Can ultrasound be used to differentiate tubular adenomas of breast from fibroadenomas or carcinoma?
| Autor: | Hui-Yu Ge, Li-Ying Miao, Fang Mei, Ying Fu, Jin-Rui Wang |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Cancer Research Pathology medicine.medical_specialty Adenoma Adolescent Epidemiology Breast Neoplasms Adenocarcinoma Malignancy Young Adult Vascularity Biopsy medicine Carcinoma Humans Clinical significance Breast Diagnostic Errors Retrospective Studies medicine.diagnostic_test business.industry Public Health Environmental and Occupational Health Echogenicity Middle Aged medicine.disease Oncology Fibroadenoma Female Radiology Ultrasonography Mammary Differential diagnosis medicine.symptom business |
| Zdroj: | Asian Pacific journal of cancer prevention : APJCP. 15(3) |
| ISSN: | 2476-762X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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