https://scholars.lib.ntu.edu.tw/handle/123456789/192481
標題: | Microcalcifications of Non-Palpable Breast Lesions Detected by Ultrasonography: Correlation with Mammography and Histopathology | 作者: | Huang, C.-S. Wu, C.-Y. Chu, J.-S. Lin, J.-H. Hsu, S.-M. Chang, K.-J. 黃俊升 |
關鍵字: | FINE-NEEDLE ASPIRATION;ULTRASOUND;BIOPSY;CANCER;CALCIFICATIONS;LOCALIZATION | 公開日期: | 1999 | 卷: | v.13 | 期: | n.6 | 起(迄)頁: | 431-6 | 來源出版物: | ULTRASOUND IN OBSTETRICS AND GYNECOLOGY | 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 < or = 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), corresponding on histopathology to groups of expanded ducts with increased 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 screening for early breast cancers, especially in young patients who are at risk for breast cancer and in whom mammography is not usually carried out. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/96182 |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。