Breast Cancer Research

official impact factor 5.79

Review

The diagnosis and management of pre-invasive breast disease: Ductal carcinoma in situ (DCIS) and atypical ductal hyperplasia (ADH) – current definitions and classification

Sarah E Pinder* and Ian O Ellis

Author Affiliations

University of Nottingham and Nottingham City Hospital NSH Trust, Nottingham, UK

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Breast Cancer Res 2003, 5:254-257 doi:10.1186/bcr623

Published: 29 July 2003

Abstract

Intraductal epithelial proliferations of the breast are at present classified into three groups; distinction is made histologically and clinically between usual epithelial hyperplasia and atypical ductal hyperplasia (ADH) and between ADH and ductal carcinoma in situ (DCIS). Although evidence indicates that these boundaries are not ideal on a morphological, immunohistochemical, or genetic basis, this three-tier system is accepted and used at present. The current definitions, histological features, and system of classification of ADH and DCIS are described in this manuscript.

Keywords:
atypical ductal hyperplasia; ductal carcinoma in situ; epithelial proliferation