The ductal carcinoma in situ in contrast enhanced dynamic MR mammography

被引:38
作者
Fischer, U [1 ]
Westerhof, JP [1 ]
Brinck, U [1 ]
Korabiowska, M [1 ]
Schauer, A [1 ]
Grabbe, E [1 ]
机构
[1] GEORG AUGUST UNIV KLINIKUM,ABT ALLGEMEINE PATHOL & PATHOL ANAT 2,D-37077 GOTTINGEN,GERMANY
来源
FORTSCHRITTE AUF DEM GEBIETE DER RONTGENSTRAHLEN UND DER NEUEN BILDGEBENDEN VERFAHREN | 1996年 / 164卷 / 04期
关键词
MR mammography; mammography; ductal carcinoma in situ (DCIS); tumour vascularisation;
D O I
10.1055/s-2007-1015657
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: To define the value of contrast-enhanced MR mammography in ductal carcinoma in situ (DCIS). Material and methods: In a group of 35 patients with DCIS, the results of MR imaging were compared to histopathology and immunohistochemistry in a retrospective study. Results: In 35 patients with DCIS, a signal enhancement was found in 25 cases (72 %). In 15 of these cases,the signal time curve was typical for malignancy. The other 10 patients had non-specific signal curves. Six of 35 patients (11 %) had no enhancement within the tumour region. Four of 35 patients (11 %) had bilateral diffuse signal increase, and regions of DCIS could not be identified clearly. Three DCIS were visualised exclusively by MR mammography. The configuration of signal enhancement was sharp (32 %), unsharp (48 %) or dendritic (20 %). DCIS of the comedo type showed a significantly higher enhancement than the non-comedo type. A significant correlation between the grade of vascularisation in immunohistochemistry and signal enhancement in MR mammography could not be demonstrated. Conclusion: Dynamic MR mammography does not reliably visualise DCIS.
引用
收藏
页码:290 / 294
页数:5
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