Non-mass-like lesions on breast ultrasound: classification and correlation with histology

La Radiologia medica
Zhi Li WangWen Bo Wan

Abstract

Owing to advances in ultrasound (US) technology, optimal US techniques with a high-frequency transducer can identify more and more breast lesions. However, some lesions show up as non-mass-like lesions, which are difficult to be correctly identified and often result in missed diagnosis and misdiagnosis. The purpose of the present study was to develop a classification of the US features of non-mass-like breast lesions correlated with pathology, so as to improve the diagnostic accuracy of US in non-mass-like breast lesions. A total of 854 breast lesions in 836 consecutive women scheduled for US-guided core-needle biopsy or US-guided vacuum-assisted biopsy between May 2008 and October 2011 were initially included in this study. Finally, 80 breast lesions in 78 women were classified as non-mass-like lesion and included in this study. The US features of the 80 non-mass-like breast lesions were classified and their correlation with pathology was analysed. Of the 80 non-mass-like breast lesions, 43 cases (53.8 %) were malignant and 37 cases (46.2 %) were benign. Fifty-two cases (73.7 %) appeared as a hypoechoic area, 22 cases (21.1 %) appeared as a hypoechoic area with sporadic or clustered microcalcification, four cases appeared as a...Continue Reading

References

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Nov 16, 2005·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Eriko Tohno, Ei Ueno
May 9, 2007·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Takayoshi UematsuKumiko Tanaka
Nov 8, 2007·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Keiichi SotomeHisami Iri
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Sep 14, 2010·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Takayuki YamadaShoki Takahashi
Mar 30, 2012·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Takayoshi Uematsu
Sep 13, 2012·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Maki AmanoKuniaki Kojima

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Citations

Oct 9, 2016·Ultrasound in Medicine & Biology·Zhi Li WangJie Tang
Jan 12, 2017·AJR. American Journal of Roentgenology·Romuald FerréBenoît Mesurolle
Mar 4, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jihee ChoeCatherine S Giess
Apr 24, 2020·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Guoxue TangXi Lin
Mar 13, 2021·European Journal of Radiology·Huiling XiangRuey-Feng Chang

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