The accuracy of breast ultrasound in the evaluation of clinically benign discrete, symptomatic breast lumps
The accuracy of breast ultrasound in the evaluation of clinically benign discrete, symptomatic breast lumps
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DOI：
10.1016/s0009-9260(98)80167-0
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发表时间：
1998-07-01
影响因子：
2.6
通讯作者：
Kollias, J
中科院分区：
文献类型：
--
作者：
Lister, D;Evans, AJ;Kollias, J
引言：最近的报告表明，乳腺超声（US）是有价值的区分恶性和良性的过程。本研究的目的是建立准确的US在检测浸润性恶性肿瘤在临床良性，离散，有症状的乳房lumps.Methods：205临床良性乳腺肿块的US外观记录前瞻性和乳腺X线摄影前由一个放射科医生（AJE）。然后将超声表现与细针穿刺（FNA）、芯活检和手术结果相关联，并与乳腺X线检查结果进行比较。超声表现正常72例（35%），单纯囊肿63例（31%），实性良性51例（25%），实性不确定15例（7%），实性恶性4例（2%）。超声特征13（93%）的14例患者发现有浸润性癌为不确定或恶性。没有一个正常或单纯囊肿的患者有浸润性恶性肿瘤。超声诊断的准确性明显更高（97%对87%，P
Introduction: Recent reports have suggested that breast ultrasound (US) is of value in distinguishing malignant from benign processes. The aim of this study was to establish the accuracy of US in detecting invasive malignancy in clinically benign, discrete, symptomatic breast lumps.Methods: The US appearances of 205 clinically benign breast masses were documented prospectively and prior to mammography by one radiologist (AJE). The US appearances were then correlated with the fine needle aspiration (FNA), core biopsy and surgical findings and compared with the mammographic findings.Results: The US findings were normal 72 (35%), simple cyst 63 (31%), solid benign 51 (25%), solid indeterminate 15 (7%) and solid malignant four (2%), Ultrasound characterized 13 (93%) of the 14 patients found to have invasive carcinoma as indeterminate or malignant. No patients with normal or simple cyst US findings had invasive malignancy. Ultrasound had significantly better accuracy (97% vs 87%, P