Comparison of cytomorphological and architectural heterogeneity in mammographically-detected ductal carcinoma in situ.

Abstract:

:Many classification schemes have been proposed for ductal carcinoma in situ. Architectural heterogeneity is widely recognized. Cytonuclear grade appears to have greater prognostic significance than architectural pattern. This study assesses heterogeneity using a classification based on cytological grade and compares this to architectural heterogeneity in mammographically detected ductal carcinoma in situ. One hundred and twelve cases were classified according to architectural subtypes and the carcinoma nuclei were graded. Necrosis and microcalcification were assessed. Eighty-four percent of ductal carcinomas in situ had a single nuclear grade, whereas only 39% showed a single architectural pattern. High grade nuclei were present in 87% of cases. Necrosis was associated with high nuclear grade. In contrast to architectural heterogeneity, this study shows little ductal carcinoma in situ heterogeneity when classification is based on nuclear grade. Thus, a cytomorphological classification should have the advantage of consistency and reproducibility in comparison to architecture-based classification systems.

journal_name

Histopathology

journal_title

Histopathology

authors

Harrison M,Coyne JD,Gorey T,Dervan PA

doi

10.1046/j.1365-2559.1996.322365.x

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

445-50

issue

5

eissn

0309-0167

issn

1365-2559

journal_volume

28

pub_type

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