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| Sonographically Detected Architectural Distortion:Clinical Significance |
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| Shin Kee Kim, M.D., Bo Kyoung Seo, M.D., Ann Yi, M.D., Sang Hoon Cha, M.D., Baek Hyun Kim, M.D., Kyu Ran Cho, M.D.*, Young-Sik Kim, M.D.**, Gil Soo Son, M.D.***,Young Soo Kim, M.D.***, Hee-Young Kim, Ph.D.**** |
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| Department of Radiology, Korea University Ansan Hospital,*Department of Radiology, Korea University Anam Hospital, **Department of Pathology, Korea University Ansan Hospital,***Department of General Surgery, Korea University Ansan Hospital, ****Department |
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| PURPOSE : Architectural distortion is a suspicious abnormality for the diagnosis of breast cancer.
The aim of this study was to investigate the clinical significance of sonographically detected
architectural distortion.
MATERIALS and METHODS : From January 2006 to June 2008, 20 patients were identified who had
sonographically detected architectural distortions without a history of trauma or surgery and
abnormal mammographic findings related to an architectural distortion. All of the lesions were
pathologically verified. We evaluated the clinical and pathological findings and then assessed
the clinical significance of the sonographically detected architectural distortions.
RESULTS : Based on the clinical findings, one (5%) of the 20 patients had a palpable lump and the
remaining 19 patients had no symptoms. No patient had a family history of breast cancer.
Based on the pathological findings, three (15%) patients had malignancies. The malignant lesions
included invasive ductal carcinomas (n = 2) and ductal carcinoma in situ (n = 1). Four
(20%) patients had high-risk lesions; atypical ductal hyperplasia (n = 3) and lobular carcinoma
in situ (n = 1). The remaining 13 (65%) patients had benign lesions, however, seven (35%) out
of 13 patients had mild-risk lesions (three intraductal papillomas, three moderate or florid epithelial
hyperplasia and one sclerosing adenosis).
CONCLUSION : Of the sonographically detected architectural distortions, 35% were breast cancers
or high-risk lesions and 35% were mild-risk lesions. Thus, a biopsy might be needed for an architectural
distortion without an associated mass as depicted on breast ultrasound, even though
the mammographic findings are normal. |
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| Keyword : Breast; Breast neoplasms; Ultrasonography; Mammography |
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pdf파일 : 189-195김신기-서보경.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2008 ; 27 (4) : p.189-195
