The validity of complex breast cysts after surgery
The validity of complex breast cysts after surgery
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DOI：
10.1016/j.amjsurg.2007.11.028
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发表时间：
2009-02-01
影响因子：
3
通讯作者：
Wagner, Teresa
中科院分区：
文献类型：
--
作者：
Tea, Muy-Kheng M.;Grimm, Christoph;Wagner, Teresa
背景：乳腺囊肿是良性乳腺肿块最常见的原因。单纯性乳腺囊肿不需要进一步评估，但复杂性乳腺囊肿由于可能存在恶性肿瘤而需要额外评估。然而，这些复杂的囊肿很少根据相关的癌症检测率进行检查和量化。我们的研究是第一个调查，以评估恶性率的复杂乳腺囊肿的组织病理学结果确定。方法：回顾性分析的影像学表现与临床和病理结果的复杂囊肿。我们检测到恶性率为14%。超声诊断标准如囊壁厚（P = 0.0006）、分叶（P = 0.01）和强回声（P = 0.04）可预测肿瘤。两个或两个以上的标准相结合与恶性肿瘤的风险增加13.6倍（P
BACKGROUND: Breast cysts are the most common cause of benign breast masses. Simple breast cysts do not need further evaluation, but complex breast cysts require additional assessment due to the potential presence of malignancy. However, these complex cysts have rarely been examined and quantified according to the associated cancer detection rate. Our Study is the first investigation to evaluate the malignancy rate of complex breast cysts identified by histopathological results.METHODS: Imaging findings of complex cysts were correlated retrospectively with clinical and pathologic outcomes. We detected a malignancy rate of 14%. Sonographic criteria of a complex cyst such as thick cyst wall (P = .0006), lobulation (P = .01), and hyperechogenicity (P = .04) were predictive of neoplasm. Two or more criteria combined were associated with a 13.6-fold higher risk of malignancy (P