Ductal carcinoma in situ of the breast. Heterogeneity of individual lesions
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TL;DR
Differences in pattern have become clinically significant as predictive indicators of success for planned local excisions of small DCIS lesions in patients with ductal carcinoma in situ.
Abstract
Different patterns of DCIS are frequently present within individual lesions (46 of 100), and the more advanced features of architectural atypia are regularly present centrally. This strongly supports the hypothesis that these lesions develop from a central focus and expand peripherally. Also, those lesions with low-grade DCIS at the periphery may be as amenable to local excision for cure as purely low-grade lesions.
