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DCIS, Micropapillary
Jessica W. T. Leung, MD; Wei Tse Yang, MBBS
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Subtype of DCIS characterized by bulbous micropapillary fronds that protrude at intervals into ductal lumen; lack fibrovascular cores

              IMAGING

              • General Features

                • Mammographic Findings

                  • Ultrasonographic Findings

                    • MR Findings

                      • Image-Guided Biopsy

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Staging, Grading, & Classification

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Zaesim A et al: Pure low-grade DCIS in a male patient: a case report. J Surg Case Rep. 2018(5):rjy109, 2018
                                              2. Perez AA et al: Ductal carcinoma in situ of the breast: correlation between histopathological features and age of patients. Diagn Pathol. 9:227, 2014
                                              3. Evers K: Significance of finding micropapillary DCIS on core needle biopsy. Acad Radiol. 18(7):795-6, 2011
                                              4. Lee YS et al: Imaging features of micropapillary DCIS: correlation with clinical and histopathological findings. Acad Radiol. 18(7):797-803, 2011
                                              5. Castellano I et al: Micropapillary ductal carcinoma in situ of the breast: an inter-institutional study. Mod Pathol. 23(2):260-9, 2010
                                              6. Ballesio L et al: Role of breast magnetic resonance imaging (MRI) in patients with unilateral nipple discharge: preliminary study. Radiol Med. 113(2):249-64, 2008
                                              7. Shin HJ et al: Screening-detected and symptomatic ductal carcinoma in situ: differences in the sonographic and pathologic features. AJR Am J Roentgenol. 190(2):516-25, 2008
                                              8. Al-Attar MA et al: The impact of image guided needle biopsy on the outcome of mammographically detected indeterminate microcalcification. Breast. 15(5):635-9, 2006
                                              9. Weaver DL et al: Pathologic findings from the Breast Cancer Surveillance Consortium: population-based outcomes in women undergoing biopsy after screening mammography. Cancer. 106(4):732-42, 2006
                                              10. Groves AM et al: Characterization of pure high-grade DCIS on magnetic resonance imaging using the evolving breast MR lexicon terminology: can it be differentiated from pure invasive disease? Magn Reson Imaging. 23(6):733-8, 2005
                                              11. Harms SE: The use of breast magnetic resonance imaging in ductal carcinoma in situ. Breast J. 11(6):379-81, 2005
                                              12. Menell JH et al: Determination of the presence and extent of pure ductal carcinoma in situ by mammography and magnetic resonance imaging. Breast J. 11(6):382-90, 2005
                                              13. Yang WT et al: Sonographic, mammographic, and histopathologic correlation of symptomatic ductal carcinoma in situ. AJR Am J Roentgenol. 182(1):101-10, 2004
                                              14. Moon WK et al: US of ductal carcinoma in situ. Radiographics. 22(2):269-80; discussion 280-1, 2002
                                              15. Ioffe OB: Local extent of disease: a pathology perspective. Semin Breast Dis. 4:179-90, 2001
                                              16. Stomper PC et al: Mammographic detection and staging of ductal carcinoma in situ: mammographic-pathological correlation. Semin Breast Dis. 3:26-41, 2000
                                              17. Mack L et al: Relationship of a new histological categorization of ductal carcinoma in situ of the breast with size and the immunohistochemical expression of p53, c-erb B2, bcl-2, and ki-67. Hum Pathol. 28(8):974-9, 1997
                                              18. Scott MA et al: Ductal carcinoma in situ of the breast: reproducibility of histological subtype analysis. Hum Pathol. 28(8):967-73, 1997
                                              19. Evans AJ et al: Screening-detected and symptomatic ductal carcinoma in situ: mammographic features with pathologic correlation. Radiology. 191(1):237-40, 1994
                                              20. Lev-Toaff AS et al: Stability of malignant breast microcalcifications. Radiology. 192(1):153-6, 1994
                                              21. Dershaw DD et al: Ductal carcinoma in situ: mammographic findings and clinical implications. Radiology. 170(2):411-5, 1989
                                              22. Patchefsky AS et al: Heterogeneity of intraductal carcinoma of the breast. Cancer. 63(4):731-41, 1989
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Definitions

