BI-RADS5 Meme Lezyonlarında Sonoelastografinin Tanısal Yeri

Year 2018, Volume: 20 Issue: 3, 263 - 268, 30.12.2018

Rasime Pelin Kavak , Nezih Kavak , Savaş Baab Murat Özgür Kılıç Gül Dağlar

https://doi.org/10.24938/kutfd.417857

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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