Ultrasonography of invasive lobular breast carcinoma

Rissanen, Tiina H.; Tikkakoski, Tapani; Autio, A.-L.; Apaja‐Sarkkinen, M.

doi:10.1080/02841859809172196

Cited by 33 publications

(13 citation statements)

References 20 publications

(18 reference statements)

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“…Mann et al (17) have given this rate as 83%, and they concluded that with the use of newer, high-frequency transducers, the sensitivity of ultrasound may improve further. However, initial series using 7.5-MHz transducers showed sensitivities of 68% (15) and 78% (33), whereas series that used 10-13-MHz transducers reported sensitivities up to 98% (34,36). In our study, which used 4-9-MHz and 5-13-MHz linear array transducers, the sensitivity of ultrasonography was found to be 89.47%.…”

Section: Discussionmentioning

confidence: 70%

See 1 more Smart Citation

Invasive lobular carcinoma of the breast: mammographic and sonographic evaluation

Albayrak¹,

Onay²,

Karatağ³

et al. 2010

Diagn Interv Radiol

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Section: Discussionmentioning

confidence: 70%

“…The sensitivity of ultrasound is stated to range from 68% to 98% (15,(32)(33)(34)(35). Mann et al (17) have given this rate as 83%, and they concluded that with the use of newer, high-frequency transducers, the sensitivity of ultrasound may improve further.…”

Section: Discussionmentioning

confidence: 99%

Invasive lobular carcinoma of the breast: mammographic and sonographic evaluation

Albayrak¹,

Onay²,

Karatağ³

et al. 2010

Diagn Interv Radiol

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“…They also found that classic ILC is reported as normal in 40% of ultrasound cases. Other researchers reported posterior acoustic shadowing without an associated mass in 9.5%-11% of cases, 13,15 and found (2%) of cases were sonographically occult. 13 In our study, we had one case of focal shadowing without a mass (3%) and only one case was reported as normal (3%).…”

Section: Discussionmentioning

confidence: 99%

“…15 Ultrasound has an established role in determining if a clinically or mammographically apparent lesion is real or artifactual, and helps to further characterize the lesions by differentiating solid from cystic lesions. 5 It also provides guidance for interventional procedures performed in breast imaging such as biopsies, aspirations, drainages, and needle localizations.…”

Section: Discussionmentioning

confidence: 99%

Sonomammographic characteristics of invasive lobular carcinoma

Kombar¹,

Fahmy²,

Brown³

et al. 2012

BCTT

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Objective: The objective of our study was to identify characteristic features of invasive lobular carcinoma on mammography and ultrasound examinations Materials and methods: This is a retrospective multicenter study of women with biopsyproven invasive lobular carcinoma. All patients had undergone diagnostic sonomammography. The imaging findings were identified by experienced breast imagers. Final surgical pathology results were used as the reference standard. Results: Thirty-two women ranging in age from 42 to 63 years old (mean age, 53 years), All had biopsy-proven invasive lobular carcinomas. Common features on mammogram included dense mass followed by architectural distortion; three cases showed breast asymmetry and one case was reported as normal. On ultrasound, common features included solid mass with spiculated margins, posterior shadowing, and perpendicular to the skin. Conclusion: Although no specific features could be linked to invasive lobular carcinoma, care should be directed to subtle signs such as architectural distortion and breast asymmetry in order not to miss any lesions. The combination of mammographic and sonographic helps to decrease the relatively high false negative diagnosis of this type of breast cancer.

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“…The sensitivity of US for the detection of ILC has been reported to range between 25 and 88% (Paramagul et al 1995, Rissanen et al 1998. Some authors found that US significantly improves the detection of ILC in patients presenting with palpable nodules and no mammographically identified masses (Butler et al 1999, Evans & Lyons 2000.…”

Section: Ultrasoundmentioning

confidence: 99%

Increased incidence of lobular breast cancer in women treated with hormone replacement therapy: implications for diagnosis, surgical and medical treatment

Biglia¹,

Mariani²,

Sgrò³

et al. 2007

Endocr Relat Cancer

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A growing body of evidence support the association between the use of hormone replacement therapy (HRT) and a higher risk of both invasive lobular carcinoma (ILC) and invasive ductal-lobular mixed carcinoma (IDLC). Overall biological and clinical features of ILC entail a more cautious diagnostic and therapeutic approach as compared with invasive ductal carcinoma (IDC). ILCs are more frequently multifocal, multicentric and/or bilateral. Mammography and ultrasound show, therefore, significant limitations, while the higher sensitivity of magnetic resonance imaging in the detection of multifocal and/or multicentric lesions seems to improve the accuracy of preoperative staging of ILCs. Early diagnosis is even more challenging because the difficult in the localization and the sparse cellularity of lobular tumours may determine a false negative core biopsy. ILC is characterized by low proliferative activity, C-ErbB-2 negativity, bcl-2 positivity, p53 and VEGF negativity, oestrogen and progesterone positive receptors, low grade and low likelihood of lymphaticvascular invasion. However, this more favourable biological behaviour does not reflect into a better disease-free and overall survival as compared with IDC. Since lobular histology is associated with a higher risk of positive margins, mastectomy is often preferred to breast conservative surgery. Moreover, only few patients with ILC achieve a pathologic response to preoperative chemotherapy and, therefore, in most patients mastectomy can be regarded as the safer surgical treatment. The preoperative staging and the follow-up of patients with ILC are also complicated by the particular metastatic pattern of such histotype. In fact, metastases are more frequently distributed to the gastrointestinal tract, peritoneum/retroperitoneum and gynaecological organs than in IDC.

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Ultrasonography of invasive lobular breast carcinoma

Abstract: The sensitivity of US for lobular carcinoma was not statistically different from that of mammography. The methods were complementary, especially with regard to evaluating dense breasts and lesions which were difficult to assess clinically and mammographically.

Cited by 33 publications

References 20 publications

Invasive lobular carcinoma of the breast: mammographic and sonographic evaluation

Invasive lobular carcinoma of the breast: mammographic and sonographic evaluation

Sonomammographic characteristics of invasive lobular carcinoma

Increased incidence of lobular breast cancer in women treated with hormone replacement therapy: implications for diagnosis, surgical and medical treatment

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