BI-RADS5 Meme Lezyonlarında Sonoelastografinin Tanısal Yeri

Abstract

Amaç: Son yıllarda meme lezyonlarının değerlendirilmesinde sonoelastografi giderek daha fazla kullanılmaktadır. Çalışmamızın amacı Meme Görüntüleme Raporlama ve Veri Sistemi (BI-RADS) 5 olan meme lezyonların sonoelastografi incelemesi ile saptanan elastografi skoru ve histopatolojik sonuçlarını karşılaştırmak ve sonoelastografinin meme tümörlerinin malignitesini belirlemedeki kullanılabilirliğini belirlemektir.

Gereç ve Yöntemler: Prospektif çalışmamız Aralık 2014 Şubat 2015 tarihleri arasında yapıldı. Ultrasonografide BI-RADS 5 olarak değerlendirilen 44 hastanın yaş, kitle yeri, büyüklüğü, elastografi skorları ve eksizyonel biyopsi sonuçları değerlendirildi.

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 ve ortalama eni 23.39±14.77 mm’idi. Olguların %97.7’si maligndi. En sık rastlanılan kitle patolojik tipi invazif duktal karsinomdu (%86.4). Çalışmamızda elastografinin duyarlılığı %97.7 olarak saptandı. Malign grubun elastikiyet skoru ve malignite varlığı arasında anlamlı ilişki saptanmadı (p>0.05).

Sonuç: Non-invaziv, tekrarlanabilir ve kullanımı kolay bir görüntüleme yöntemi olan sonoelastografi, malign meme lezyonlarının (BI-RADS 5) gösterilmesinde sensitivitesi oldukça yüksek bir test olup, malign meme lezyonlarının ayrımında kullanılabilir.

Keywords

• BI-RADS 5,sonoelastografi,malign meme kanseri

DIAGNOSTIC VALUE OF SONOELASTOGRAPHY IN BI-RADS 5 BREAST LESIONS

Abstract

Objective: Sonoelastography is increasingly used in the evaluation of breast lesions in recent years. The aim of our study is to compare the sonoelastography scores found in the sonoelastography examination and histopathological results of Breast Imaging Reporting and Data System (BI-RADS) 5 breast lesions and to determine the usefulness of sonoelastography for identifying the malignancy of the breast tumors.

Material and Methods: Our prospective study evaluated the age, mass location, size, elastography score, and excisional biopsy results of 44 patients assessed as BI-RADS 5 on ultrasonography between December 2014 and February 2015.

Results: The mean age of the study population was 50.02±14.28 years. In 52.3% of the patients, the mass was located in the left breast the masses had a mean length of 16.93±12.96 mm and a mean width of 23.39±14.77 mm. Ninety-seven-point seven percent of the cases were malignant in nature.  The most common mass histopathology was invasive ductal carcinoma (86.4%). The sensitivity of sonoelastography was 97.7%. No relationship between the elasticity score and the presence of malignancy in the malignant group (p>0.05).

Conclusion: Sonoelastography, which is a noninvasive, reproducible and easy-to-use imaging method is a highly sensitive test for showing malignant breast lesions (BI-RADS 5) can be used for distinction of malignant breast lesions.

Keywords

• BI-RADS5,sonoelastography,malignant breast cancer

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