Histologische Ergebnisse exzisionsbedürftiger Prozesse in punktierten Mammae^*

Abstract

In 614 breasts tumours assumed to be harmless cysts on palpation were aspirated. In 430 cases aspiration was the definitive treatment. In the other 184 cases excision was necessary in order to obtain histology. 11 cysts were radiologically suspect after air filling. In one case excision demonstrated an undifferentiated milk duct carcinoma. 12 cysts had radiologically suspicious areas outside their margins. In 4 cases lobular carcinoma in situ was present. 161 excisions were necessary because no fluid was aspirated at puncture of the tumour. In 10 cases histology showed malignancy: half of these were metastases from a known primary tumour and half were primary breast carcinomas. Out of 17 precancerous states neoplasia could be demonstrated in two cases in addition to papillary and proliferative duct changes. We have classified this neoplasia as lobular carcinoma in situ.

Die Bedeutung der Pneumozystographie in der Abklärung von Mammatumoren*

“…These tumours were punctured with the aim of demonstrating the cyst wall by air filling and subsequent pneumocystography. This procedure enabled 4 Hoeffken und Lanyi (2) haben ausführlich über die großzystische Mastopathie und die Möglichkeiten ihrer röntgenologischen Diagnostik geschrieben. Vielerorts wurden, vor allem in den Jahren vor 1972, klinisch und röntgenologisch gutartig erscheinende Brusttumoren meistens exstirpiert.…”