Die Eignung der hochfrequenten Sonografie zur Diagnostik des DCIS

Zusammenfassung

Ziel: Darstellung der Wertigkeit der hochfrequenten Mammasonografie zur Diagnostik des DCIS. Material und Methoden: Literaturüberblick und Beschreibung der sonografischen Merkmale des DCIS mit Illustrationen. Ergebnisse: Die Sonografie kann heute insgesamt das DCIS in einer zur Mammografie vergleichbaren Größenordnung detektieren. Besondere Fähigkeiten der Sonografie zeigen sich bei mammografisch okkulten DCIS ohne Mikrokalk und DCIS in dichten bis sehr dichten Mammae. Der sonografischen Beurteilung der Drüsenarchitektur ganzer Lobi kommt neben der Detektion umschriebener Herdbefunde steigende Bedeutung zu. Schlussfolgerung: Die Sonografie stellt neben der Mammografie eine wichtige Methode in der Diagnostik des DCIS dar.

Abstract

Purpose: Presentation of the suitability of breast ultrasound for detecting DCIS of the breast. Materials and Methods: Review of literature on the topic and description of the sonographic features of DCIS illustrated by cases. Results: Breast ultrasound is currently capable of detecting DCIS with a comparable success rate to that of mammography. The advantages of sonography become obvious in cases of DCIS without microcalcifications and DCIS in dense or very dense breasts. The assessment of the sonographic architecture of the whole lobe, not just circumscribed lesions, is becoming increasingly important. Conclusion: Breast ultrasound represents an important tool for detecting DCIS in addition to mammography.

Key words

mammography - dcis - breast ultrasound - breast cancer - microcalcifications

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