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Pathology General 2536caec

The type of mammary ductal carcinoma in situ (DCIS) most likely to result in a palpable abnormality in the breast is -

A
Apocrine DCIS
B
Neuroendocrine DCIS
C
Well differentiated DCIS
D
Comedo DCIS
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.

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