Cystic breast lesions by conventional ultrasonography: sonographic subtype-pathologic correlation and BI-RADS Assessment.
Cystic breast lesions by conventional ultrasonography: sonographic subtype-pathologic correlation and BI-RADS Assessment.
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DOI：
10.5114/aoms.2014.40734
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发表时间：
2014-02-24
期刊：
影响因子：
--
通讯作者：
Wang WP
中科院分区：
文献类型：
--
作者：
Chen M;Zhan WW;Wang WP
适当的分类是非常重要的，因为每种亚型的乳腺囊性病变（CBL）的临床管理不同。目的是评估超声亚型与病理的相关性，并确定乳腺成像报告和数据系统（BI-RADS）-超声（US）鉴别良性和恶性CBL的有效性。2007年12月1日至2009年11月30日的数据库在中国上海交通大学医学院瑞金医院诊断超声科确定。那些有可触及或临床症状的乳腺肿块的患者与乳腺超声病变中的囊性成分相关。所有患者均接受了随后的细针/粗针活检或手术切除。根据BI-RADS-US对超声检查结果进行分析，并与病理结果进行比较，采用两种不同的亚型分类方法进行分类。83名女性的99个乳腺囊性病变被纳入，其中16名患者被确定为双侧囊性病变。CBL的总恶性率为14.1%（95%可信区间7.3-21.0%）。在99例CBL中，14例恶性病变与复杂囊性病变的超声表现相关，而其余亚型均为良性。良性和恶性病变的形状、边缘、回声模式、方向、钙化和血管分布在统计学上有显著差异（分别为p = 0.010、p = 0.004、p <0.001、p < 0.001、p = 0.036和p < 0.001）（自由度= 1）。通过比较两种不同的CBLs亚型划分方法，建议采用5变种分类法。BI-RADS-US有助于鉴别囊性病变的良恶性。
Appropriate categorization is very important because the clinical management of each subtype of cystic breast lesions (CBLs) differs. The purpose was to evaluate the sonographic subtype-pathologic correlation, and to identify the effectiveness of the Breast Imaging Reporting and Data System (BI-RADS)-ultrasound (US) for differentiation of benign and malignant CBLs. A database from December 1, 2007 and November 30, 2009 was identified in the Department of Diagnostic Ultrasound, Rui Jin Hospital, School of Medicine, Shanghai Jiao Tong University, China. Those patients with palpable or clinical symptomatic breast masses were associated with a cystic component in lesions on breast US. All patients underwent a subsequent fine-needle/core-needle biopsy or surgical excision. The sonographic findings were analyzed according to the BI-RADS-US, and were categorized by two different methods of subtype categorization compared with the pathologic results. Ninety-nine breast cystic lesions in 83 women were included, among whom 16 patients were identified with bilateral cystic lesions. The total malignancy rate of CBLs was 14.1% (95% confidence interval 7.3–21.0%). Among 99 CBLs, 14 malignant lesions were associated with sonographic appearances of complex cystic lesions, while the remaining subtypes were benign. Shape, margin, echo pattern, orientation, calcification, and vascularity were statistically significantly different between the benign and malignant lesions (p = 0.010, p = 0.004, p < 0.001, p < 0.001, p = 0.036, and p < 0.001, respectively) (degrees of freedom = 1). By comparison of the two different methods of subtype categorization of CBLs, the appropriate 5-variety classification should be suggested. The BI-RADS-US was useful for differentiating benign from malignant cystic lesions.
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DOI：
10.5114/aoms.2012.31010
发表时间：
2013-06-20
期刊：
Archives of medical science : AMS
影响因子：
--
作者：
Badowska-Kozakiewicz AM;Sobol M;Patera J;Kozłowski W
通讯作者：
Kozłowski W
影响因子：
3
作者：
Tea, Muy-Kheng M.;Grimm, Christoph;Wagner, Teresa
通讯作者：
Wagner, Teresa
影响因子：
3.3
作者：
Gokalp, Gokhan;Topal, Ugur;Kizilkaya, Esref
通讯作者：
Kizilkaya, Esref
影响因子：
19.7
作者：
Kolb, TM;Lichy, J;Newhouse, JH
通讯作者：
Newhouse, JH
影响因子：
5
作者：
Buchberger, W;DeKoekkoek-Doll, P;D端nser, M
通讯作者：
D端nser, M