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KMID : 0361820120310010043
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Journal of the Korean Society of Medical Ultrasound
2012 Volume.31 No. 1 p.43 ~ p.50
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Correlation of Imaging Findings with Pathologic Findings of Sclerosing Adenosis
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Choi Bo-Bae
Shu Kwang-Sun
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Abstract
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Purpose: The purpose of this study was to evaluate the mammographic and sono- graphic findings of pure sclerosing adenosis.
Materials & Methods: We retrospectively reviewed the mammographic and sono- graphic findings in 40 cases of pure sclerosing adenosis confirmed by core needle biopsy (n = 23), vacuum-assisted biopsy (n = 7), excision biopsy (n = 9), and lumpecto- my (n = 1) from January 2002 to March 2010. All imaging findings were analyzed according to the American College of Radiology (ACR) breast imaging reporting and data system (BI-RADS). Radiologic features were correlated with pathologic findings.
Results: Although most mammograms showed negative findings (57%), calcifica- tion was the most common abnormal finding of sclerosing adenosis. On sonography, the most common finding was a circumscribed oval hypoechoic mass without posteri- or features (78%). Most masses showed BI-RADS category 3, (75%, 27/36). Five cases showed categories 4 or 5 (14%, 5/36).
Conclusion: Most mammographic and sonographic findings of sclerosing adenosis are non-specific and non-pathognomonic, even though sometimes sclerosing adeno- sis can be radiologically or histopathologically confused with malignancy.
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KEYWORD
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Mammography, Ultrasonography, Breast neoplasm, Breast disease
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