Columnar alteration with prominent apical snouts and secretions
Last revised by Henry Knipe on 2 Jul 2015
Citation, DOI, disclosures and article data
Citation:
Radswiki T, Knipe H, Columnar alteration with prominent apical snouts and secretions. Reference article, Radiopaedia.org (Accessed on 09 Oct 2024) https://doi.org/10.53347/rID-15271
rID:
15271
Article created:
6 Oct 2011,
The Radswiki ◉
Disclosures:
At the time the article was created The Radswiki had no recorded disclosures.
View The Radswiki's current disclosures
Last revised:
2 Jul 2015,
Henry Knipe ◉
Disclosures:
At the time the article was last revised Henry Knipe had no recorded disclosures.
View Henry Knipe's current disclosures
Revisions:
1 time, by
1 contributor -
see full revision history and disclosures
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Synonyms:
- Columnar alteration with prominent apical snouts and secretions (CAPSS)
- CAPSS
- CAPPS
- Columnar alteration with prominent apical snouts and secretions (CAPPS)
Columnar alteration with prominent apical snouts and secretions (CAPSS) is a pathological entity encountered when breast biopsies are done for investigation of punctate or amorphous calcifications. CAPSS involves the terminal ductal and lobular units (TDLU's).
It is sometimes classified under the spectrum of borderline breast disease. Therefore when the histology reveals CAPSS with atypia on a stereotactic or ultrasound guided biopsy, an excisional biopsy is recommended to exclude associated DCIS 4.
References
- 1. Fraser JL, Raza S, Chorny K et-al. Columnar alteration with prominent apical snouts and secretions: a spectrum of changes frequently present in breast biopsies performed for microcalcifications. Am. J. Surg. Pathol. 1998;22 (12): 1521-7. Am. J. Surg. Pathol. (link) - Pubmed citation
- 2. Guerra-wallace MM, Christensen WN, White RL. A retrospective study of columnar alteration with prominent apical snouts and secretions and the association with cancer. Am. J. Surg. 2004;188 (4): 395-8. doi:10.1016/j.amjsurg.2004.06.037 - Pubmed citation
- 3. Pandey S, Kornstein MJ, Shank W et-al. Columnar cell lesions of the breast: mammographic findings with histopathologic correlation. Radiographics. 2007;27 Suppl 1 : S79-89. doi:10.1148/rg.27si075515 - Pubmed citation
- 4. Cardeñosa G. Clinical breast imaging, a patient focused teaching file. Lippincott Williams & Wilkins. (2006) ISBN:0781762677. Read it at Google Books - Find it at Amazon
- 5. Paredes ES. Atlas of mammography. Lippincott Williams & Wilkins. (2007) ISBN:0781764335. Read it at Google Books - Find it at Amazon
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