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| Benign versus Malignant Solid Nodules in Subareolar Area of the Breast: Radiological, Clinical and Pathological Correlation |
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| Bo Kyung Je, M.D. Bo Kyoung Seo, M.D.*, Nam Joon Lee, M.D., June Young Lee, Ph.D.**, In Sun Kim, M.D.***, Seok Jin Kim, M.D.****, Hae Jeong Jeon, M.D.*, Jeong Hee Park, M.D.*, Kyu Ran Cho, M.D., Ji Young Lee, M.D., Eun Jeong Choi, M.D. |
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| Department of Diagnostic Radiology, Korea University Hospital, *Konkuk University Hospital **Department of Preventive Medicine, ***Department of Pathology, ****Department of Internal Medicine, Korea University Hospital |
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| PURPOSE : To investigate the general applicability of ultrasonography (US) and clinical findings in
differentiating benign from malignant solid nodules in the subareolar area of the breast.
MATERIALS and METHODS : From March 2001 to March 2003, pathologically proven 84 nodules
from 78 patients were included in this study. Two radiologists evaluated the shape, margins, internal
echotexture, internal echogenicity, posterior echo intensity and relation with the major
ducts, and each nodule was then classified as benign or malignant. Clinical findings were divided
into either or absence of symptom. The ultrasonographic, mammographic and clinical
classifications were compared with the pathological results. The sensitivity (SE), specificity
(SP), positive predictive values (PPV) and negative predictive values (NPV) were calculated
for ultrasonographic, mammographic and clinical classifications.
RESULTS : Sixteen nodules were proved to be malignant (7 ductal carcinoma in situ and 9 invasive
ductal carcinoma), and the remaining 68 nodules were benign. SE, SP, PPV, and NPV of breast
cancer according to the ultrasonographical classification were 100%, 61.8%, 38.1% and 100%
while those of the clinical classification were 81.3%, 73.5%, 41.9% and 94.3%, respectively.
Relation with the major ducts such as ductal communication or intraductal location demonstrated
a high SE (87.5%) and NPV (92.0%).
CONCLUSION : Ultrasonographic and clinical findings can be helpful in the differentiation of benign
solid nodules from malignant lesions in the subareolar area of the breast. |
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| Keyword : Breast Breast neoplasms Breast neoplasms, diagnosis Breast, US |
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pdf파일 : 143-149 제보경.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2003 ; 22 (3) : p.143-149
