A proposal for the histopathological diagnosis of ductal carcinoma m situ of the breast

Takuya Moriya, Masako Kasami, Futoshi Akiyama, Shu Ichihara, Masafumi Kurosumi, Hitoshi Tsuda, Shinobu Umemura, Sadako Akashi-Tanaka, Hiroshi Imamura, Hirotaka Iwase, Eisei Shin, Yuko Harada, Shoshu Mitsuyama, Noriaki Ohuchi

Research output: Contribution to journalReview articlepeer-review

10 Citations (Scopus)

Abstract

Background: As the incidence of ductal carcinoma in situ (DCIS) is increasing, it is necessary to make a guideline for the pathological examination and diagnosis of DCIS, by creating criteria based on clinical and biological aspects of the disease. Method: We collected biopsy specimens originally diagnosed as benign lesions, from patients who subsequently developed invasive carcinoma in the ipsilateral breast. The histology of the biopsy specimens was re-evaluated principally according to the 1995 Philadelphia Consensus on DCIS. Histopathological agreement on each biopsy specimen was made by the JBCS Study Group members under a multiviewer microscope. In the course of making conclusive agreements among the pathologists, we developed a consensus for the histopathological diagnosis of DCIS, especially non-comedo types. Results: DCIS is defined as a carcinoma of ductal epithelial origin, without any evidence of stromal invasion. It is necessary to note the methods of pathologic examination required to diagnose DCIS. Stromal invasion is an important prognostic factor, and should be diagnosed with caution. Classification of proliferative ductal lesions as benign or malignant (DCIS), the subtype of DCIS (nuclear grade, architecture, and necrosis), and the histological grading of DCIS are proposed and recommended. Conclusion: Although we have made a new proposal according to current concepts, there are still several unresolved problems. Thus further examination and modification will be necessary in the future.

Original languageEnglish
Pages (from-to)321-325
Number of pages5
JournalBreast Cancer
Volume7
Issue number4
DOIs
Publication statusPublished - 2000 Oct

Keywords

  • Atypical ductal hyperplasia
  • Ductal carcinoma in situ
  • Ductal hyperplasia
  • Pathology

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Pharmacology (medical)

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