Review Article

Intraductal Proliferative Lesions of the Breast—Terminology and Biology Matter: Premalignant Lesions or Preinvasive Cancer?

Table 1

Terminology of IPLs.

DIN systemTraditional terminology

Usual ductal hyperplasia (UDH)Epitheliosis
Infiltrating epitheliosis
Papillomatosis
Sclerosing adenosis with pseudoinfiltration
Sclerosing papillary proliferation

DIN1aClinging carcinoma monomorphus or type 2
Flat epithelial atypia
Atypical cystic lobules
Atypical lobules type A
Atypical columnar change

DIN1bAtypical ductal hyperplasia (ADH)

DIN1cLow-grade ductal carcinoma in situ (LG-DCIS)
DCIS grade 1

DIN2Intermediate-grade ductal carcinoma in situ (IG-DCIS)
DCIS grade 2

DIN3High-grade ductal carcinoma in situ (HG-DCIS)
DCIS grade 3