The type of mammary ductal carcinoma in situ (DCIS) most likely to result in a palpable abnormality in the breast is -
High-Yield Explanation
Carcinoma of the breast is divided into :
Carcinoma in situ → neoplastic cells is limited to ducts and lobules by the basement membrane.
Invasive carcinoma (infiltrating carcinoma) → cells invade beyond the basement membrane.
Caricnoma in situ :
It is of two types
A. Ductal carcinoma insitu (DCIS, intraductal carinoma )
Most frequently present as manzmographic calcification.
Rarely palpable mass may also occur in comedocarcinoma.
DCTS is of two types -
i. Comedocarcinoma
ii. Noncomedo DCTS → Solid, cribriform, papillary or micropapillary
B. Lubular carcinoma in Situ (LCIS)
Always an incidental finding in a biopsy performed for another reason.
LCIS is not associated with calcification → Therefore, it remains infrequent with or without mammography (in contrast to DCIS)
Frequently multicentric and bilateral
Signet ring cells are common.