1. For diagnosis of noncalcified ductal carcinoma in situ (DCIS), the finding of pseudomicrocysts on ultrasound and utilization of color flow and Doppler are important in helping a radiologist to determine when to biopsy.
2. Noncalcified DCIS should be included in the differential of suspicious enhancing masses or nonmass enhancement in patients where DCIS is not seen mammographically. Additionally, MRI is a useful adjunct in evaluating extent of disease and determining surgical management.
-Introduction
-Purpose
-Discuss multimodality imaging features of noncalcified DCIS
-Imaging Findings
-Mammography
-Distortion
-Mass / focal asymmetry
-Occult
-Ultrasound
-Mass
-Irregular shape
-Microlobulated margins
-Complex echotextures
-Pseudomicrocystic- clustered microcysts
-MRI
- Nonmass enhancement
-Mass
-Focus
-Kinetics
-Role of MRI in determining extent of disease and surgical planning
-Conclusion
-It is important for the radiologist to be aware of the various imaging features of noncalcified DCIS in order to optimize technique and guide patient management.
Rosenblat, J,
McElligott, S,
Sheth, M,
Multimodality Imaging Appearance of Noncalcified Ductal Carcinoma in Situ. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14003991.html