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The diagnosis and management of pre-invasive breast disease: Pathological diagnosis – problems with existing classifications

机译：浸润前乳腺疾病的诊断和管理：病理学诊断-现有分类存在的问题

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摘要

In this review, we comment on the reasons for disagreement in the concepts, diagnosis and classifications of pre-invasive intraductal proliferations. In view of these disagreements, our proposal is to distinguish epithelial hyperplasia, lobular carcinoma in situ and ductal carcinoma in situ, and to abandon the use of poorly reproducible categories, such as atypical ductal hyperplasia or ductal intraepithelial neoplasia, followed by a number to indicate the degree of proliferation and atypia, as these are not practical for clinical decision making, nor for studies aimed at improving the understanding of breast cancer development. If there is doubt about the classification of an intraductal proliferation, a differential diagnosis and the reason for and degree of uncertainty should be given, rather than categorizing a proliferation as atypical.

机译：在这篇综述中，我们评论了在浸润前导管内增生的概念，诊断和分类上存在分歧的原因。鉴于这些分歧，我们的建议是区分上皮增生，原位小叶癌和原位导管癌，并放弃使用可重复性差的类别，例如非典型导管增生或导管上皮内瘤变，并用数字表示增殖和非典型性的程度，因为这些对于临床决策或旨在增进对乳腺癌发展的了解的研究都不实用。如果对导管内增生的分类存在疑问，则应给出鉴别诊断以及不确定性的原因和程度，而不是将增生归为非典型。

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期刊名称 Breast Cancer Research : BCR
作者
Marc J Van de Vijver; Hans Peterse;
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作者单位

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年(卷),期 2003(5),5
年度 2003
页码 269
总页数 7
原文格式 PDF
正文语种
中图分类肿瘤学;
关键词
atypical ductal hyperplasia (ADH) breast ductal carcinoma in situ (DCIS) epithelial hyperplasia review;

机译：非典型导管增生（ADH）;乳腺;原位导管癌（DCIS）;上皮增生;综述;

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专利

1. The diagnosis and management of pre-invasive breast disease: Pathological diagnosis – problems with existing classifications [J] . Marc J Van de Vijver, Hans Peterse Breast Cancer Research . 2003,第5期

机译：浸润前性乳腺疾病的诊断和管理：病理诊断-现有分类存在的问题
2. The diagnosis and management of pre-invasive breast disease: Flat epithelial atypia – classification, pathologic features and clinical significance [J] . Stuart J Schnitt Breast Cancer Research . 2003,第5期

机译：浸润前性乳腺疾病的诊断和处理：扁平上皮异型症-分类，病理特征和临床意义
3. The diagnosis and management of pre-invasive breast disease: Ductal carcinoma in situ (DCIS) and atypical ductal hyperplasia (ADH) – current definitions and classification [J] . Sarah E Pinder, Ian O Ellis Breast Cancer Research . 2003,第5期

机译：浸润前性乳腺疾病的诊断和管理：原位导管癌（DCIS）和非典型导管增生（ADH）–当前定义和分类
4. Automated Diagnosis of Breast Cancer and Pre-invasive Lesions on Digital Whole Slide Images [C] . Ezgi Mercan, Sachin Mehta, Jamen Bartlett, International Conference on Pattern Recognition Applications and Methods . 2018

机译：在数字整个幻灯片图像上自动诊断乳腺癌和预侵入性病变
5. Molecular and pathological diagnosis of seedborne barley scald disease. [D] . Lee, Hyun-Kyung. 2002

机译：种子传播性大麦烫伤病的分子和病理诊断。
6. The diagnosis and management of pre-invasive breast disease: Flat epithelial atypia – classification pathologic features and clinical significance [O] . Stuart J Schnitt 2003

机译：浸润前性乳腺疾病的诊断和处理：扁平上皮异型症-分类病理特征和临床意义
7. The diagnosis and management of pre-invasive breast disease: Pathological diagnosis – problems with existing classifications [O] . Van de Vijver Marc J, Peterse Hans 2003

机译：浸润前乳腺疾病的诊断和管理：病理学诊断-现有分类存在的问题
8. Conversion of ICD (International Classification of Diseases)-9 and ICPM (International Classification of Procedures in Medicine) Data to ICD-9-CM (Clinical Modification) with Adaptation to DRGs (Diagnosis Related Groups). Part B. [R] . Baker, S. W., Austin, V. R., Clay, J. 1987

机译：将ICD（国际疾病分类）-9和ICpm（国际医学程序分类）数据转换为适应DRG的ICD-9-Cm（临床修改）（诊断相关组）。 B部分

The diagnosis and management of pre-invasive breast disease: Pathological diagnosis – problems with existing classifications

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