Breast biopsy histopathologic results and breast ultrasonography findings agreement in solid masses diagnosis
Keywords:
Breast, Imaging diagnosis, Mammary ultrasonography, Breast cancerAbstract
Breast ultrasonography is a non-invasive complementary exam that has been performing an important
role in the diagnosis of mammary illness. Through the characteristics of an ultrasonographic image, we
can predict malignity or benignity.The objectof this research was to identify, in ourfield, which ultrasonographic characteristics are most commonly associated with malignity. We researched 105 cases of solid
tumors identified by mammary ultrasonography in the period of January to December 2005. The various ultrasound characteristics analyzed were: shape, wall contour, margin, echogenicidity, echotexture,
posterior acustic shadow, posterior acustic reinforcement, relation width/length oflesion and conclusion
of ultrasound. Immediately, we carried out a pathological anatomy investigation of the tumor. Among
the ultrasound characteristics, the irregularity of margins (p = 0.001) and badly defined wall contour
(p = 0.011) were the most associatedwith malignity. The ultrasonography conclusion, when present, alsocorrelated with the pathological anatomyfindings (p < 0.001). The other variables, being little descript,
could not be evaluated asfor their association with malignity. In ourfield, thestudy of margin and wall
contour of the solid tumors are the most determind characteristics in ultrasound diagnosisof malignity.
Incomplete and inconclusive findings are limiting factors in the diagnostic value ofthis type of study.
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