| Id |
Subject |
Object |
Predicate |
Lexical cue |
| T1 |
0-148 |
DRI_Background |
denotes |
Endocrine ductal carcinoma in situ (E-DCIS) of the breast: a form of low-grade DCIS with distinctive clinicopathologic and biologic characteristics. |
| T2 |
149-229 |
DRI_Background |
denotes |
Endocrine ductal carcinoma in situ (E-DCIS), first characterized by Cross et al. |
| T3 |
230-362 |
DRI_Background |
denotes |
in 1985, is an uncommon entity, and there is little information on its pathobiologic features and natural history in the literature. |
| T4 |
363-514 |
DRI_Outcome |
denotes |
This report describes the largest series of 34 cases: 14 cases were pure in situ (group A), and 20 were accompanied by an invasive component (group B). |
| T5 |
515-642 |
DRI_Approach |
denotes |
All except three patients were over the age of 60 years, with the mean being 69.5 years for group A and 72.6 years for group B. |
| T6 |
643-726 |
DRI_Approach |
denotes |
Except for six patients in group A who had nipple discharge, all had a breast mass. |
| T7 |
727-920 |
DRI_Background |
denotes |
On follow-up, one of five group A patients developed local recurrence 5 years after mastectomy, and two of seven group B patients developed another invasive primary in the contralateral breast. |
| T8 |
921-1057 |
DRI_Unspecified |
denotes |
Histologically, E-DCIS showed expansile intraductal growths forming solid sheets and festoons traversed by delicate fibrovascular septa. |
| T9 |
1058-1152 |
DRI_Outcome |
denotes |
Accumulation of basophilic mucin might be found within the growth and the fibrovascular septa. |
| T10 |
1153-1202 |
DRI_Approach |
denotes |
There were variable degrees of stromal sclerosis. |
| T11 |
1203-1326 |
DRI_Background |
denotes |
In some cases, the solid intraductal cellular proliferations were focally punctuated by microglandular spaces and rosettes. |
| T12 |
1327-1354 |
DRI_Unspecified |
denotes |
Comedo necrosis was absent. |
| T13 |
1355-1494 |
DRI_Outcome |
denotes |
Intraductal papillomas were found in the immediate vicinity of the tumors in 18 cases and invariably showed pagetoid involvement by E-DCIS. |
| T14 |
1495-1585 |
DRI_Approach |
denotes |
Pagetoid spread into the adjacent ducts and ductules was also a common feature (17 cases). |
| T15 |
1586-1742 |
DRI_Background |
denotes |
The tumor cells were polygonal, oval, or spindly, often with eccentrically placed, bland-looking, ovoid nuclei and abundant eosinophilic granular cytoplasm. |
| T16 |
1743-1789 |
DRI_Background |
denotes |
Intracellular mucin was commonly demonstrable. |
| T17 |
1790-1913 |
DRI_Background |
denotes |
Immunostaining for myoepithelium using muscle-specific actin antibody confirmed the in situ nature of the E-DCIS component. |
| T18 |
1914-2067 |
DRI_Outcome |
denotes |
The majority of tumor cells showed strong staining with the neuroendocrine markers chromogranin, synaptophysin, and neuron-specific enolase (monoclonal). |
| T19 |
2068-2271 |
DRI_Outcome |
denotes |
Immunostaining also dramatically highlighted the pagetoid spread into the papillomas and ductules by outlining the tumor cells between the negatively stained residual ductal epithelium and myoepithelium. |
| T20 |
2272-2366 |
DRI_Outcome |
denotes |
All cases were immunoreactive for estrogen and progesterone receptor, but not p53 and c-erbB2. |
| T21 |
2367-2392 |
DRI_Unspecified |
denotes |
The Ki-67 index was < 5%. |
| T22 |
2393-2506 |
DRI_Background |
denotes |
Ultrastructural studies on four cases showed many dense-core neurosecretory granules and larger mucigen granules. |
| T23 |
2507-2722 |
DRI_Background |
denotes |
In group B cases, the invasive component, which comprised 5-95% of the tumor, included colloid carcinoma, 12; "carcinoid" tumor, 3; mixed "carcinoid"/colloid carcinoma, 4; and small cell neuroendocrine carcinoma, 1. |
| T24 |
2723-2808 |
DRI_Background |
denotes |
Neuroendocrine markers were also consistently demonstrable in the invasive component. |
| T25 |
2809-3024 |
DRI_Background |
denotes |
In conclusion, E-DCIS is predominantly a disease of older women that is frequently accompanied by papillomas in the vicinity and may present as nipple discharge (an uncommon presentation in the usual forms of DCIS). |
| T26 |
3025-3134 |
DRI_Outcome |
denotes |
It can mimic epitheliosis histologically, but the pagetoid spread is a helpful clue to its neoplastic nature. |
| T27 |
3135-3292 |
DRI_Background |
denotes |
The bland nuclear morphology, lack of necrosis, and biologic marker profile suggest that E-DCIS is a form of low-grade DCIS despite its solid growth pattern. |
| T28 |
3293-3503 |
DRI_Background |
denotes |
The invasive carcinomas associated with E-DCIS are also neuroendocrine programmed rather than the usual types of ductal carcinomas, suggesting that E-DCIS represents a biologically distinctive category of DCIS. |