[The value of color Doppler ultrasound in the diagnosis of breast tumors].
A prospective study was performed in 102 patients, including 40 malignant tumors (13 subclinical), to evaluate colour Doppler in breast tumours. All patients had abnormalities that led to their selection for this study. 92 patients had a mammographic examination. 10% of malignant tumours were not detected by mammography. Mammographic abnormalities without any ultrasonographic confirmation were excluded from this series. All the lesions have been proven by cytology or histology. In the assessment of malignancy only one false negative and two false positive results were obtained. The sensitivity and specificity of colour Doppler are both of 97% with radiate vessels beneath the tumour and intratumoral vessels as malignant criteria. This non invasive method should be performed in lesions with tissue ultrasonographic appearances even before fine needle puncture. So it may be possible to select more surgical indications considering an ultrasonographic abnormality atypical, subclinic or post-therapeutic (radiotherapy or surgery).
Escolano
E
E
Centre d'Imagerie Médicale Gustave-Rivet, Grenoble.
Finck
B
B
Allouch
J M
JM
Bernard
P
P
Racinet
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy; D001783:Blood Flow Velocity; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000473:pathology; D002648:Child; D003116:Color; D003663:Decision Trees; D005069:Evaluation Studies as Topic; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D008593:Menopause; D008875:Middle Aged; D012680:Sensitivity and Specificity; D013599:Systole; D016217:Ultrasonography, Mammary / Q000379:methods / Q000592:standards*
Intérêt de l'échographie Doppler couleur dans l'exploration des tumeurs du sein.