مراجعة
Evaluation of the Appearance Characteristics of Suspicious Microcalcifications Detected by Ultrasonography
| العنوان: | Evaluation of the Appearance Characteristics of Suspicious Microcalcifications Detected by Ultrasonography |
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| المؤلفون: | Kayadibi, Yasemin, Sanli, Deniz Esin Tekcan, Ucar, Nese, Yildirim, Emine, Sanli, Ahmet Necati |
| بيانات النشر: | Galenos Yayincilik |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Microcalcification, mammography, ultrasonography, ultrasound guided biopsy, Sonographically Guided Biopsy, Assisted Breast Biopsy, Carcinoma, Us |
| الوصف: | Objective: To investigate the imaging properties of mammographically suspicious microcalcifications (MC) that can be detected by ultrasonography (USG). Methods: Cases with suspected MC in categories 4 and 5 according to the Breast Imaging-Reporting and Data System (BI-RADS) in screening mammography between June 2019 and January 2021 were included in the study. The patients were scanned with USG. USG guided core needle biopsy was performed for those whose MC area could be detected by USG and evaluated histopathologically. Mammographic features of MCs [morphological type (fine pleomorphic, amorphic, coarse heterogeneous, fine linear pleomorphic branching)], distribution (clustered, regional, segmental, diffuse, linear) and BI-RADS (4A, 4B, 4C, 5) category was determined. Other findings accompanying MC areas on mammography and USG were recorded. Results: The mean age of 43 patients included in the study was 45.27 +/- 8.58 (30-84). 48.8% (n=21) of the calcifications were fine pleomorphic, 30% (n=13) amorphous, 16% (n=7) coarse heterogeneous, 4.6% (n=2) fine pleomorphic branching type. While 70% (n=30) of the patients had asymmetrical density accompanying MCs on mammography, parenchymal distortion was found in 12% (n=5); on USG, hypoechoic area was found in 58% (n=25) of the patients, irregular ductal ectasia in 19% (n=8), parenchymal distortion in 9% (n=4), and 10% (n=4) microcyst cluster were accompanying pathologies. As a result of the histopathological evaluation, 42% of the patients had benign histopathology (n=18), 16% had ductal carcinoma in situ (n=7), and 42% (n=18) had invasive ductal cancer. Conclusion: In our study, the distinctive features of BI-RADS 4 and 5 MCs that can be followed by USG were evaluated. Although MCs that can be detected on USG are more likely to be malignant than benign ones, fine pleomorphic MC areas can be observed most frequently. Knowing the features of mammographic suspected MCs on USG will be helpful in daily radiology practice and biopsy planning. |
| نوع الوثيقة: | review |
| وصف الملف: | application/pdf |
| اللغة: | Turkish |
| تدمد: | 2146-6505 2147-1894 |
| العلاقة: | Journal Of Academic Research In Medicine-Jarem; Diğer; https://doi.org/10.4274/jarem.galenos.2021.18291Test; https://hdl.handle.net/20.500.12831/5997Test; 11; 199; 205; WOS:000691756600013; 462699 |
| DOI: | 10.4274/jarem.galenos.2021.18291 |
| الإتاحة: | https://doi.org/10.4274/jarem.galenos.2021.18291Test https://doi.org/20.500.12831/5997Test https://hdl.handle.net/20.500.12831/5997Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.8EFB1E0C |
| قاعدة البيانات: | BASE |
| تدمد: | 21466505 21471894 |
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| DOI: | 10.4274/jarem.galenos.2021.18291 |