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Can ultrasound be used to differentiate tubular adenomas of breast from fibroadenomas or carcinoma?
Asian Pac J Cancer Prev. 2014; 15(3):1269-74.AP

Abstract

Breast tubular adenomas are rare benign breast tumors and detailed descriptions of their sonographic appearance are necessary for differential diagnosis from fibroadenomas or breast cancers. This study investigated twenty-one histology-proved tubular adenomas in 17 patients and also included 48 fibroadenomas in 35 patients as a control group. There was no significant difference between the two groups with clinical presentation, which was age, tumor location, tumor number (p>0.05). Statistic analysis showed three significant factors in the differential diagnosis of tubular adenomas and fibroadenomas, including macro-lobulation (p=0.01), "tiny branch like" patterns (p=0.001) and vascularity (p=0.02). Other ultrasonographic features such as echogenicity, border, uniformity of echotexture, posterior acoustic enhancement, lateral wall shadowing were of no clinical significance (p>0.05). Calcifications were seen in three tubular adenomas which were different from those of carcinomas. Although tubular adenomas have some typical characteristics on sonography, surgery and core needle biopsy are still needed for complex cases to exclude progress to malignancy.

Authors+Show Affiliations

Department of Ultrasound, Peking University Third Hospital, Beijing, China E-mail : gehuiyu@gmail.com.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24606451

Citation

Fu, Ying, et al. "Can Ultrasound Be Used to Differentiate Tubular Adenomas of Breast From Fibroadenomas or Carcinoma?" Asian Pacific Journal of Cancer Prevention : APJCP, vol. 15, no. 3, 2014, pp. 1269-74.
Fu Y, Miao LY, Ge HY, et al. Can ultrasound be used to differentiate tubular adenomas of breast from fibroadenomas or carcinoma? Asian Pac J Cancer Prev. 2014;15(3):1269-74.
Fu, Y., Miao, L. Y., Ge, H. Y., Mei, F., & Wang, J. R. (2014). Can ultrasound be used to differentiate tubular adenomas of breast from fibroadenomas or carcinoma? Asian Pacific Journal of Cancer Prevention : APJCP, 15(3), 1269-74.
Fu Y, et al. Can Ultrasound Be Used to Differentiate Tubular Adenomas of Breast From Fibroadenomas or Carcinoma. Asian Pac J Cancer Prev. 2014;15(3):1269-74. PubMed PMID: 24606451.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can ultrasound be used to differentiate tubular adenomas of breast from fibroadenomas or carcinoma? AU - Fu,Ying, AU - Miao,Li-Ying, AU - Ge,Hui-Yu, AU - Mei,Fang, AU - Wang,Jin-Rui, PY - 2014/3/11/entrez PY - 2014/3/13/pubmed PY - 2014/11/19/medline SP - 1269 EP - 74 JF - Asian Pacific journal of cancer prevention : APJCP JO - Asian Pac. J. Cancer Prev. VL - 15 IS - 3 N2 - Breast tubular adenomas are rare benign breast tumors and detailed descriptions of their sonographic appearance are necessary for differential diagnosis from fibroadenomas or breast cancers. This study investigated twenty-one histology-proved tubular adenomas in 17 patients and also included 48 fibroadenomas in 35 patients as a control group. There was no significant difference between the two groups with clinical presentation, which was age, tumor location, tumor number (p>0.05). Statistic analysis showed three significant factors in the differential diagnosis of tubular adenomas and fibroadenomas, including macro-lobulation (p=0.01), "tiny branch like" patterns (p=0.001) and vascularity (p=0.02). Other ultrasonographic features such as echogenicity, border, uniformity of echotexture, posterior acoustic enhancement, lateral wall shadowing were of no clinical significance (p>0.05). Calcifications were seen in three tubular adenomas which were different from those of carcinomas. Although tubular adenomas have some typical characteristics on sonography, surgery and core needle biopsy are still needed for complex cases to exclude progress to malignancy. SN - 2476-762X UR - https://www.unboundmedicine.com/medline/citation/24606451/Can_ultrasound_be_used_to_differentiate_tubular_adenomas_of_breast_from_fibroadenomas_or_carcinoma L2 - http://journal.waocp.org/?sid=Entrez:PubMed&id=pmid:24606451&key=2014.15.3.1269 DB - PRIME DP - Unbound Medicine ER -