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초음파 유도하 중심생검에서 진단된 유방의 유두상 병변에서 악성을 예측할 수 있는 임상-영상소견: 복합에코여부에 따른 고찰

Other Titles
 Clinicoradiologic Findings Predicting Malignancy in Papillary Lesions of Breast Diagnosed at the US-guided Core-needle Biopsy: In Regard of Complex Echogenicity 
Authors
 남세진  ;  김은경  ;  문희정  ;  윤정현  ;  김민정 
Citation
 Journal of Korean Society of Breast Screening (대한유방검진학회지), Vol.10(2) : 153-161, 2013 
Journal Title
 Journal of Korean Society of Breast Screening  (대한유방검진학회지) 
ISSN
 1738-3501 
Issue Date
2013
Abstract
Purpose: To evaluate the clinical and sonographic findings predicting malignancy in papillary lesions of breast diagnosed at the US-guided core-needle biopsy, focusing on complex echogenicity. Materials and Methods: Retrospective review of our database was performed from January 2003 through January 2010, to identify patients with papillary lesion of breast diagnosed at the US guided core needle biopsy and performed consecutive surgical or US-guided vacuum assisted excision. We included 272 papillary lesions of breast in 251 women (mean age: 46.7± 10.0 years, mean size: 12.9 ± 11.1 mm). Of the 272 lesions, 260 (95.6%) had excised by surgery and 12 (4.4%) by US guided vacuum assisted excision. We evaluated clinical and sonographic factors predictive of malignancy. Results: 203 (74.6 %) were benign and 69 (25.4%) were malignant. Among the 203 benign lesions, 174 (85.7%) were benign papilloma, 29 (14.3%) were atypical papilloma and among the 69 malignant lesions, 44 (63.8%) were non-invasive papillary carcinoma and 25 (36.2%) were invasive papillary carcinoma. 153 (56.25%, 113 benign and 40 malignant) lesions did not show complex echogenicity and 119 (43.75%, 90 benign and 29 malignant) lesions showed complex echogenicity. Palpability (p = 0.019), lesion location (> 2 cm from nipple, p = 0.025) were factors correlated with malignancy in all papillary breast lesion. In 153 non-complex echoic papillary lesion, suspicious irregular shape (p = 0.037), larger diameter (p < 0.001) were more frequently detected in malignant lesion than benign lesion. However, there was no sonographic feature to predict malignancy among the papillary lesions showing complex echogenicity. Only the lesion location (> 2 cm from nipple, p = 0.027) was factor correlated with malignancy in papillary lesion showing complex echogenicity. Conclusion: The lesion size and irregular sonographic feature are predictive factors for malignancy in the papillary lesion without showing complex echogenicity. However, due to the lack of distinguishable sonographic feature except lesion location, we should pay attention to interpreting image feature of papillary lesion with showing complex echogenicity.
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
Yonsei Authors
김민정(Kim, Min Jung) ORCID logo https://orcid.org/0000-0003-4949-1237
김은경(Kim, Eun-Kyung) ORCID logo https://orcid.org/0000-0002-3368-5013
남세진(Nam, Se Jin)
문희정(Moon, Hee Jung) ORCID logo https://orcid.org/0000-0002-5643-5885
윤정현(Yoon, Jung Hyun) ORCID logo https://orcid.org/0000-0002-2100-3513
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103329
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