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Journal of Korean Society of Ultrasound in Medicine 2012 ; 31 (1) : p.43-50

Correlation of Imaging Findings with Pathologic Findings of Sclerosing Adenosis
Bo Bae Choi, MD1 Kwang Sun Shu, MD2
1Department of Radiology, Chungnam National University Hospital 2Department of Pathology, Chungnam National University Hospital
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.
Keyword : Mammography; Ultrasonography; Breast neoplasm; Breast disease
pdf파일 : 043-50최보배.pdf
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