Aleksandar Dobrosavljevic
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Snezana Rakic
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Branka Nikolic
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Svetlana Jankovic-Raznatovic
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Svetlana Dragojevic-Dikic
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...
Background/Aim. Not only that ultrasound makes the difference between cystic
and solid changes in breast tissue, as it was the case at the beginning of
its use, but it also makes the differential diagnosis in terms of
benign-malignant. The aim of this study was to assess the role of sonography
in the diagnosis of palpable breast masses according to the American College
of Radiology Ultrasonographic Breast Imaging Reporting and Data System
(BI-RADS) and to correlate the BI-RADS 4 and BI-RADS 5 category with
pathohistological findings. Methods. A retrospective study was conducted with
the breast sonograms of 30 women presented with palpable breast masses found
to be mammography category BI-RADS 0 and ultrasonographic BI-RADS categories
4 and 5. The sonographic categories were correlated with pathohistological
findings. Results. Surgical biopsy in 30 masses revealed: malignancy (56.7%),
fibroadenoma (26.7%), fibrocystic dysplasia with/without atypia (10%), lipoma
(3.3%) and intramammary lymph node (3.3%). Correlation between BI-RADS
categories and pathohistological findings was found (p < 0.05). All BI-RADS 5
masses were malignant, while in BI-RADS 4A category fibroadenomas dominated.
A total of 53.8% of all benign lesions were found in women 49 years of age or
younger as compared with 35.3% of all malignancies in this group (p < 0.05).
Conclusion. Ultrasonography BI-RADS improved classification of breast masses.
The ultrasound BI-RADS 4 (A, B, C) and BI-RADS 5 lesions should be worked-up
with biopsy.
The role of Tru-cut needle biopsy in the diagnosis of palpable breast masses.