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KMID : 1103720190800040728
Journal of the Korean Society of Radiology
2019 Volume.80 No. 4 p.728 ~ p.739
Small Breast Cancer (¡Â 5 mm): Ultrasonographic Features and Clinical and Pathological Characteristic
Kwon Hye-Young

Cha Eun-Suk
Lee Jee-Eun
Kim Jeoung-Hyun
Chung Jin
Abstract
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.
KEYWORD
Breast Neoplasms, Ultrasonography, Breast
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