Document Detail


Solid breast lesions: evaluation with power Doppler US.
MedLine Citation:
PMID:  9122386     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate power Doppler ultrasound (US) in detection of vascularity of solid breast lesions and to correlate patterns of vascular distribution with histopathologic findings. MATERIALS AND METHODS: Eighty-six solid breast masses, which were subsequently sampled for biopsy, were studied with gray-scale and power Doppler US. Patterns of vascular distribution were assigned before biopsy. RESULTS: There were 25 cancers, 38 fibroadenomas, and 23 other benign lesions. Seventeen (68%) cancers had penetrating vessels, four had peripheral vessels, and four had no vessels. Power Doppler US depicted no vessels in 21 fibroadenomas, peripheral vessels in 15, and penetrating vessels in two. Other benign lesions included 11 with no detectable vessels, nine with peripheral vessels, two with central vessels, and one with penetrating vessels. By using penetrating vessels to indicate malignancy, sensitivity for power Doppler US was 68%, specificity was 95%, positive predictive value was 85%, and negative predictive value was 88%. Two cancers were found to be malignant with power Doppler US only. CONCLUSION: The pattern of distribution and morphology of blood vessels in solid breast masses seen at power Doppler US is a potentially important feature to be considered along with other sonographic criteria to predict the likelihood of malignancy.
Authors:
S Raza; J K Baum
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  203     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-04-22     Completed Date:  1997-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  164-8     Citation Subset:  AIM; IM    
Affiliation:
Radiology Department, Beth Israel Hospital, Boston, MA 02215, USA.
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MeSH Terms
Descriptor/Qualifier:
Breast Neoplasms / radiography,  ultrasonography*
Female
Humans
Mammography
Predictive Value of Tests
Sensitivity and Specificity
Ultrasonography, Mammary*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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