[Potentialities of ultrasound examination in differential diagnosis of benign nodules and breast cancer].
The results of examination of 410 patients with nodular masses of the breast are analysed. Benign tumors were present in 314 (76.6%) of the patients, cancer of the mammary gland--in 96 (23.4%) of the patients. The tumors were classified into 3 types, depending on the intensity of the ultrasound wave behind the tumor. Based on the clinical and morphological analyses it was demonstrated that the presence of the acoustic wave behind the tumor is typical for the invasive cancer of the duct, scirrous carcinoma and lobular cancer. In medullar and mucosous cancer the intensity of the ultrasound wave does not change. In case of intracystic cancer the symptom of "back magnification" is present. The sensitivity of the ultrasound in detection of mammary gland cancer is 88.5%, specificity--96.5%. The analogous parameters of mammography are: 91.0% and 97.8%. In the use of ultrasound control in fine needle aspiration biopsy (FNAB) the sensitivity and specificity of the method increases from 88.5% to 92.7%. If the diagnosis of mammary gland cancer was established with the use of ultrasound and FNAB the additional use of mammography is not obligatory.
Vetshev
P S
PS
MMA of IM Sechenov, Moscow.
Kuznetsov
N S
NS
Bel'tsevich
D G
DG
Ozerov
S K
SK
D002293:Adenocarcinoma, Scirrhous / Q000145:classification / Q000000981:diagnostic imaging*; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000145:classification / Q000000981:diagnostic imaging*; D018270:Carcinoma, Ductal, Breast / Q000145:classification / Q000000981:diagnostic imaging*; D018275:Carcinoma, Lobular / Q000145:classification / Q000000981:diagnostic imaging*; D003560:Cysts / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D014463:Ultrasonography