Article: Tubular carcinoma of the breast: mammographic, sonographic, clinical and pathologic findings.
2007 Volume 61, Issue 1, Page(s) 158–162
Abstract: Purpose: To determine and quantitate the radiological characteristics of tubular carcinoma of the breast, to report clinical and pathologic findings and to define findings at follow-up.: Materials and methods: A retrospective review of records of ... ...
| Abstract | Purpose: To determine and quantitate the radiological characteristics of tubular carcinoma of the breast, to report clinical and pathologic findings and to define findings at follow-up. Materials and methods: A retrospective review of records of 2872 women who received a diagnosis of breast carcinoma between January 1988 and January 2006 revealed 32 histopathologically proven pure tubular carcinoma of the breast. Analysis included history; findings at physical examination, mammography, and sonography (US) at the time of diagnosis and in postoperative follow-up and histopathological results. Results: Fifty-nine percent of the patients (n=19) presented with a palpable mass. The mammographic findings were a mass in 23 (72%), a mass with microcalcifications in 2 (6%), asymmetric focal density in 1 (3%), architectural distortion in 1 (3%) and negative in 5 (16%) of the 32 patients. Most (96%) masses had spiculated margins. US depicted 30 masses in 29 patients, all of which were hypoechoic, mostly (n=27, 90%) with posterior acoustic shadowing. The cancer was clinically occult in 41% (n=13), mammographically occult in 16% (n=5), and sonographically occult in 6% (n=2) of the patients. Histologically, the tumor was multifocal in 3% (n=1) of the patients. Four (13%) patients developed contralateral breast carcinoma at follow-up. Conclusion: Tubular carcinoma has a variety of presentations, but it is mostly seen on mammography as a small spiculated mass, and on sonography as an irregular mass with posterior acoustic shadowing. Although tubular carcinoma is known as a well-differentiated tumor with excellent prognosis, the mammographic follow-up of the contralateral breast is important. |
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| MeSH term(s) | Adenocarcinoma/diagnostic imaging ; Adenocarcinoma/epidemiology ; Adenocarcinoma/pathology ; Adult ; Aged ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/epidemiology ; Breast Neoplasms/pathology ; Female ; Humans ; Middle Aged ; Neoplasms, Multiple Primary/diagnostic imaging ; Neoplasms, Multiple Primary/epidemiology ; Neoplasms, Multiple Primary/pathology ; Neoplasms, Second Primary/diagnostic imaging ; Neoplasms, Second Primary/epidemiology ; Neoplasms, Second Primary/pathology ; Prevalence ; Retrospective Studies ; Risk Assessment/methods ; Risk Factors ; Severity of Illness Index ; Turkey/epidemiology ; Ultrasonography, Mammary/statistics & numerical data |
| Language | English |
| Publishing date | 2007-01 |
| Publishing country | Ireland |
| Document type | Journal Article |
| ZDB-ID | 138815-0 |
| ISSN | 1872-7727 ; 0720-048X |
| ISSN (online) | 1872-7727 |
| ISSN | 0720-048X |
| DOI | 10.1016/j.ejrad.2006.08.021 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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