Mammographic detection and staging of invasive lobular carcinoma

• Published in: Clinical imaging Vol. 30; no. 2; pp. 94 - 98
• Main Authors: Veltman, Jeroen, Boetes, C., van Die, L., Bult, P., Blickman, J.G., Barentsz, J.O.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-03-2006; Elsevier; Elsevier Limited
• Subjects: Adult; Aged; Aged, 80 and over; Agreements; Biological and medical sciences; Breast; Breast cancer; Breast Neoplasms - diagnostic imaging; Breast Neoplasms - pathology; Breast Neoplasms - surgery; Cancer; Carcinoma, Lobular - diagnostic imaging; Carcinoma, Lobular - pathology; Carcinoma, Lobular - surgery; Classification; Genital system. Mammary gland; Humans; Investigative techniques, diagnostic techniques (general aspects); Lobular; Mammography; Medical sciences; Middle Aged; Neoplasm Staging; Observer Variation; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Retrospective Studies; Surgery; Tumors; Breast; Lobular; Mammography; Cancer; Carcinoma; Radiodiagnosis; Mammary gland; Malignant tumor
• ISSN: 0899-7071; 1873-4499
• DOI: 10.1016/j.clinimag.2005.09.021

The aim of the study was to evaluate mammography in detecting and staging of invasive lobular carcinoma (ILC) in order to assess the performance and impact of observer variability. Forty-two cases of ILC were retrospectively evaluated twice by two breast radiologists. Mammographic performance as well as intra- and interobserver variations was evaluated. Thirty-five percent to 37% of the cases were understaged. The largest differences between radiologists were found in the breast imaging reporting and data system (BIRADS) classification and staging performance. These results can have serious influence on patient management.