Index words: Breast US Breast neoplasm Breast cancer
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1 Index words: Breast US Breast neoplasm Breast cancer 125
2 (),, taller than wide
3 Table ,, duct extension. 127 taller than wide
4 Table 2.,,,, odds ratios Odds ratio // * taller than wide * * * * : 128
5 3. Smallwood JA, Guyer P, Dewbury K, Mengatti S, Royle. GT, Taylor I. The accuracy of ultrasound in the diagnosis of breast dis- 1998;170: ease. Ann R Coll Surg Engl 1986;68: ;156: ;177: uation of the breast. Radiographics 1994;14:29-50 Semin Ultrasound CT MR 1996;17: ;8: ble noncalcified breast masses. Acta Radiol 1997;38: Skaane P, Engedal K. Analysis of sonographic features in the differentiation of fibroadenoma and invasive ductal carcinoma. AJR 2. Harper PA, Kelly-Fry E, Noe JS, Bies RJ, Jackson VP. Ultrasound in the evaluation of solid breast masses. Radiology 1983;146: Stavros AT, Thickman D, Rapp CL, Dennis MA, Parker SH, Sisney GA. Solid breast nodules: use of sonography to distinguish between benign and malignant lesions. Radiology 1995;196: Bassett LW, Kimme-Smith C. Breast Sonography. AJR 6. Jackson VP. The role of US in breast imaging. Radiology 7. Venta LA, Dudiak CM, Salomon CG, Flisak ME. Sonographic eval- 8. Jackson VP, Reynolds HE, Hawes DR. Sonography of the breast. 9. Shimamoto K, Sawaki A, Ikede M, Satake H, Naganawa S, Tadokoro M, Isomura T, Hirota H, Ishigaki T. Interobserver agreement in sonographic diagnosis of breast tumors. Eur J Ultrasound 10. Rahbar G, Sie AC, Hansen GC, Prince JS, Melany ML, Reynolds HE, Jackson VP, Sayre JW, Bassett LW. Benign versus malignant solid breast masses: US differentiation. Radiology 1999;213: Skaane P, Engedal K, Skjennald A. Interobserver variation in the interpretation of breast imaging. Comparison of mammography, ultrasonography, and both combined in the interpretation of palpa- 12. Skaane P, Olsen JB, Sager EM, Abdelnoor M, Berger A, Kullmann G, Wolff PA. Variability in the interpretation of ultrasonography in patients with palpable noncalcified breast tumors. Acta Radiol 1999; 40: Jackson VP. Management of solid breast nodules: what is the role of sonography? Radiology 1995;196: Gisvold JJ, Martin JK Jr. Prebiopsy localization of nonpalpable breast lesions. AJR 1984;143: Rosenberg AL, Schwarts GF, Feig SA, Patchefsky AS. Clinically occult breast lesions: localization and significance. Radiology 1987;162: Bassett LW, Liu TH, Giuliano AL, Gold RH. The prevalence of carcinoma in palpable vs impalpable, mammographically detected lesions (comment). AJR 1992;158:
6 Reanalysis of the Suspicious Malignant Solid Nodules, Based on Ultrasonography Jin Young Kwak, M.D. 1, Eun-Kyung Kim, M.D. 1, Jai Kyung You, M.D. 1, Ki Keun Oh, M.D. 1, Min Jung Kim, M.D. 1, Eun Ju Son, M.D. 1, Seon Hyeong Choi, M.D. 1 1 Department of Diagnostic Radiology, Research Institute of Radiological Science, Yonsei University College of Medicine Purpose: The objective of our study was to reconsider the usefulness of many characteristics on US for differentiating benign and malignant masses. Materials and Methods: From February 2000 through April 2001, we retrospectively evaluated 309 solid breast nodules (282 patients) on US, which were categorized suspicious malignancy or suggestive malignancy, prospectively and confirmed by core-needle biopsy or operation. We analyzed the solid nodules, according to eight known malignant characteristics, which have been described in Stavros et al s study. The sensitivity, specificity, positive predictive value, negative predictive value and odds ratio were calculated. Results: Among 309 lesions diagnosed as suspicious or suggestive malignancy prospectively, 140 lesions (45.31 %) were confirmed as malignant nodules. The mean number of these findings per one nodule was 2.5 (benign nodule: 2.2, malignant nodule: 2.7). Spiculated margin, marked hypoechogenecity, shadowing, and punctate microcalcifications were statistically significant. Odds ratio of punctate calcifications is the highest (19.5), followed by marked hypoechogenecity (3.1), spiculated margin (1.9), spiculated, microlobulated or angular margin (1.7), taller than wide (1.2), additional findings (1), and shadowing (0.6). Conclusion: Ultrasonographic findings are useful to differentiate malignant from benign solid nodules by that of Stavros et al s. Index words: Breast US Breast neoplasm Breast cancer Corresponding author: Eun-Kyung Kim, M.D. 130
Table 1. Classification of US Features Based on BI-RADS for US in Benign and Malignant Breast Lesions US Features Benign n(%) Malignant n(%) Odds
215 Table 1. Classification of US Features Based on BI-RADS for US in Benign and Malignant Breast Lesions US Features Benign n(%) Malignant n(%) Odds ratio 719 (100) 305(100) Shape Oval 445 (61.9) 019
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