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Correlation of Imaging Findings with Pathologic Findings
of Sclerosing Adenosis |
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Bo Bae Choi, MD1 Kwang Sun Shu, MD2 |
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1Department of Radiology, Chungnam National University Hospital
2Department of Pathology, Chungnam National University Hospital |
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Purpose: The purpose of this study was to evaluate the mammographic and sono-
graphic findings of pure sclerosing adenosis.
Materials and Methods: We retrospectively reviewed the mammographic and sono-
graphic findings in 40 cases of pure sclerosing adenosis confirmed by core needle
biopsy (n = 23), vacuum-assisted biopsy (n = 7), excision biopsy (n = 9), and lumpecto-
my (n = 1) from January 2002 to March 2010. All imaging findings were analyzed
according to the American College of Radiology (ACR) breast imaging reporting and
data system (BI-RADS). Radiologic features were correlated with pathologic findings.
Results: Although most mammograms showed negative findings (57%), calcifica-
tion was the most common abnormal finding of sclerosing adenosis. On sonography,
the most common finding was a circumscribed oval hypoechoic mass without posteri-
or features (78%). Most masses showed BI-RADS category 3, (75%, 27/36). Five
cases showed categories 4 or 5 (14%, 5/36).
Conclusion: Most mammographic and sonographic findings of sclerosing adenosis
are non-specific and non-pathognomonic, even though sometimes sclerosing adeno-
sis can be radiologically or histopathologically confused with malignancy. |
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Keyword : Mammography; Ultrasonography; Breast neoplasm; Breast disease |
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pdf파일 : 043-50최보배.pdf
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