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Journal of Korean Society of Ultrasound in Medicine 2000 ; 19 (2) : p.93-98

Ductal Carcinoma in Situ: US Finding and Its Usefulness
Kyung Tae Kim, M.D. Mi Soo Hwang, M.D., Jae Kyo Lee, M.D.
Department of Diagnostic Radiology, School of Medicine, Yeungnam University
PURPOSE : To evaluate the ultrasonographic (US) findings of ductal carcinoma in situ (DCIS) of the breast and its usefulness. MATERIALS and METHODS : US and mammographic findings of 20 cases of pathologically proven DCIS were retro-spectively evaluated. The presence of nodule, microcalcification and ductal dilatation were examined in US and compared with mammograms. RESULTS : In US, 17 (85%) of 20 cases showed single (n=14, 82%) or multiple nodules (n=3, 18%). Five of the 17 cases showed echogenic dots suggesting microcalcifications within the mass. Three cases missed on US showed microcalcification only on mammogram. Other findings were heterogeneous internal echo (n=16, 94%), irregu-lar mass margin (n=14, 82%), and ductal dilatation (n=4, 24%). Mammogram showed abnormal findings in 15 cases (75%); nodule without microcalcification (n=7, 47%), microcalcifications only (n=5, 33%) and nodules with microcalcifications (n=3, 20%). Five cases missed on mammography showed single (n=3) or multiple n-odules (n=2) without microcalcification on US. CONCLUSION : Ultrasongram does not show specific findings of DCIS, but it is superior to mammogram in the de-tection and characterization of DCIS manifested as only nodules without microcalcification.
Keyword : Breast neoplasms, Breast neoplasms, US
pdf파일 : 093김경태1.pdf
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