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논문 기본 정보

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학술저널
저자정보
Musaed Rayzah (Departments of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine) Jai Min Ryu (Departments of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine) Jeong Eon Lee (Departments of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine) Mansour Alramadhan (Departments of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine) Bookyung Han (Departments of Radiology Samsung Medical Center Sungkyunkwan University School of Medicine) Ha Woo Yi (Departments of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine) 박승민 (성균관대학교) 백현준 (성균관대학교) 남석진 (성균관대학교)
저널정보
한국유방암학회 Journal of Breast Disease Journal of Breast Disease 제4권 제2호
발행연도
2016.12
수록면
77 - 84 (8page)
DOI
https://doi.org/10.14449/jbd.2016.4.2.77

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Purpose: The purpose of this study was to determine whether magnetic resonance imaging (MRI) could assess the size of ductal carcinoma in situ (DCIS) more accurately compared to mammography and ultrasonography using the histopathological dimension of the surgical specimen as the reference measurement. Methods: This was a retrospective review study using data from our institution database of breast cancer. Preoperative contrast-enhanced MRI, mammography and ultrasonography were performed to detect and assess the size of DCIS in 131 patients. The greatest dimensions of DCIS determined by the imaging modalities were compared with the histopathological dimensions of the surgical specimens. Intraclass coefficients were calculated to examine the agreement among the MRI, mammography and ultrasonography measurements. The Wilcoxon signed-rank test was used to evaluate the statistical significance of the differences in size among MRI, mammography or ultrasonography and histopathology findings. Results: Of the 131 DCIS lesions, 126 (96.2%) were detected by MRI, 103 (78.6%) were detected by mammography, and 121 (92.4%) were detected by ultrasonography. The mean lesion size was 38.8 mm on histopathology, 36.0 mm on MRI, 28.8 mm on mammography, and 23.3 mm on ultrasonography, and there were no significant differences between sizes determined by histopathology and MRI, while there were significant differences between histopathology and the other modalities. The correlation coefficient between histopathological measurement and MRI was 0.837, versus 0.461 between histopathology and mammography and 0.284 between histopathology and ultrasonography. The lesion size was correctly estimated (±5 mm), under-estimated (<5 mm), or over-estimated (>5 mm), respectively, by MRI in 52.7%, 30.5%, and 16.8% of cases; by mammography in 32.0%, 51.2%, and 16.8% of cases, respectively; and by ultrasonography in 24.4%, 62.6%, and 13.0% of cases, respectively. Conclusion: In our study, MRI was more accurate for detection and assessment the size of DCIS compared to mammography and ultrasonography.
#Breast neoplasms #Ductal carcinoma in situ #Magnetic resonance imaging

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참고문헌 (30)

참고문헌 신청
Dershaw DD / 1989 / Ductal carcinoma in situ: mammographic findings and clinical implications / Radiology 170:411~415 google schola Ernster VL / 1996 / Incidence of and treatment for ductal carcinoma in situ of the breast / JAMA 275:913~918 google schola Jemal A / 2003 / Cancer statistics, 2003 / CA Cancer J Clin 53:5~26 google schola Recht A / 1998 / The fourth EORTC DCIS Consensus meeting (Château Marquette, Heemskerk, The Netherlands, 23-24 January 1998): conference report / Eur J Cancer 34:1664~1669 google schola Cellini C / 2005 / Multiple re-excisions versus mastectomy in patients with persistent residual disease following breast conservation surgery / Am J Surg 189:662~666 google schola

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