Correlation of Imaging Findings with Pathologic Findings of Sclerosing Adenosis.
- Author:
Bo Bae CHOI
1
;
Kwang Sun SHU
Author Information
1. Department of Radiology, Chungnam National University Hospital, Korea. med20@hanmail.net
- Publication Type:Original Article
- Keywords:
Mammography;
Ultrasonography;
Breast neoplasm;
Breast disease
- MeSH:
Biopsy;
Biopsy, Large-Core Needle;
Breast;
Breast Diseases;
Breast Neoplasms;
Information Systems;
Mammography;
Mastectomy, Segmental;
Retrospective Studies
- From:Journal of the Korean Society of Medical Ultrasound
2012;31(1):43-50
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this study was to evaluate the mammographic and sonographic findings of pure sclerosing adenosis. MATERIALS AND METHODS: We retrospectively reviewed the mammographic and sonographic findings in 40 cases of pure sclerosing adenosis confirmed by core needle biopsy (n = 23), vacuum-assisted biopsy (n = 7), excision biopsy (n = 9), and lumpectomy (n = 1) from January 2002 to March 2010. All imaging findings were analyzed according to the American College of Radiology (ACR) breast imaging reporting and data system (BI-RADS). Radiologic features were correlated with pathologic findings. RESULTS: Although most mammograms showed negative findings (57%), calcification was the most common abnormal finding of sclerosing adenosis. On sonography, the most common finding was a circumscribed oval hypoechoic mass without posterior features (78%). Most masses showed BI-RADS category 3, (75%, 27/36). Five cases showed categories 4 or 5 (14%, 5/36). CONCLUSION: Most mammographic and sonographic findings of sclerosing adenosis are non-specific and non-pathognomonic, even though sometimes sclerosing adenosis can be radiologically or histopathologically confused with malignancy.
