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Diagnostic value of breast ultrasound in mammography BI-RADS 0 and clinically indeterminate or suspicious of malignancy breast lesions.
Vojnosanit Pregl. 2016 Mar; 73(3):239-45.VP

Abstract

BACKGROUND/AIM

Not only that ultrasound makes the difference between cystic and solid changes in breast tissue, as it was the case at the beginning of its use, but it also makes the differential diagnosis in terms of benign-malignant. The aim of this study was to assess the role of sonography in the diagnosis of palpable breast masses according to the American College of Radiology Ultrasonographic Breast Imaging Reporting and Data System (BI-RADS) and to correlate the BI-RADS 4 and BI-RADS 5 category with pathohistological findings.

METHODS

A retrospective study was conducted with the breast sonograms of 30 women presented with palpable breast masses found to be mammography category BI-RADS 0 and ultrasonographic BI-RADS categories 4 and 5. The sonographic categories were correlated with pathohistological findings.

RESULTS

Surgical biopsy in 30 masses revealed: malignancy (56.7%), fibroadenoma (26.7%), fibrocystic dysplasia with/without atypia (10/6), lipoma (3.3%) and intramammary lymph node (3.3%). Correlation between BI-RADS categories and pathohistological findings was found (P < 0.05). All BI-RADS 5 masses were malignant, while in BI-RADS 4A category fibroadenomas dominated. A total of 53.8% of all benign lesions were found in women 49 years of age or younger as compared with 35.3% of all malignancies in this group (p < 0.05).

CONCLUSION

Ultrasonography BI-RADS improved classification of breast masses. The ultrasound BI-RADS 4 (A, B, C) and BI-RADS 5 lesions should be worked-up with biopsy.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

27295907

Citation

Dobrosavljević, Aleksandar, et al. "Diagnostic Value of Breast Ultrasound in Mammography BI-RADS 0 and Clinically Indeterminate or Suspicious of Malignancy Breast Lesions." Vojnosanitetski Pregled, vol. 73, no. 3, 2016, pp. 239-45.
Dobrosavljević A, Rakić S, Nikoli B, et al. Diagnostic value of breast ultrasound in mammography BI-RADS 0 and clinically indeterminate or suspicious of malignancy breast lesions. Vojnosanit Pregl. 2016;73(3):239-45.
Dobrosavljević, A., Rakić, S., Nikoli, B., Raznatović, S. J., Dikić, S. D., Milosević, Z., Jurisić, A., & Skrobić, M. (2016). Diagnostic value of breast ultrasound in mammography BI-RADS 0 and clinically indeterminate or suspicious of malignancy breast lesions. Vojnosanitetski Pregled, 73(3), 239-45.
Dobrosavljević A, et al. Diagnostic Value of Breast Ultrasound in Mammography BI-RADS 0 and Clinically Indeterminate or Suspicious of Malignancy Breast Lesions. Vojnosanit Pregl. 2016;73(3):239-45. PubMed PMID: 27295907.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnostic value of breast ultrasound in mammography BI-RADS 0 and clinically indeterminate or suspicious of malignancy breast lesions. AU - Dobrosavljević,Aleksandar, AU - Rakić,Snezana, AU - Nikoli,Branka, AU - Raznatović,Svetlana Janković, AU - Dikić,Svetlana Dragojević, AU - Milosević,Zorica, AU - Jurisić,Aleksandar, AU - Skrobić,Milica, PY - 2016/6/15/entrez PY - 2016/6/15/pubmed PY - 2016/7/16/medline SP - 239 EP - 45 JF - Vojnosanitetski pregled JO - Vojnosanit Pregl VL - 73 IS - 3 N2 - BACKGROUND/AIM: Not only that ultrasound makes the difference between cystic and solid changes in breast tissue, as it was the case at the beginning of its use, but it also makes the differential diagnosis in terms of benign-malignant. The aim of this study was to assess the role of sonography in the diagnosis of palpable breast masses according to the American College of Radiology Ultrasonographic Breast Imaging Reporting and Data System (BI-RADS) and to correlate the BI-RADS 4 and BI-RADS 5 category with pathohistological findings. METHODS: A retrospective study was conducted with the breast sonograms of 30 women presented with palpable breast masses found to be mammography category BI-RADS 0 and ultrasonographic BI-RADS categories 4 and 5. The sonographic categories were correlated with pathohistological findings. RESULTS: Surgical biopsy in 30 masses revealed: malignancy (56.7%), fibroadenoma (26.7%), fibrocystic dysplasia with/without atypia (10/6), lipoma (3.3%) and intramammary lymph node (3.3%). Correlation between BI-RADS categories and pathohistological findings was found (P < 0.05). All BI-RADS 5 masses were malignant, while in BI-RADS 4A category fibroadenomas dominated. A total of 53.8% of all benign lesions were found in women 49 years of age or younger as compared with 35.3% of all malignancies in this group (p < 0.05). CONCLUSION: Ultrasonography BI-RADS improved classification of breast masses. The ultrasound BI-RADS 4 (A, B, C) and BI-RADS 5 lesions should be worked-up with biopsy. SN - 0042-8450 UR - https://www.unboundmedicine.com/medline/citation/27295907/Diagnostic_value_of_breast_ultrasound_in_mammography_BI_RADS_0_and_clinically_indeterminate_or_suspicious_of_malignancy_breast_lesions_ DB - PRIME DP - Unbound Medicine ER -