KMID : 1114620110080020121
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Journal of the Korean Society for Breast Screening 2011 Volume.8 No. 2 p.121 ~ p.126
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Sonographic and Pathologic Characteristics of Breast Cancers Detected Only by Ultrasound
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Herh Sun-Jin
Suh Hee-Jung Park Suk-Jin Choi Ji-Soo Moon Hee-Jung Kim Eun-Kyung
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Abstract
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Purpose: To evaluate the sonographic and pathologic characteristics of breast cancers detected only by ultrasound.
Materials and Methods: From March 2009 to January 2010, 13 patients who diagnosed breast cancer by ultrasound (US) with negative mammographic results were included this study. The patients¡¯ age distribution ranged from 45 to 69 years (mean age: 53.2 years). We reviewed the patients¡¯ clinical, imaging and pathologic data. We analyzed sonographic finding of the breast masses, according to ACR BI-RADS - US lexicon classification.
Results: 12 patients have grade 3 and 4 dense breasts on mammography and one patient have grade 2 breast density. Breast cancers seen only by US measured 4-12 mm (mean: 8.4 mm). 11 masses were assessed BIRADS category 4a and 2 masses were category 4c. The final surgical pathologic diagnosis were 7 invasive ductal carcinomas, 5 ductal carcinoma in situ and 1 invasive lobular carcinoma. The final pathologic stage were 5 stage 0, 7 stage I, 1 stage IIA.
Conclusion: Breast cancers detected only by ultrasound tend to be small masses less than 1 cm without calcification. Patients usually underwent breast conserving surgery and be diagnosed node-negative invasive cancers.
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KEYWORD
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Breast cancer, Breast sonography
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