Value of Ultrasound in diagnosing sclerosing adenosis of breast

VernacularTitle:超声诊断乳腺硬化性腺病的价值
Author: Jiejie, YAO ; Weiwei, ZHAN ; Ying, ZHU ; Xiaoxiao, ZHANG ; Jingwen, ZHANG ; Xiaohong, JIA
Publication Type:Journal Article
Keywords: Ultrasonography; Breast diseases; Diagnosis
From: Chinese Journal of Medical Ultrasound (Electronic Edition) 2014;(6):456-460
CountryChina
Language:Chinese
Abstract: Objective To study the sonographic features of mammary sclerosing adenosis (SA) and evaluate the diagnositic value of ultrasound. Methods Thirty-ifve patients with pathologically conifrmed SA in Ruijin Hospital from May 2009 to August 2013 were retrospectively analyzed. The Breast Imaging Reporting and Data System (BI-RADS) lexicon was introduced to describe the lesions. The diagnostic sensitivity was analyzed. Results The main sonographic ifndings of SA could be characterized into three types:(1) malignancy-looking nodule type (typeⅠ) (34%, 12/35). (2) benignity-looking nodule type (typeⅡ) (43%, 5/35). (3) architectural disorder type (typeⅢ) (23%, 8/35). Lack of blood supply has the greatest value in differential diagnosis among all sonographic features. The diagnositic sensitivity in typeⅠ, typeⅡ, typeⅢwere 0 (0/12), 93%(14/15), and 75%(6/8) respectively. The general sensitivity was only 57%(20/35). Conclusions There are no typical sonographic features in mammary sclerosing adenosis. Ultrasound doctors should improve their knowledge about this disease.