                                                            • Subtype of DCIS characterized by bulbous micropapillary fronds that protrude at intervals into ductal lumen; lack fibrovascular cores

                                                          IMAGING

                                                          • General Features

                                                            • Mammographic Findings

                                                              • Ultrasonographic Findings

                                                                • MR Findings

                                                                  • Image-Guided Biopsy

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Staging, Grading, & Classification

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Zaesim A et al: Pure low-grade DCIS in a male patient: a case report. J Surg Case Rep. 2018(5):rjy109, 2018
                                                                                          2. Perez AA et al: Ductal carcinoma in situ of the breast: correlation between histopathological features and age of patients. Diagn Pathol. 9:227, 2014
                                                                                          3. Evers K: Significance of finding micropapillary DCIS on core needle biopsy. Acad Radiol. 18(7):795-6, 2011
                                                                                          4. Lee YS et al: Imaging features of micropapillary DCIS: correlation with clinical and histopathological findings. Acad Radiol. 18(7):797-803, 2011
                                                                                          5. Castellano I et al: Micropapillary ductal carcinoma in situ of the breast: an inter-institutional study. Mod Pathol. 23(2):260-9, 2010
                                                                                          6. Ballesio L et al: Role of breast magnetic resonance imaging (MRI) in patients with unilateral nipple discharge: preliminary study. Radiol Med. 113(2):249-64, 2008
                                                                                          7. Shin HJ et al: Screening-detected and symptomatic ductal carcinoma in situ: differences in the sonographic and pathologic features. AJR Am J Roentgenol. 190(2):516-25, 2008
                                                                                          8. Al-Attar MA et al: The impact of image guided needle biopsy on the outcome of mammographically detected indeterminate microcalcification. Breast. 15(5):635-9, 2006
                                                                                          9. Weaver DL et al: Pathologic findings from the Breast Cancer Surveillance Consortium: population-based outcomes in women undergoing biopsy after screening mammography. Cancer. 106(4):732-42, 2006
                                                                                          10. Groves AM et al: Characterization of pure high-grade DCIS on magnetic resonance imaging using the evolving breast MR lexicon terminology: can it be differentiated from pure invasive disease? Magn Reson Imaging. 23(6):733-8, 2005
                                                                                          11. Harms SE: The use of breast magnetic resonance imaging in ductal carcinoma in situ. Breast J. 11(6):379-81, 2005
                                                                                          12. Menell JH et al: Determination of the presence and extent of pure ductal carcinoma in situ by mammography and magnetic resonance imaging. Breast J. 11(6):382-90, 2005
                                                                                          13. Yang WT et al: Sonographic, mammographic, and histopathologic correlation of symptomatic ductal carcinoma in situ. AJR Am J Roentgenol. 182(1):101-10, 2004
                                                                                          14. Moon WK et al: US of ductal carcinoma in situ. Radiographics. 22(2):269-80; discussion 280-1, 2002
                                                                                          15. Ioffe OB: Local extent of disease: a pathology perspective. Semin Breast Dis. 4:179-90, 2001
                                                                                          16. Stomper PC et al: Mammographic detection and staging of ductal carcinoma in situ: mammographic-pathological correlation. Semin Breast Dis. 3:26-41, 2000
                                                                                          17. Mack L et al: Relationship of a new histological categorization of ductal carcinoma in situ of the breast with size and the immunohistochemical expression of p53, c-erb B2, bcl-2, and ki-67. Hum Pathol. 28(8):974-9, 1997
                                                                                          18. Scott MA et al: Ductal carcinoma in situ of the breast: reproducibility of histological subtype analysis. Hum Pathol. 28(8):967-73, 1997
                                                                                          19. Evans AJ et al: Screening-detected and symptomatic ductal carcinoma in situ: mammographic features with pathologic correlation. Radiology. 191(1):237-40, 1994
                                                                                          20. Lev-Toaff AS et al: Stability of malignant breast microcalcifications. Radiology. 192(1):153-6, 1994
                                                                                          21. Dershaw DD et al: Ductal carcinoma in situ: mammographic findings and clinical implications. Radiology. 170(2):411-5, 1989
                                                                                          22. Patchefsky AS et al: Heterogeneity of intraductal carcinoma of the breast. Cancer. 63(4):731-41, 1989