A study of radiologic imagings and pathologic correlation in breast fibroadenoma
AbstractAbstract
[en] Authors performed film mammography in 2167 patients with breast complaints who had visited to Yong Dong Severance hospital, Yonsei University from October 1, 1983 to September 30, 1985. Authors analysed 62 cases of film mammographic findings and 35 cases of ultra mammographic findings among confirmed 62 fibroadenomas and also authors analysed histopathologic cell type and ultra mammographic findings of confirmed fibroadenomas. The results followed. 1. The most prevalent age group was 3rd and 4th decade (74%). 2. The common dense breast pattern by Wolfe classification were P2 and DY patterns (80%) in film mammography. 3. The most common size of fibroadenomas was 1.1-3.0cm (71%) in long diameter. 4. Film mammographic findings of fibroadenoma generally showed single mass in 54 lesions (87%), well defined margin of mass in 45 lesions (58%) and halo sign in 62 lesions (80%). Well defined margin of mass is prominent in ductal cell dominant fibroadenoma (15%) and speculated margins of mass can be seen in mixed fibroadenoma (6%) and stromal component dominant fibroadenoma (3%). Halo sign of fibroadenoma was commonly seen in ductal cell dominant fibroadenoma (86%) and stromal component dominant fibroadenoma (85%). 5. Ultra mammographic findings of fibroadenoma showed oval shaped mass in 26 lesions (15%) with smooth margin of mass in 43 lesions (84%) and showed mostly intermediate internal echo in 48 lesions (94%). Relationship between histopathologic cell type and ultra mammographic findings were. Round shaped mass (67%), lateral shadowing (74%) was common in mixed type of fibroadenoma, lobulated margin of mass (45%), intermediate (94%) with uniform (78%) internal echo was common in stromal dominant type of fibroadenoma and smooth contour (100%), uniform internal echo of mass (83%) was common in ductal cell dominant type of fibroadenoma. Most ultra mammographic L/T lratio of fibroadenoma was 0.5-1.0 in 37 lesions (73%). 6. The diagnostic accuracy of film mammography in fibroadenoma was 92%, however combined imaging modalities raised the diagnostic accuracy into 95%.
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26 refs, 3 figs, 6 tabs
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Journal Article
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Journal of the Korean Radiological Society; ISSN 0301-2867; ; v. 22(1); p. 57-68
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