Summary
Ductal carcinoma in situ (DCIS) is mostly diagnosed by mammography. The incidence is between 1% and 5% in countries without widespread use of mammography, but the incidence in mammography screening programs is between 8% and 25%. However, DCIS can also be diagnosed by galactography in patients with nipple discharge, by ultrasound, and sometimes also by MRI. These methods can tell precisely how big the cancer is and exactly where in the breast. However, to morphologically verify a suspicion of malignancy from any of these imaging methods, needle biopsy can be performed. By using needle biopsy, surgery can be planned more accurately as a curative measure instead of as a diagnostic biopsy. Fine-needle biopsy with thin needles for cytological diagnosis can be used successfully, especially in DCIS of the comedo type, but this technique is more operator dependent than core-needle biopsy and vacuum-assisted biopsy techniques where small pieces of tissue are sampled for histopathological analyses and diagnosis. There are no real complications for all these techniques. Patients diagnosed with DCIS have an excellent prognosis to survive without any local recurrences and general metastases.
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© 2005 Springer-Verlag Tokyo
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Svane, G. (2005). Ductal Carcinoma In Situ (DCIS): Incidence, Prognosis, and Diagnostic Aspects of Mammography, Galactography, and Needle Biopsies. 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_16
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DOI: https://doi.org/10.1007/4-431-27008-6_16
Publisher Name: Springer, Tokyo
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