Assessment of color Doppler ultrasonography findings in gynecomastia

Yüksekkaya, Ruken; Çelikyay, Fatih; Özçetin, Mustafa; Yüksekkaya, Mehmet Emin; Asan, Yasemin

doi:10.11152/mu.2013.2066.154.ry2

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Tanner stage distribution of cases, it was observed that 15 (7%) cases presented with Tanner stage V. This rate may be high but, in the literature, Tanner stage V cases are given at rates varying between 1-20% (1,5,6). We think that this may be due to the difference in the population and age group included in the study.…”

Section: Discussionmentioning

confidence: 81%

“…The depth, transverse, and longitudinal dimensions of both breasts as well as the glandular tissue volume was measured for evaluating thelarche (1,6). The sonographic Tanner staging (I-V) was done as follows (3): Tanner Stage I; ill-defined hyperechoic retroareolar tissue, Tanner Stage II; retroareolar hyperechoic tissue with a central, star-shaped hypoechoic area, Tanner Stage III; wider retroareolar hyperechoic area and central spider-shaped hypoechoic appearance, Tanner stage IV; fibroglandular tissue, mostly periareolar, is accompanied by a prominent central hypoechoic area and sometimes adipose tissue, Tanner stage V; hyperechoic glandular tissue with increased subcutaneous fat tissue and without hypoechoic central nodule.…”

Section: Methodsmentioning

confidence: 99%

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Telarşli Puberte Prekoks Hastalarinda Vaskülari̇teni̇n Doppler Ultrasonografi Yöntemleri̇ İle Değerlendi̇ri̇lmesi̇

ÖZTÜRK

GÜNGÖR>

Buluş

et al. 2023

Kocatepe Tıp Dergisi

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OBJECTIVE: The aim of this study is to investigate the correlation between breast vascularity level and Tanner staging in the evaluation of thelarche, and to compare Doppler methods for demonstrating vascularity.MATERIAL AND METHODS: Girls aged 6–10 who were referred to the radiology clinic with a complaint of breast swelling and prediagnosed with precocious puberty between October and December 2017 were included in the study. Breast ultrasonography (US) and color doppler ultrasonography (CDUS) examinations were performed on all participants. Age, Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), Estradiol (E2), thelarche stage, both breast volumes were recorded for all participants. Vascular scores were measured for both breasts using imaging modalities such as color doppler (CD), Power US (PD), and superb microvascular imaging (SMI).RESULTS: We included 116 girls and 213 thelarche breasts in the study. A significant correlation was found between the depth and transverse and longitudinal diameter for each breast and breast volume and Tanner stages (rs = 0.762, rs = 0.830, rs = 0.774 rs = 0.824, respectively; p < 0.001). Although the highest correlation between Doppler methods was found in PD (PD rs =0.68, CD rs =: 0.61, SMI rs =:0.61, p<0.001), the methods did not have any superiority over each other (p>0.05). Vascularization with SMI was demonstrated in 30 of 65 breasts for which vascularization could not be demonstrated with power Doppler. Among these 30 cases, 90% (n = 27) were Tanner stage I and II.CONCLUSIONS: In conclusion, although SMI is as successful as conventional Doppler methods in the evaluation of thelarche vascularity, it can provide more data in some cases.

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Section: Discussionmentioning

confidence: 81%

Section: Methodsmentioning

confidence: 99%

Telarşli Puberte Prekoks Hastalarinda Vaskülari̇teni̇n Doppler Ultrasonografi Yöntemleri̇ İle Değerlendi̇ri̇lmesi̇

ÖZTÜRK

GÜNGÖR>

Buluş

et al. 2023

Kocatepe Tıp Dergisi

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“…In men with clinical findings consistent with gynecomastia or pseudogynecomastia, ultrasound (US) is not routinely indicated. When US is performed, gynecomastia may appear mass-like and demonstrate vascularity on color Doppler [16][17][18]. Comparison with the contralateral side may be helpful on real-time imaging, as synchronous bilateral breast carcinoma in males is rare.…”

Section: Discussion Of Procedures By Variant Variant 1: Male Patient Of Any Age With Symptoms Of Gynecomastia and Physical Examination Comentioning

confidence: 99%

ACR Appropriateness Criteria® Evaluation of the Symptomatic Male Breast

Niell

Lourenço

Moy³

et al. 2018

Journal of the American College of Radiology

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Although the majority of male breast problems are benign with gynecomastia as the most common etiology, men with breast symptoms and their referring providers are typically concerned about whether or not it is due to breast cancer. If the differentiation between benign disease and breast cancer cannot be made on the basis of clinical findings, or if the clinical presentation is suspicious, imaging is indicated. The panel recommends the following approach to breast imaging in symptomatic men. In men with clinical findings consistent with gynecomastia or pseudogynecomastia, no imaging is routinely recommended. If an indeterminate breast mass is identified, the initial recommended imaging study is ultrasound in men younger than age 25, and mammography or digital breast tomosynthesis in men age 25 and older. If physical examination is suspicious for a male breast cancer, mammography or digital breast tomosynthesis is recommended irrespective of patient age.

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Is adding vascularity and elastography adjunct to B-mode ultrasound useful in distinguishing male breast carcinoma and gynecomastia?

WAKAKI

Itoh

SUYAMA

et al. 2022

Jpn J Med Ultrasonics

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Assessment of color Doppler ultrasonography findings in gynecomastia

Abstract: Our research indicates that vascularity is correlated with breast development in patients with gynecomastia. Additionally, we determined that RI values might be as important as Tanner stages on US.

Cited by 3 publications

References 9 publications

Telarşli Puberte Prekoks Hastalarinda Vaskülari̇teni̇n Doppler Ultrasonografi Yöntemleri̇ İle Değerlendi̇ri̇lmesi̇

Telarşli Puberte Prekoks Hastalarinda Vaskülari̇teni̇n Doppler Ultrasonografi Yöntemleri̇ İle Değerlendi̇ri̇lmesi̇

ACR Appropriateness Criteria® Evaluation of the Symptomatic Male Breast

Is adding vascularity and elastography adjunct to B-mode ultrasound useful in distinguishing male breast carcinoma and gynecomastia?

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