Breast cancer: Zones of increased density Mammographic features, correlated to clinical TNM and prognosis

被引:3
作者
LangerCherbit, A [1 ]
LeGal, M [1 ]
Asselain, B [1 ]
Neuenschwander, S [1 ]
机构
[1] DEPT DIAGNOST RADIOL, F-75005 PARIS, FRANCE
关键词
breast cancer; zone of increased density; mammography; TNM classification; prognosis;
D O I
10.1016/S0720-048X(96)01115-1
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
From January 1981 to December 1995, 8421 patients having a mammographic opacity corresponding to breast cancer were examined. The opacities were divided into two groups: zones of increased density (ZID), (1449 patients), and a reference group comprising all other types of opacities (6972 patients). Mammograms were reviewed retrospectively, as well as clinical, histological and biological parameters in both groups. Diagnosis of ZID was often difficult, sometime's guided by the presence of microcalcifications. which were more frequent. Sonogrpahy and direct mammographic magnification proved to be particularly helpful for a collect diagnosis. Most prognostic factors were poorer in ZID as compared to the reference group. The 5 year survival rate was 78% (84% for the reference group). Breast cancer that appears on mammograms as a ZID is often more difficult to diagnose and factors of poor prognosis are more often observed than in breast cancer with other types of opacities. To improve their detection sonography and direct mammographic magnification call be very helpful. Copyright (C) 1997 Elsevier Science Ireland Ltd.
引用
收藏
页码:48 / 53
页数:6
相关论文
共 12 条
[1]   LOBULAR CARCINOMA INSITU OF THE BREAST - CLINICAL, PATHOLOGICAL, AND MAMMOGRAPHIC FEATURES [J].
BEUTE, BJ ;
KALISHER, L ;
HUTTER, RVP .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1991, 157 (02) :257-265
[2]   ANALYSIS OF CANCERS MISSED AT SCREENING MAMMOGRAPHY [J].
BIRD, RE ;
WALLACE, TW ;
YANKASKAS, BC .
RADIOLOGY, 1992, 184 (03) :613-617
[3]   INFLAMMATORY BREAST-CARCINOMA - MAMMOGRAPHIC FINDINGS [J].
DERSHAW, DD ;
MOORE, MP ;
LIBERMAN, L ;
DEUTCH, BM .
RADIOLOGY, 1994, 190 (03) :831-834
[4]  
GOEDDE TA, 1992, AM SURGEON, V58, P661
[5]   PREVIOUS MAMMOGRAMS IN PATIENTS WITH IMPALPABLE BREAST-CARCINOMA - RETROSPECTIVE VS BLINDED INTERPRETATION [J].
HARVEY, JA ;
FAJARDO, LL ;
INNIS, CA .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1993, 161 (06) :1167-1172
[6]   FOCAL AREAS OF INCREASED OPACITY IN DUCTAL CARCINOMA IN-SITU OF THE COMEDO TYPE - MAMMOGRAPHIC-PATHOLOGICAL CORRELATION [J].
KINKEL, K ;
GILLES, R ;
FEGER, C ;
GUINEBRETIERE, JM ;
TARDIVON, AA ;
MASSELOT, J ;
VANEL, D .
RADIOLOGY, 1994, 192 (02) :443-446
[7]   BREAST-CANCER MISSED BY MAMMOGRAPHY [J].
MARTIN, JE ;
MOSKOWITZ, M ;
MILBRATH, JR .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1979, 132 (05) :737-739
[8]  
MONOSTORI Z, 1991, SURG GYNECOL OBSTET, V173, P438
[9]   INVASIVE LOBULAR AND DUCTAL CARCINOMA - MAMMOGRAPHIC FINDINGS AND STAGE AT DIAGNOSIS [J].
NEWSTEAD, GM ;
BAUTE, PB ;
TOTH, HK .
RADIOLOGY, 1992, 184 (03) :623-627
[10]  
OPIE H, 1993, AM SURGEON, V59, P490