TY - JOUR T1 - DIAGNOSTIC VALUE OF SONOELASTOGRAPHY IN BI-RADS 5 BREAST LESIONS TT - BI-RADS5 Meme Lezyonlarında Sonoelastografinin Tanısal Yeri AU - Kavak, Rasime Pelin AU - Kavak, Nezih AU - Baab, Savaş AU - Kılıç, Murat Özgür AU - Dağlar, Gül PY - 2018 DA - December DO - 10.24938/kutfd.417857 JF - The Journal of Kırıkkale University Faculty of Medicine JO - Kırıkkale Uni Med J PB - Kirikkale University WT - DergiPark SN - 2148-9645 SP - 263 EP - 268 VL - 20 IS - 3 LA - en AB - Objective: Sonoelastography is increasinglyused in the evaluation of breast lesions in recent years. The aim of our studyis to compare thesonoelastographyscores found inthesonoelastographyexamination and histopathological results ofBreast Imaging Reporting and Data System (BI-RADS) 5 breast lesions and todetermine the usefulness ofsonoelastographyfor identifying themalignancy of the breast tumors.Material and Methods: Our prospective studyevaluated the age, mass location, size, elastography score, and excisionalbiopsy results of 44 patients assessed as BI-RADS 5 on ultrasonography betweenDecember 2014 and February 2015.Results: The mean age of the study populationwas 50.02±14.28 years. In 52.3% of the patients, the mass was located in theleft breastthe masses had a mean length of 16.93±12.96 mm and a meanwidth of 23.39±14.77 mm. Ninety-seven-point seven percent of the cases weremalignant in nature.The most common mass histopathology wasinvasive ductal carcinoma (86.4%). The sensitivityofsonoelastographywas 97.7%. No relationship between the elasticityscore and the presence of malignancy in the malignant group (p>0.05).Conclusion: Sonoelastography, which is anoninvasive, reproducible and easy-to-use imaging methodis ahighlysensitive test for showing malignant breast lesions (BI-RADS 5)canbeused for distinction of malignant breast lesions. KW - BI-RADS5 KW - sonoelastography KW - malignant breast cancer N2 - Amaç:Son yıllarda meme lezyonlarının değerlendirilmesinde sonoelastografi giderekdaha fazla kullanılmaktadır. Çalışmamızın amacı Meme Görüntüleme Raporlama veVeri Sistemi (BI-RADS) 5 olan meme lezyonların sonoelastografi incelemesi ilesaptanan elastografi skoru ve histopatolojik sonuçlarını karşılaştırmak vesonoelastografinin meme tümörlerinin malignitesini belirlemedekikullanılabilirliğini belirlemektir.Gereç veYöntemler: Prospektif çalışmamız Aralık 2014 Şubat 2015 tarihleri arasındayapıldı. Ultrasonografide BI-RADS 5 olarak değerlendirilen 44 hastanın yaş,kitle yeri, büyüklüğü, elastografi skorları ve eksizyonel biyopsi sonuçlarıdeğerlendirildi.Bulgular:Çalışmamızdaki hastaların yaş ortalaması 50.02±14.28 yıl idi. Hastaların%52.3’ünde kitle sol memede idi ve kitlelerin ortalama boyu 16.93±12.96 mm veortalama eni 23.39±14.77 mm’idi. Olguların %97.7’si maligndi. En sıkrastlanılan kitle patolojik tipi invazif duktal karsinomdu (%86.4).Çalışmamızda elastografinin duyarlılığı %97.7 olarak saptandı. Malign grubunelastikiyet skoru ve malignite varlığı arasında anlamlı ilişki saptanmadı(p>0.05).Sonuç:Non-invaziv, tekrarlanabilir ve kullanımı kolay bir görüntüleme yöntemi olansonoelastografi,malign meme lezyonlarının (BI-RADS 5) gösterilmesinde sensitivitesioldukça yüksek bir test olup, malign meme lezyonlarının ayrımındakullanılabilir. CR - 1. Gerger D, Coşkun ZF, Ertürk A, Uzun Ş. Meme kitlelerinin değerlendirilmesinde elastografi ve difüzyon MRG’nin yeri. 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