Characterization of breast masses with sonography - Can biopsy of some solid masses be deferred?
Characterization of breast masses with sonography - Can biopsy of some solid masses be deferred?
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DOI：
10.7863/jum.2005.24.2.161
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发表时间：
2005-02-01
影响因子：
2.3
通讯作者：
Mayo-Smith, WW
中科院分区：
文献类型：
--
作者：
Mainiero, MB;Goldkamp, A;Mayo-Smith, WW
客观的。确定超声检查是否可用于将某些乳腺实性肿块分类为可能良性，以便推迟活检。方法。我们前瞻性地描述了 844 个超声可见的乳腺实性肿块，需要进行活检。记录肿块的乳房X线照相和超声特征，并且在活检前根据美国放射学会乳腺成像报告和数据系统分类对所有肿块进行分类。在 844 个肿块中，148 个被归类为可能良性（乳房成像报告和数据系统类别 3）。进行超声引导活检（n = 804）或细针抽吸（n = 40）以获得病理相关性，结果。在 148 个符合良性肿块超声检查标准的肿块中，存在恶性肿瘤，阴性预测值为 99.3%。结论。对于超声检查可能良性的实体肿块，随访可能是活检的可接受替代方案。
Objective. To determine whether sonography can be used to categorize some solid breast masses as probably benign so that biopsy can be deferred. Methods. We prospectively characterized 844 sonographically visible solid breast masses referred for biopsy. Mammographic and sonographic features of the masses were recorded, and all masses were categorized by American College of Radiology Breast Imaging Reporting and Data System classification before biopsy. Of the 844 masses, 148 were categorized as probably benign (Breast Imaging Reporting and Data System category 3). Sonographically guided biopsy (n = 804) or fine-needle aspiration (n = 40) was performed for pathologic correlation, Results. Of the 148 masses that met the sonographic criteria for probably benign masses, there was I malignancy, for a negative predictive value of 99.3%. Conclusions. Follow-up can be an acceptable alternative to biopsy for sonographically probably benign solid masses.