Skip to main content
Log in

Treatment of noninvasive carcinoma: Fifteen-Year results at the National Cancer Center Hospital in Tokyo

  • Panel Discussion II
  • Published:
Breast Cancer Aims and scope Submit manuscript

Abstract

The introduction of screening mammography (MMG) will lead to increased detection of preclinical early breast cancer in Japan. It has become more important to understand the nature of these lesions. We tried to elucidate the long term prognosis and clinical and pathological characteristics of noninvasive cancers.

A total of 336 (5.4%) ductal carcinomain situ (DCIS) and 32 (0.5%) lobular carcinomain situ (LCIS) were diagnosed in 6 277 breast carcinomas at the National Cancer Center Hospital from 1962 to 1995. Most (80%) LCIS occurred in premenopausal women. LCIS has significantly higher bilaterality than that of DCIS. Local recurrence occurred in approximately 10% of patients after breast conserving surgery for DCIS and LCIS. Four patients died of breast carcinoma, which were initially diagnosed as noninfiltrating carcinoma. The 15-year cause specific survival rates of patients with DCIS and LCIS were 98.5 % and 100 %, respectively.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

MMG:

Mammography

DCIS:

Ductal carcinomain situ

LCIS:

Lobular carcinomain situ

References

  1. Schwartz G, Solin L, Olivotto I,et al: The consensus conference on the treatment of in situ ductal carcinoma of the breast, April 22–25,1999.Hum Pathol 31:131–139, 2000.

    Article  PubMed  CAS  Google Scholar 

  2. Frykberg E, Bland K:In situ breast carcinoma.Advances in Surgery 26:29–72, 1993.

    PubMed  CAS  Google Scholar 

  3. Fisher B, Dignam J, Wolmark N,et al: Lumpectomy and radiation therapy for the treatment of intraductal breast cancer: findings from National Surgical Adjuvant Breast and Bowel Project B-17. J Clin Oncol 16:441–452, 1998.

    PubMed  CAS  Google Scholar 

  4. Solin LJ, Recht A, Fourquet A,et al: Ten-year results of breast-conserving surgery and definitive irradiation for intraductal carcinoma (ductal carcinoma in situ) of the breast. Cancer 68:2337–2344, 1991.

    Article  PubMed  CAS  Google Scholar 

  5. Andersen J: Lobular carcinomain situ of the breast: an approach to rational treatment.Cancer 39:2597–2602, 1977.

    Article  PubMed  CAS  Google Scholar 

  6. Haagensen CD, Bodian C, Haagensen DE: Lobular neoplasia (lobular carcinomain situ) In: Haagensen CD, Bodian C, Haagensen DE eds, Breast carcinoma: risk and detection. WB Saunders, Philadelphia, pp238–292, 1981.

    Google Scholar 

  7. Page DL, Kidd TE, Dupont W,et al: Lobular neoplasia of the breast: higher risk for subsequent invasive cancer predicted by more extensive disease.Hum Pathol 22:1232–1239, 1991.

    Article  PubMed  CAS  Google Scholar 

  8. Wheeler JE, Enterline HT, Roseman JM,et al: Lobular carcinomain situ of the breast: Long-term followup.Cancer 34:554–563, 1974.

    Article  PubMed  CAS  Google Scholar 

  9. Rosen P, Kosloff C, Lieberman P,et al: Lobular carcinomain situ of the breast. Detailed analysis of 99 patients with average follow-up of 24 years.Am J Surg Pathol 2:225–251, 1978.

    Article  PubMed  CAS  Google Scholar 

  10. Simmons R, Osborne M: The evaluation of high risk and pre-invasive breast lesions and the decision process for follow up and surgical intervention.Surg Oncol 8:55–65, 1999

    Article  PubMed  CAS  Google Scholar 

  11. Styblo TM, Wood WC: The management of ductal and lobular breast cancer.Surg Oncol 8:67–75, 1999

    Article  PubMed  CAS  Google Scholar 

  12. Morrow M, Schnitt S, Harris J: Microinvasive carcinoma. In: Harris J, Lippman M, Morrow M, Osborne C, eds, Diseases of the breast, Lippincott Williams & Wilkins, Philadelphia, pp389–390, 1999.

    Google Scholar 

  13. Akashi-Tanaka S, Fukutomi T, Miyakawa H,et al: Constrast-enhanced computed tomography detection of occult breast cancer presenting as axillary masses.Breast Cancer Res Treat 55:97–101, 1999.

    Article  PubMed  CAS  Google Scholar 

  14. Fujii K, Fukutomi T, Tsuda H,et al: Microinvasive breast carcinoma with extensive involvement of level III axillary lymph nodes: a case report.Jpn J Clin Oncol 28:47–49, 1998.

    Article  PubMed  CAS  Google Scholar 

  15. Silverstein M: Van Nuys experience by treatment. In: Silverstein M, ed, Ductal carcinomain situ of the breast. Williams & Wilkins, Baltimore, p443, 1997.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Akashi-Tanaka, S., Fukutomi, T., Nanasawa, T. et al. Treatment of noninvasive carcinoma: Fifteen-Year results at the National Cancer Center Hospital in Tokyo. Breast Cancer 7, 341–344 (2000). https://doi.org/10.1007/BF02966402

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02966402

Key words

Navigation