with Van Nuys group 1 [7] ductal carcinoma in situ who presented with spontaneous uniorificial bloody nipple discharge. Sonogram of same region as in seen in A shows solid-appearing distended duct with irregular margins (arrowheads).

View larger version (85K): [in a new window]   Fig. 2C. —73-year-old woman with Van Nuys group 1 [7] ductal carcinoma in situ who presented with spontaneous uniorificial bloody nipple discharge. Color power Doppler sonogram of same lesion as seen in B shows multiple intralesional vessels.

View larger version (93K): [in a new window]   Fig. 3A. —34-year-old woman with solid-type Van Nuys group 3 [7] ductal carcinoma in situ who presented with palpable mass. Left craniocaudal mammogram with spot magnification shows regional asymmetric opacity (arrow) with segmental amorphous microcalcifications (arrowheads).

View larger version (158K): [in a new window]   Fig. 3B. —34-year-old woman with solid-type Van Nuys group 3 [7] ductal carcinoma in situ who presented with palpable mass. Sonogram shows branching ductal pattern involving terminal ductal lobular units (arrows) causing parenchymal architectural distortion in left breast.

View larger version (150K): [in a new window]   Fig. 3C. —34-year-old woman with solid-type Van Nuys group 3 [7] ductal carcinoma in situ who presented with palpable mass. Sonogram of same region as seen in B in right breast shows normal parenchymal pattern.

View larger version (117K): [in a new window]   Fig. 4A. —40-year-old woman with solid-type Van Nuys group 3 [7] ductal carcinoma in situ who presented with palpable mass. Left mediolateral oblique mammogram shows clustered pleomorphic microcalcifications in segmental distribution (arrowheads) with associated increased density (arrow).

View larger version (135K): [in a new window]   Fig. 4B. —40-year-old woman with solid-type Van Nuys group 3 [7] ductal carcinoma in situ who presented with palpable mass. Sonogram shows irregularly shaped solid mass (white arrowheads) with internal microcalcifications (black arrowheads).

View larger version (130K): [in a new window]   Fig. 5A. —73-year-old woman with solid-type Van Nuys group 1 [7] ductal carcinoma in situ who presented with palpable mass. Right craniocaudal mammogram shows ovoid mass with microlobulated margins (arrow).

View larger version (144K): [in a new window]   Fig. 5B. —73-year-old woman with solid-type Van Nuys group 1 [7] ductal carcinoma in situ who presented with palpable mass. Sonogram shows solid ovoid mass (arrows) with microlobulated margins and posterior enhancement (arrowheads).

View larger version (114K): [in a new window]   Fig. 5C. —73-year-old woman with solid-type Van Nuys group 1 [7] ductal carcinoma in situ who presented with palpable mass. Color power Doppler sonogram shows multiple intralesional vessels.

View larger version (89K): [in a new window]   Fig. 6A. —67-year-old woman with solid-type Van Nuys group 1 [7] ductal carcinoma in situ who presented with palpable mass. Left craniocaudal mammogram shows circumscribed round high-density mass (arrowhead).

View larger version (113K): [in a new window]   Fig. 6B. —67-year-old woman with solid-type Van Nuys group 1 [7] ductal carcinoma in situ who presented with palpable mass. Sonogram corresponding to A shows ovoid cystic mass (curved white arrowheads) with posterior enhancement (black arrowheads) and internal fluid–fluid layer (straight white arrowhead).

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