PMID: 3908823Aug 1, 1985Paper

The selected use of ultrasound mammography to improve diagnostic accuracy in carcinoma of the breast

Journal of Surgical Oncology
T G FrazierA Furlong

Abstract

Our initial experience with diagnostic ultrasound mammography (UM) showed it to be of high diagnostic accuracy and improved specificity when compared with x-ray mammography (XRM) in certain categories of patients. To evaluate this modality further, we reviewed our experience with 600 consecutive patients who underwent ultrasound mammography as part of their initial evaluation for breast disease. Five categories of patients were reviewed: I: age 35 or less--129; II: DY or P-2 pattern on XRM--174; III: negative XRM but symptoms requiring additional evaluation--81; IV: high risk remaining breast in patients previously having mastectomy--48; V: refusal of repeat XRM because of pregnancy, lactation, or fear of radiation exposure--168. Fifty-five solid lesions were diagnosed, including 36 carcinomas. Seventeen of these were not diagnosed on x-ray mammography, giving an improved pick-up of carcinoma in this overall group of 2.83%. Of particular interest was that, of the 27 carcinomas that were found in the group having XRM, 8 or 29.6% were missed on that modality alone. Five of these (62.5%) were patients having a DY pattern. All patients have been followed carefully and re-examined at 3-month intervals, with no evidence of a false ne...Continue Reading

References

Feb 23, 1984·The New England Journal of Medicine·H I Kohn, R J Fry
Feb 1, 1982·Journal of Surgical Oncology·T G FrazierS M Ryan

Citations

Jul 16, 2002·Radiologic Clinics of North America·Paula B Gordon
Mar 6, 2015·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Sun Ah KimWoo Kyung Moon

Related Concepts

Mammary Neoplasms, Human
Misdiagnosis
Mammography
Tomography, Ultrasonic

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