title: The value of ultrasounds exam correlated with frozen section diagnosis in the breast tumors.
abstract: The paper represents a parallel study regarding the harmony between the ultrasounds and the frozen section diagnosis in the breast cancer.
  
  
  METHODS
  We examined at an ultrasounds machine a group of 146 women aged between 16-73-year-old, which came presenting palpable formations at the level of breasts, in the Pelican Medical Centre from Oradea. The suspect lesions were subject to excisional biopsy or surgical intervention.
  
  
  RESULTS
  The elements followed at the ultrasounds exam were: echogenicity, echostructure, contour, presence and absence of posterior shadowing, microcalcifiation, orientation of lesion, compressibility, aspect of adjacent structures. Histopathological diagnosis of suspect lesions emphasized malignant lesions in a percentage of 64.86% of cases; the frozen section exam diagnosed invasive ductal carcinoma in 86% of the cases, invasive lobular carcinoma 8%, medullar carcinoma 2%, and benign lesions 4%.
  
  
  CONCLUSIONS
  The clinical-anatomopathological collaboration is absolutely compulsory for a correct microscopic diagnosis. The ultrasounds modifications separated after the criteria taken into account allow the orientation of diagnosis to malignant-benign. At 14% of the women examined, additional lesions were identified in comparison to those palpated, the ultrasounds having a role in detecting the multifocality and muticentricity of lesions. At 29.05% from the identified lesions, malignant lesions were histopathologically identified. The frozen section diagnosis in the breast cancer allows a rapid diagnosis, correct in high percentage of cases, allowing taking an intra-surgery therapeutic attitude in only one surgical intervention, thus reducing the costs. The anatomopathologist's experience reduces the diagnosis risk in excess and÷or in minus.
authors.affiliation: Department of Radiology, Faculty of Medicine and Pharmacy, University of Oradea, Romania. alinaventer@gmail.com
authors.forename: Alina
authors.initials: A
authors.lastname: Venter
authors.forename: Elena
authors.initials: E
authors.lastname: Roşca
authors.forename: Gabriela
authors.initials: G
authors.lastname: Muţiu
authors.forename: Adriana
authors.initials: A
authors.lastname: Pirte
authors.forename: D M
authors.initials: DM
authors.lastname: Roşca
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging* / Q000473:pathology; D002278:Carcinoma in Situ / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D018270:Carcinoma, Ductal, Breast / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D018275:Carcinoma, Lobular / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D018276:Carcinoma, Medullary / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D018226:Fibroadenoma / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D005629:Frozen Sections; D006801:Humans; D008875:Middle Aged; D016217:Ultrasonography, Mammary; D055815:Young Adult