Diagnostic value of different interpretative criteria in real-time sonography of the breast

Diagnostic accuracy of sonography and combined sonographic assessment and sonographically guided cytology in nonpalpable solid breast lesions

“…1,2,9,10,14 In our series, posterior shadowing was noted in 20 (25%) of the 79 benign lesions, including 6 (27%) of 22 fibroadenomas. In the literature, distal shadowing has been reported in 17-29% of benign lesions of all types 6,10 and in 6-11% of fibroadenomas. 2,8,15 Marked hypoechogenicity, a feature suspicious for malignancy, was present in only 27 (30%) of the 91 carcinomas with unequivocal echogenic findings, compared with the 69% and 64% in prior reports.…”

“…2,6 This lesion was moderately hyperechoic relative to the surrounding fat. It was oval with regular margins and thus classified as benign on sonography (Figure 7).…”

“…Irregularity of a tumor is classically considered a malignant feature. 6,7,9,10,11 In a large series of solid nodules, 1 lesions without such benign appearances as an ellipsoid shape or regular margins with only 2 or 3 smooth lobulations were found in 97.6% and 99.2% of carcinomas, respectively. In the same study, "angular margins" and "microlobulation" were the signs that had the highest sensitivities for malignancy (83.2% and 75.2%, respectively).…”

Likelihood of malignancy in breast lesions characterised by ultrasound with a combined diagnostic score

“…US feature analysis has been reported by a few authors (Chao et al 1999;Leucht et al 1988;Rahbar et al 1999;Stavros et al 1995). Leucht et al (1988) postulated on the basis of their data on 755 sonographic focal findings that the criterion with the highest value for malignancy is the wall contour, followed by the acoustic attenuation of the posterior wall, the internal echo pattern and the internal echogenicity.…”

“…Leucht et al (1988) postulated on the basis of their data on 755 sonographic focal findings that the criterion with the highest value for malignancy is the wall contour, followed by the acoustic attenuation of the posterior wall, the internal echo pattern and the internal echogenicity. However, this was a retrospective analysis of different features.…”