Diagnostic value of enhanced computed tomography in the detection of the widely spreading intraductal component of breast cancer: Case reports

被引:5
作者
Akashi-Tanaka S. [1 ]
Fukutomi T. [1 ]
Miyakawa K. [2 ]
Tsuda H. [3 ]
机构
[1] Department of Surgical Oncology, National Cancer Center Hospital, Chuoku, Tokyo 104
[2] Department of Diagnostic Radiology, National Cancer Center Hospital
[3] Pathology Division, National Cancer Center Research Institute, Tokyo
关键词
Breast cancer; CT scan; Diagnostic X-ray; EIC;
D O I
10.1007/BF02967052
中图分类号
学科分类号
摘要
We report cases of breast cancer with extensive intraductal component (EIC), the extent of which could be detected only by contrast-enhanced computed tomography (CT) scan. One case was a 32-year-old woman who presented left nipple bloody discharge without breast mass palpation. Mammography (MMG), galactography and ultrasonography (US) showed no abnormalities. Contrast helical CT scan revealed numerous patchy enhancement in the upper-outer quadrant of the left breast. Histological examination revealed invasive ductal carcinoma with a predominant intraductal component. The second case was a 36-year-old woman who had noticed a left breast mass 2.4 cm in diameter. MMG and US suggested a localized breast cancer. Contrast helical CT scan revealed numerous patchy enhancement throughout the mammary gland in addition to the index tumor near the nipple. Histopathological results indicated invasive ductal carcinoma with widely spread EIC. In these two cases, the extent of intraductal cancer also correlated well with the CT findings. Breast CT scan can be an effective tool for determining the extent of the intraductal component of breast cancer, which is an important factor when considering breastconserving therapy.
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页码:29 / 32
页数:3
相关论文
共 13 条
[1]  
Boetes C., Mus R.D.M., Holland R., Et al., Breast tumors
[2]  
Comparative accuracy of MR imaging relative to mammography and US for demonstrating extent, Radiology, 197, (1995)
[3]  
Chang C.H.J., Sibala J.L., Fritz S.L., Et al., Computed tomography in detection and diagnosis of breast cancer, Cancer, 46, pp. 939-946, (1980)
[4]  
Tohnosu N., Okuyama K., Koide Y., Kikuchi T., Awano T., Matsubara H., Sano T., Nakaichi H., Funami Y., Matsushita K., Isono K., A comparison between ultrasonography and mammography, computed tomography and digital subtraction angiography for the detection of breast cancers, Surgery Today, 23, 8, pp. 704-710, (1993)
[5]  
Orel S.G., Schnall M.D., LiVolsi V.A., Troupin R.H., Suspicious breast lesions: MR imaging with radiologic-pathologic correlation, Radiology, 190, 2, pp. 485-493, (1994)
[6]  
Muramatsu Y., Akiyama N., Hanai K., Medical exposure in lung cancer screening by helical computed tomography, Jpn J Radiol Technol, 52, pp. 1-8, (1995)
[7]  
Schnitt S.J., Connolly J.L., Khettry U., Pathologic findings on re-excision of the primary site in breast cancer patients considered for treatment by primary radiation therapy, Cancer, 59, 4, pp. 675-681, (1987)
[8]  
Holland R., Connolly J.L., Gelman R., Mravunac M., Hendriks J.H.C.L., Verbeek A.L.M., Schnitt S.J., Silver B., Boyages J., Harris J.R., The presence of an extensive intraductal component following a limited excision correlates with prominent residual disease in the remainder of the breast, Journal of Clinical Oncology, 8, 1, pp. 113-118, (1990)
[9]  
Bornstein B.A., Recht A., Connolly J.L., Et al., Results of treating ductal carcinoma in situ of the breast with conservative surgery and radiation therapy, Cancer, 67, pp. 7-13, (1991)
[10]  
Solin L.J., Kurtz J., Fourquet A., Amalric R., Recht A., Bornstein B.A., Kuske R., Taylor M., Barrett W., Fowble B., Haffty B., Schultz D.J., Yeh I.-T., McCormick B., McNeese M., Fifteen-year results of breast-conserving surgery and definitive breast irradiation for the treatment of ductal carcinoma in situ of the breast, Journal of Clinical Oncology, 14, 3, pp. 754-763, (1996)