Ductal carcinoma in situ of the breast: a comparative analysis of histology, nuclear area, ploidy, and neovascularization provides differentiation between low- and high-grade tumors

Breast J. 2002 May-Jun;8(3):139-44. doi: 10.1046/j.1524-4741.2002.08303.x.

Abstract

Ductal carcinoma in situ (DCIS) is a heterogeneous group of lesions that has been subdivided into three types: well differentiated (grade I), moderately differentiated (grade II), and poorly differentiated (grade III). Forty-five cases of DCIS were analyzed for image analysis: nuclear area, DNA ploidy, and vascularization in order to establish a more precise correlation between the histologic grade and these morphometric parameters. Our results confirm that the mean nuclear area, DNA ploidy, and microvessel density (MVD) progressively increased from DCIS grade I to DCIS grade III. The analysis of the nuclear area in relationship to DCIS grading demonstrated a progressive increase of values between grades I/II to grade III, but these data have no statistical significance. An analysis of DNA ploidy demonstrated significant differences between grades I/III (p < 0.05), but there was no statistical significance between grades I/II, grades II/III, or both (p > 0.005). The analysis of MVD was extremely significant between grades I/III (p < 0.001) and grades II/III (p < 0.001), but between grades I/II, these values showed no significant differences (p > 0.05). Based on this study, it can be concluded that image analysis techniques confirm how DCIS presents morphometric values that increase from DCIS grade I to DCIS grade III and that within this spectrum, DCIS grade III can be identified as a group of tumors presenting a large nuclear area, aneuploid DNA, and abundant vascular neogenesis, confirming that this neoplasm displays more aggressive patterns than the other two types. These criteria should justify a higher rate of tumor progression to DCIS grade III.

Publication types

  • Comparative Study

MeSH terms

  • Breast Neoplasms / blood supply
  • Breast Neoplasms / pathology*
  • Carcinoma in Situ / blood supply
  • Carcinoma in Situ / pathology*
  • Carcinoma, Ductal, Breast / blood supply
  • Carcinoma, Ductal, Breast / pathology*
  • Cell Nucleus / pathology
  • DNA, Neoplasm / genetics
  • Female
  • Humans
  • Image Processing, Computer-Assisted
  • Neovascularization, Pathologic
  • Ploidies

Substances

  • DNA, Neoplasm