[40 years of progress in breast imaging].
In the sixties, mammary diagnosis is just clinical, then the low contrast mammography, not very efficient, appears in the seventies. During the eighties, the ultrasound is set up while modern mammography with high contrast allows the non palpable breast lesions diagnosis. In the nineties years the mammography come before the clinical examination within the context of the breast cancer screening program. Some histological correlation are more specific about the ductal carcinoma in situ grading with microcalcifications, while new techniques (MRI, CT) are evaluated. At present the stereotactic large core breast biopsies benefit from the digital prone table, allow a histological diagnosis and avoid surgical excision of some indeterminate images. After the pernicious effects of imaging, we assess the progress according to the cancerous disease results. We also consider the problem of over-diagnosis and over-treatment of ductal carcinoma in situ.
De Maulmont
C
C
Centre René-Huguenin, 35, rue Dailly, 92210 Saint-Cloud, France.
Cherel
P
P
Ouhioun
O
O
Becette
V
V
Stevens
D
D
Plantet
M M
MM
Hagay
C
C
D001706:Biopsy / Q000379:methods; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000473:pathology; D018270:Carcinoma, Ductal, Breast / Q000000981:diagnostic imaging* / Q000473:pathology; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D049673:History, 20th Century; D006801:Humans; D008279:Magnetic Resonance Imaging; D008327:Mammography / Q000009:adverse effects / Q000145:classification / Q000266:history* / Q000295:instrumentation / Q000379:methods; D009361:Neoplasm Invasiveness / Q000000981:diagnostic imaging; D011829:Radiation Dosage; D013238:Stereotaxic Techniques