Probably Benign Solid Breast Lesions on Ultrasound: Need for Biopsy Reassessed

Fatima, Kulsoom; Masroor, Imrana; Khanani, Samina

doi:10.31557/apjcp.2018.19.12.3467

Cited by 3 publications

(1 citation statement)

References 20 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mammography is the gold standard for breast cancer detection; whereas, some studies have shown that breast ultrasonography is increasingly important in the qualitative diagnosis of solid masses with a higher diagnostic value, in which two-dimensional ultrasonography plays a crucial role in the clinical diagnosis of malignant masses, which can clearly show the morphological characteristics [13][14][15][16]. In this study, the ultrasonogram of benign and malignant masses was significantly different regarding size, shape, margin, internal echo, microcalcification, lateral acoustic shadow and posterior acoustic enhancement.…”

Section: Discussionmentioning

confidence: 99%

Combination of shear wave elastography and BI-RADS in identification of solid breast masses

Zheng

Xuan

et al. 2021

BMC Med Imaging

View full text Add to dashboard Cite

Background To explore the value of quantitative shear wave elastography (SWE) plus the Breast Imaging Reporting and Data System (BI-RADS) in the identification of solid breast masses. Methods A total of 108 patients with 120 solid breast masses admitted to our hospital from January 2019 to January 2020 were enrolled in this study. The pathological examination served as the gold standard for definitive diagnosis. Both SWE and BI-RADS grading were performed. Results Out of the 120 solid breast masses in 108 patients, 75 benign and 45 malignant masses were pathologically confirmed. The size, shape, margin, internal echo, microcalcification, lateral acoustic shadow, and posterior acoustic enhancement of benign and malignant masses were significantly different (all P < 0.05). The E mean, E max, SD, and E ratio of benign and malignant masses were significantly different (all P < 0.05). The E min was similar between benign and malignant masses (P > 0.05). The percentage of Adler grade II-III of the benign masses was lower than that of the malignant masses (P < 0.05). BI-RADS plus SWE yielded higher diagnostic specificity and positive predictive value than either BI-RADS or SWE; BI-RADS plus SWE yielded the highest diagnostic accuracy among the three methods (all P < 0.05). Conclusion SWE plus routine ultrasonography BI-RADS has a higher value in differentiating benign from malignant breast masses than color doppler or SWE alone, which should be further promoted in clinical practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Combination of shear wave elastography and BI-RADS in identification of solid breast masses

Zheng

Xuan

et al. 2021

BMC Med Imaging

View full text Add to dashboard Cite

show abstract

Well-documented benign sonographic characteristics are rarely seen in malignant masses: is now the time to biopsy less?

2021

View full text Add to dashboard Cite

Sonografik Olarak Kuşkulu Olan ve Histopatolojik Olarak Benign Tanı Alan 1 cm’den Küçük Solid Meme Lezyonları: Sonografik Karakterizasyon

Fidan

Yücesoy

2022

Medical Records

View full text Add to dashboard Cite

Aim: The margins of the lesion are known as the most important sonographic feature when evaluating the character of the breast lesion. The aim of our study was to reveal the types and sonographic features of the margins in solid lesions, which were measured 10 mm or smaller, considered suspicious for malignancy in breast ultrasonography, and histopathologically diagnosed as benign; and therefore, to recall the features that will facilitate the evaluation of radiology-pathology compatibility after biopsy. Material and Methods: This study was conducted with 82 women, who were reported as BIRADS 4-5 in the ultrasonography between 2017 and 2020. Lesion size and margins, presence of posterior shadowing and microcalcifications were scanned retrospectively. Lesions were classified according to their margins as smooth-macrolobulated, microlobulated, irregular-indistinct, angular and spiculated. Results: Histopathologically, the most common benign lesions were fibroadenoma (n=26, 31.7%) and fibrocystic changes (n=15, 18.3%). Sonographically, the mean size of the lesions was 8.96±1.46 mm, and the most common margins were irregular-indistinct in 39%, and smooth-macrolobulated in 30%. In the statistical analysis, the incidence of fibroadenoma was found to be significantly higher in the B-IRADS 4a group compared to the patients in the other pathological diagnosis group (p: 0.007). Conclusion: In this study, it was concluded that the indistinct-irregular, microlobulated and angular margins could also be observed significantly in subcentimeter benign breast lesions, and as the size of the lesion got smaller, it became difficult to differentiate the features of the margins; hence they should be evaluated more carefully.

show abstract

Probably Benign Solid Breast Lesions on Ultrasound: Need for Biopsy Reassessed

Cited by 3 publications

References 20 publications

Combination of shear wave elastography and BI-RADS in identification of solid breast masses

Combination of shear wave elastography and BI-RADS in identification of solid breast masses

Well-documented benign sonographic characteristics are rarely seen in malignant masses: is now the time to biopsy less?

Sonografik Olarak Kuşkulu Olan ve Histopatolojik Olarak Benign Tanı Alan 1 cm’den Küçük Solid Meme Lezyonları: Sonografik Karakterizasyon

Contact Info

Product

Resources

About