Microcalcifications of non-palpable breast lesions detected by ultrasonography: Correlation with mammography and histopathology

C. S. Huang, C. Y. Wu, J. S. Chu, J. H. Lin, S. M. Hsu, K. J. Chang

研究成果: 雜誌貢獻文章同行評審

18 引文 斯高帕斯(Scopus)

摘要

Objectives. Microcalcifications are generally not demonstrated well on ultrasonography. In this study, we attempted to demonstrate the usefulness of high-resolution ultrasonography in the detection of microcalcifications associated with non-palpable breast cancers. Design. Fourteen patients with non-palpable breast lesions in whom microcalcifications were detected or suspected by ultrasonography and one patient in whom microcalcifications were detected on mammography only were included in the study. Mammography and analysis of biopsy specimens were performed in each patient and the findings were correlated with the ultrasonographic findings. Ultrasonography and mammography were performed independently by different physicians at different times. Results. In three patients ≤ 30 years of age, who were not at high risk of breast cancer and who had no evidence of cancer on palpation, high-resolution ultrasonography clearly showed microcalcifications but no mass. Two of these patients had ductal carcinoma in situ and one had small invasive carcinoma with extensive comedocarcinoma. Among the other 12 patients with non-palpable breast lesions, ultrasonography detected microcalcifications accurately in six and suggested possible microcalcifications in a further four. Microcalcifications in all of these ten patients were confirmed by mammography thereafter. Four of these ten patients had ductal carcinoma in situ, with or without invasive carcinoma. Of the remaining two patients, one demonstrated false-positive findings and one false-negative findings on ultrasound. On high-resolution ultrasonography, microcalcifications produced the appearance of twinkling stars (bright dots in different planes) in a dark sky (contrasted against ill-defined hypoechoic patches), correspondng on histopathology to groups of expanded ducts with inceased cell density with or without necrosis. Conclusion. High-resolution ultrasonography may be used for detection of microcalcifications in non-palpable breast lesions. Ultrasonography is helpful in screeeing for early breast cancers, especially in young patients who are at risk for breast cancer and in whom mammography is not usually carried out.

原文英語
頁(從 - 到)431-436
頁數6
期刊Ultrasound in Obstetrics and Gynecology
13
發行號6
DOIs
出版狀態已發佈 - 1999

ASJC Scopus subject areas

  • 放射與超音波技術
  • 婦產科
  • 放射學、核子醫學和影像學
  • 生殖醫學

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