Diagnostic value of breast ultrasound in mammography BI-RADS 0 and clinically indeterminate or suspicious of malignancy breast lesions

Dobrosavljevic, A.; Rakic, S.; Nikoli, Branka; Raznatovic, S. Jankovic; Dikić, Svetlana Dragojević; Milošević, Zorica; Jurisic, A.; Skrobić, M

doi:10.2298/vsp140508001d

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…According to the latest research, cancer microcalcifications are observed in 70% of cases by new US instruments . Although 66.9% of DCIS cases showed microcalcification on US images in this study, significant differences were found in DCIS and FA cases; however, not all of the grayscale US parameters showed significant differences.…”

Section: Discussioncontrasting

confidence: 59%

Application of Contrast‐Enhanced Ultrasound in the Diagnosis of Ductal Carcinoma In Situ: Analysis of 127 Cases

Zhou

Xia

et al. 2019

J of Ultrasound Medicine

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Objectives-To explore the characteristics of breast ductal carcinoma in situ (DCIS) on real-time grayscale contrast-enhanced ultrasound (CEUS) imaging and the diagnostic value of CEUS in DCIS.Methods-A total of 127 histopathologically confirmed DCIS lesions and 124 fibroadenomas (FAs; controls) were subjected to conventional ultrasound and CEUS. Next, the CEUS findings of DCIS and FA lesions, including morphologic features and quantitative parameters, were analyzed.Results-Binary logistic regression was used to identify the independent risk factors from DCIS and FA lesions detected by CEUS. Contrast-enhanced ultrasound revealed significant differences between DCIS and FA. The wash-in time, enhancement mode, enhancement intensity, blood perfusion defects, peripheral high enhancement, enhancement scope, intratumoral vessels and their courses and dilatation degree, and penetrating vessels on CEUS were identified as features correlated with DCIS (P < .05). Moreover, a multivariate logistic regression analysis was developed, and the area under receiver operating characteristic curve of each index was generated, including the wash-in time, enhancement intensity, blood perfusion defects, enhancement scope, penetrating vessels, arrival time, and peak intensity (P < .05; area under the curve, >0.6). Conclusions-The contrast-enhancement patterns and DCIS parameters appeared different from FA lesions, thus suggesting that CEUS can be very useful in distinguishing DCIS from FA lesions.

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Section: Discussioncontrasting

confidence: 59%

Application of Contrast‐Enhanced Ultrasound in the Diagnosis of Ductal Carcinoma In Situ: Analysis of 127 Cases

Zhou

Xia

et al. 2019

J of Ultrasound Medicine

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“…This is because the sensitivity of mammography decreases as the density of glandular breast tissue increases, and ultrasound is more sensitive at lower densities. 10,11 When it comes to ultrasound descriptors based on published research, the criterion of tumour change orientation has the best level of impartiality and agreement among the numerous clinicians doing the examination. Shape, surrounding tissue, and posterior phenomena are in the middle of the spectrum between the two extremes in terms of agreement, while change contour and its echogenicity (nonechogenic and hyperechogenic are benign, while hypoechogenic, isoechogenic changes, and complex lesions can be seen in both types of changes, but they are more suspicious of malignant nature) are the two areas where there is the least agreement.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of Ultrasound based BI-RADS Scoring System to Predict Malignancy in Patients with Breast Lump

Rasheed¹,

Ameer²,

Bukhari³

2022

PJMHS

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Objective: To determine the diagnostic accuracy of BIRADS in diagnosing malignant breast lesions in patients with palpable breast lump. Patients and Methods: A total number of 100 patients presenting with Palpable breast lump were included in this study. The study was conducted in radiology unit of Lahore General Hospital Lahore from August-2021 to April-2022. Data regarding baseline study variables such as age, living area and socioeconomic status was collected for each patient. Ultrasound examination of the breast masses was done by an expert radiologist for calculation of BI-RADS score. Diagnosis of malignancy on histopathological findings was also made. Results: Mean age of patients was 41.04±11.00 years. There were 43 (43.0%) from rural areas and 57 (57%) from urban areas. Malignancy on BI-RADS was found in 42 (42%) patients. On evaluation of diagnostic accuracy of BI-RADS, BI-RADS was 92.5.0% sensitive, 88.3% specific having 84.1% PPV and 94.6% NPV (Table 1). Conclusion: When compared to histopathologic diagnosis, the findings of our study demonstrated that BIRADS is an accurate and trustworthy method for diagnosing breast lumps. Key Words: Palpable breast lump, BI-RADs Scoring, Histopathology.

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“…The most common symptoms for this disease are abnormal vaginal bleeding and irregular menstrual cycles 1 . Regarding the usage of ultrasonography in making a diagnosis, there are no specific guidelines which would be used as a basis for suspecting this type of the tumor 7,8 . Uterus is the most common primary location of ETT (40%) as well as endocervix (31%).…”

Section: Discussionmentioning

confidence: 99%

Fatal outcome in the patient with the suspected ectopic pregnancy and diagnosed epithelioid trophoblastic tumor

et al. 2019

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Introduction. Epithelioid trophoblastic tumor (E??) is an extremely rare form and unusual type of trophoblastic tumor. In 1998 ??? became an independent entity because it possesses specific histological and immunohistochemical features which make it different from placental site tumor and choriocarcinoma. ??? origins from intermediate trophoblast and it can overlap with the squamous cell carcinoma as per differential diagnosis. The relevant literature data suggest that surgical treatment is a treatment of choice for ETT considering that its response to chemotherapy is considerably poor. Case report. A 35-years-old patient G3 P2 came to an examination due to the low pelvic pain and absence of menstrual cycle. She reported that menstrual cycles were irregular during the past year. During the bimanual pelvic examination, a painful tumefaction being approximately 8 cm was palpated in the pouch of Douglas. The patient was operated on as being suspected for ectopic pregnancy when it was noticed that the aforementioned tumefaction was located retroperitoneally immediately against rectosigmoid part of the colon. After the histopathological analysis of the sample, in order to make the final diagnosis, the immunohistochemical test was performed and it found that this E??. Due to an inadequate response to administered chemotherapy, both resection of rectosigmoid colon with appurtenant tumor and left hepatectomy with salpingectomy on both sides were performed considering a possibility of gestational trophoblastic neoplasia (GTN) after ectopic pregnancy. Because of dehiscence of colorectal anastomosis, relaparotomy with colostomy bag fitting was performed. The patient died on the day 40 after surgical treatment due to hepatic insufficiency. Conclusion. In order to make as much adequate treatment method of ETT as possible, it is necessary to organize a team work with multidisciplinary approach. Surgical resection of the tumor is a primary method for treating ETT.

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Diagnostic value of breast ultrasound in mammography BI-RADS 0 and clinically indeterminate or suspicious of malignancy breast lesions

Abstract: Ultrasonography BI-RADS improved classification of breast masses. The ultrasound BI-RADS 4 (A, B, C) and BI-RADS 5 lesions should be worked-up with biopsy.

Cited by 6 publications

References 10 publications

Application of Contrast‐Enhanced Ultrasound in the Diagnosis of Ductal Carcinoma In Situ: Analysis of 127 Cases

Application of Contrast‐Enhanced Ultrasound in the Diagnosis of Ductal Carcinoma In Situ: Analysis of 127 Cases

Accuracy of Ultrasound based BI-RADS Scoring System to Predict Malignancy in Patients with Breast Lump

Fatal outcome in the patient with the suspected ectopic pregnancy and diagnosed epithelioid trophoblastic tumor

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