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Journal of Korean Society of Ultrasound in Medicine 1993 ; 12 (2) : p.238-244

(Diagnosis of fibroadenoma and breast cancer: ultrasonography vs. X-ray mammography)
Jong Gi Song, M.D., Jung gi Im, M.D., Byung Ihn Choi, M.D., Choo Wan Kim, M.D.
Department of Radiology, Seoul National University College of Medicine
To evaluate the clinical value of ultrasonography in the diagnosis of fibroadenoma and carcinoma as comparedwith mammography, we performed a blind retrospective analysis of 85 sonograms and 40 mammograms of 85 breasts thatwere proved pathologically to have diseases. The lesions included 30 ductal carcinomas, 29 fibroadenomas, 14mammary dysplasias, 2 medullary carcinomas, 1 intraductal papillary carcinoma, and 9 cases of other pathology. Thesonograms were reviewed in regards to the border, shape and internal echo pattern of the lesion and the shadowsfrom the margin of the lesion. The mammograms were reviewed in regards to the parenchymal pattern, shape, margin,and calcification of the lesion. The accuracy, sensitivity, and specificity of mammography and ultrasonography inthe diagnosis of fibroadenoma were 77%/92%, 40%/93%, and 100%/92%, respectively. The accuracy, sensitivity, andspecificity of mammography and ultrsonography in the diagnosis of carcinoma were 85%/85%, 76%/82%, and 91%/86%,respectively. Ultrasonography is more accurate and more sensitive than mammography in the diagnosis offibroadenoma, but not in the diagnosis of carcinoma.
Keyword : Breast neoplasms,US
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