KMID : 1103720190800040728
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Journal of the Korean Society of Radiology 2019 Volume.80 No. 4 p.728 ~ p.739
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Small Breast Cancer (¡Â 5 mm): Ultrasonographic Features and Clinical and Pathological Characteristic
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Kwon Hye-Young
Cha Eun-Suk Lee Jee-Eun Kim Jeoung-Hyun Chung Jin
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Abstract
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Purpose: To identify differences in ultrasonography (US) feature, clinical and pathological characteristics including immunohistochemical characteristics between small breast cancer (pathologic size ¡Â 5 mm) and large breast cancer (> 5 mm).
Materials and Methods: A total of 528 invasive breast cancer lesions in 475 patients were included. US features with clinical and pathological characteristics were evaluated according to pathologic size. US Breast Imaging-Reporting and Data System findings and final assessments were recorded for each lesion. Standard references were based on surgical pathologies.
Results: Of 528 invasive breast cancer lesions, 62 were small breast cancers. Small breast cancers showed a higher rate of oval, round shape, parallel orientation; circumscribed margin; and iso/solid and cystic echo pattern, with no posterior feature. The final assessment of category 4 was also a dominant factor in small breast cancer. Early stage, asymptomatic state, and extensive ductal carcinoma in situ component were associated with small breast cancers.
Conclusion: Our results show that small breast cancers have less suspicious US features than large breast cancers.
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KEYWORD
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Breast Neoplasms, Ultrasonography, Breast
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