Comparison of the Imaging Features of Lobular Carcinoma In Situ and Invasive Lobular Carcinoma of the Breast

Purpose To investigate the usefulness of imaging features for differentiating between small lobular carcinoma in situ (LCIS) and invasive lobular carcinoma (ILC). Materials and Methods It included 52 female with LCISs (median 45 years, range 32–67 years) and 180 female with ILCs (median 49 years,...

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Main Authors: Ga Young Yoon, Joo Hee Cha, Hak Hee Kim, Min Seo Bang, Hee Jin Lee, Gyungyub Gong
Format: Article
Language:English
Published: The Korean Society of Radiology 2021-09-01
Series:대한영상의학회지
Subjects:
Online Access:https://doi.org/10.3348/jksr.2020.0148
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author Ga Young Yoon
Joo Hee Cha
Hak Hee Kim
Min Seo Bang
Hee Jin Lee
Gyungyub Gong
author_facet Ga Young Yoon
Joo Hee Cha
Hak Hee Kim
Min Seo Bang
Hee Jin Lee
Gyungyub Gong
author_sort Ga Young Yoon
collection DOAJ
description Purpose To investigate the usefulness of imaging features for differentiating between small lobular carcinoma in situ (LCIS) and invasive lobular carcinoma (ILC). Materials and Methods It included 52 female with LCISs (median 45 years, range 32–67 years) and 180 female with ILCs (median 49 years, range 36–75 years), with the longest diameter of ≤ 2 cm, who were evaluated between January 2012 and December 2016. All the female underwent mammography and ultrasonography. Twenty female with LCIS and 150 female with ILC underwent MRI. The clinical and imaging features were compared, and multivariate analysis was performed to identify the independent predictors of LCIS. Female with LCIS were also subgrouped by lesion size and compared with the female with ILC. Results Multivariate analysis showed that younger age (odds ratio [OR] = 1.100), smaller lesion size (OR = 1.103), oval or round shape (OR = 4.098), parallel orientation (OR = 5.464), and isoechotexture (OR = 3.360) were significant independent factors predictive of LCIS. The area under the receiver operating characteristic curve for distinguishing LCIS from ILC was 0.904 (95% confidence interval, 0.857–0.951). Subgroup analysis showed that benign features were more prevalent in female with smaller LCISs (≤ 1 cm) than in those with ILC. Conclusion Small LCISs tend to demonstrate more benign features than small ILCs. Several imaging features are independently predictive of LCIS.
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spelling doaj.art-d1deb9751b0443958e1ecc175a37d6a32022-12-21T17:16:06ZengThe Korean Society of Radiology대한영상의학회지2288-29282021-09-0182512311245https://doi.org/10.3348/jksr.2020.0148Comparison of the Imaging Features of Lobular Carcinoma In Situ and Invasive Lobular Carcinoma of the BreastGa Young YoonJoo Hee ChaHak Hee KimMin Seo BangHee Jin LeeGyungyub GongPurpose To investigate the usefulness of imaging features for differentiating between small lobular carcinoma in situ (LCIS) and invasive lobular carcinoma (ILC). Materials and Methods It included 52 female with LCISs (median 45 years, range 32–67 years) and 180 female with ILCs (median 49 years, range 36–75 years), with the longest diameter of ≤ 2 cm, who were evaluated between January 2012 and December 2016. All the female underwent mammography and ultrasonography. Twenty female with LCIS and 150 female with ILC underwent MRI. The clinical and imaging features were compared, and multivariate analysis was performed to identify the independent predictors of LCIS. Female with LCIS were also subgrouped by lesion size and compared with the female with ILC. Results Multivariate analysis showed that younger age (odds ratio [OR] = 1.100), smaller lesion size (OR = 1.103), oval or round shape (OR = 4.098), parallel orientation (OR = 5.464), and isoechotexture (OR = 3.360) were significant independent factors predictive of LCIS. The area under the receiver operating characteristic curve for distinguishing LCIS from ILC was 0.904 (95% confidence interval, 0.857–0.951). Subgroup analysis showed that benign features were more prevalent in female with smaller LCISs (≤ 1 cm) than in those with ILC. Conclusion Small LCISs tend to demonstrate more benign features than small ILCs. Several imaging features are independently predictive of LCIS.https://doi.org/10.3348/jksr.2020.0148breast neoplasmscarcinomalobularmammographyultrasonographymagnetic resonance imaging
spellingShingle Ga Young Yoon
Joo Hee Cha
Hak Hee Kim
Min Seo Bang
Hee Jin Lee
Gyungyub Gong
Comparison of the Imaging Features of Lobular Carcinoma In Situ and Invasive Lobular Carcinoma of the Breast
대한영상의학회지
breast neoplasms
carcinoma
lobular
mammography
ultrasonography
magnetic resonance imaging
title Comparison of the Imaging Features of Lobular Carcinoma In Situ and Invasive Lobular Carcinoma of the Breast
title_full Comparison of the Imaging Features of Lobular Carcinoma In Situ and Invasive Lobular Carcinoma of the Breast
title_fullStr Comparison of the Imaging Features of Lobular Carcinoma In Situ and Invasive Lobular Carcinoma of the Breast
title_full_unstemmed Comparison of the Imaging Features of Lobular Carcinoma In Situ and Invasive Lobular Carcinoma of the Breast
title_short Comparison of the Imaging Features of Lobular Carcinoma In Situ and Invasive Lobular Carcinoma of the Breast
title_sort comparison of the imaging features of lobular carcinoma in situ and invasive lobular carcinoma of the breast
topic breast neoplasms
carcinoma
lobular
mammography
ultrasonography
magnetic resonance imaging
url https://doi.org/10.3348/jksr.2020.0148
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