Tubular carcinoma of the breast: sensitivity of diagnostic techniques and correlation with histopathology.

Mitnick, J S; Gianutsos, Rosamond; Pollack, Abraham H.; Susman, Marcy; Baskin, Barbara; Ko, William D.; Pressman, Peter I.; Feiner, Helen; Roses, Daniel F.

doi:10.2214/ajr.172.2.9930775

Cited by 47 publications

(50 citation statements)

References 11 publications

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“…The described features on MG and US were not specific for TC with suspicion of malignancy. Common finding of the breast tubular carcinoma is the irregular shaped mass with spiculated margin on both US and MG (9,11,23). In our series, on mammography, tubular carcinomas were usually high-density, irregular shaped masses with indistinct or spiculated margins.…”

Section: Discussionsupporting

confidence: 46%

“…Even though hyperintense signal with dark internal septations of TC on T2-W images of MR imaging is similar to fibroadenoma, dynamic analysis with early and delayed enhancement patterns, ADC values and advanced age help to differentiate TC from this benign entity on MR imaging. Tubular carcinoma has been reported to be related with other types of carcinomas and associated with other histologic entities (4,23,24). In this study, one patient with DCIS in another quadrant of the same breast and one patient with invasive ductal carcinoma in the same quadrant were reported.…”

Section: Discussionmentioning

confidence: 65%

“…The mammography and sonography characteristics of this rare tumor have been discussed in several reports (5,9,10,11,23). The described features on MG and US were not specific for TC with suspicion of malignancy.…”

Section: Discussionmentioning

confidence: 98%

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MR Imaging Features of Tubular Carcinoma: Preliminary Experience in Twelve Masses

Yılmaz

Bayramoğlu

Emirikçi

et al. 2018

Eur J Breast Health

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Objective: We retrospectively analyzed the magnetic resonance (MR) imaging features and diffusion-weighted imaging findings of the 12 masses of 10 patients with tubular carcinoma (TC), including mammography and sonography findings. Materials and Methods:Mammographic, sonographic and magnetic resonance imaging features in 12 histopathologically confirmed masses diagnosed as TC of the breast within 10 patients were evaluated. Morphologic characteristics, enhancement features, apparent diffusion coefficient (ADC) values were reviewed.Results: On mammography (n=5), TC appeared as high density masses with indistinct, spiculated or obscured margins. Sonographically, TC appeared as a hypoechoic appearance (n=12) with posterior acoustic shadowing in nine. On MR imaging, the margins of ten of twelve masses were irregular. Internal enhancement patterns were heterogeneous in 10 patients. Dynamic enhancement patterns illustrated plateau kinetics (n=8). On the T2-weighted images 4 masses were hypointense, and 8 were hyperintense; hypointense internal septation was found in seven of these. Tubular carcinoma appeared as hyperintense on diffusion-weighted imaging with ADC values of 0.85±0.16x10-3 mm 2 /s that was lower than the normal parenchyma of 1.25±0.25x10-3 mm 2 /s. Conclusion:According to our study with a limited number of cases, tubular carcinomas can be described as hyperintense breast carcinomas with or without dark internal septation like appearance on T2-weighted images. Low ADC values from DW imaging can be used to differentiate TC from hyperintense benign breast lesions.

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Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 65%

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MR Imaging Features of Tubular Carcinoma: Preliminary Experience in Twelve Masses

Yılmaz

Bayramoğlu

Emirikçi

et al. 2018

Eur J Breast Health

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“…22 The type of malignant lesions which more commonly lead to sampling error include: carcinomas of small size, carcinomas located adjacent to benign lesions, tumors with large areas of necrosis, scirrhous tumors, and low-grade carcinomas, including tubular carcinoma and lobular carcinoma. 11,16,20,23,[25][26][27][28][29] In one series, two-thirds of false-negative cases turned out to be scirrhous-type carcinomas on biopsy. 27 The proportion of FNA specimens designated as "suspicious" and/or "atypical" range from 3-9%, depending on the series 12,13,21 ; in our series it was 7%.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of fine‐needle aspiration cytology of breast: Analysis of 2,375 cases from northern Thailand

Chaiwun

Settakorn

Ya-In

et al. 2002

Diagnostic Cytopathology

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At the Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand, 2,375 cases of breast lesions were sampled by fine-needle aspiration (FNA) from 1994-1999. Cytologic diagnoses were: benign (48%), suspicious for malignancy (5%), malignant (15%), and unsatisfactory (32%). Comparison with histology was possible in 721 cases. The diagnoses obtained by FNA showed a sensitivity of 84.4%, specificity of 99.5%, positive predictive value of 99.8%, negative predictive value of 84.3%, false-negative rate of 16.7%, false-positive rate of 0.5%, and overall diagnostic accuracy of 91.3%. We conclude that, in experienced hands, FNA of breast masses is reliable for diagnosis. Assessment of samples at the time of aspiration can reduce the number of inadequate specimens to near zero. Correlation of FNA results with clinical and radiologic findings can identify false-negatives and false-positives, ensuring optimal patient management. Many centers now recommend needle core biopsy instead of FNA. For regions such as ours, the added cost of this test would make it unavailable to many patients, which could delay a diagnosis of breast cancer. We advocate keeping FNA as a first-line diagnostic procedure, at least in areas under economic restrictions, in order to maximize the availability of health care to women with breast disease.

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“…17 On sonograms, tubular carcinomas usually appear as hypoechoic masses with ill-defined margins and shadowing ( Figure 5). Shadowing has been reported in up to 93% of cases.…”

Section: Tubular Carcinomamentioning

confidence: 99%

Small focal areas of acoustic shadowing in the breast

Mesurolle

Ariche-Cohen²,

Mignon

et al. 2002

J of Clinical Ultrasound

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Tubular carcinoma of the breast: sensitivity of diagnostic techniques and correlation with histopathology.

Cited by 47 publications

References 11 publications

MR Imaging Features of Tubular Carcinoma: Preliminary Experience in Twelve Masses

MR Imaging Features of Tubular Carcinoma: Preliminary Experience in Twelve Masses

Effectiveness of fine‐needle aspiration cytology of breast: Analysis of 2,375 cases from northern Thailand

Small focal areas of acoustic shadowing in the breast

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