Dobrosavljević Aleksandar, Rakić Snezana, Nikoli Branka, Raznatović Svetlana Janković, Dikić Svetlana Dragojević, Milosević Zorica, Jurisić Aleksandar, Skrobić Milica
Vojnosanit Pregl. 2016 Mar;73(3):239-45. doi: 10.2298/vsp140508001d.
BACKGROUND/AIM: Not only that ultrasound makes the difference between cystic and solid changes in breast tissue, as it was the case at the beginning of its use, but it also makes the differential diagnosis in terms of benign-malignant. The aim of this study was to assess the role of sonography in the diagnosis of palpable breast masses according to the American College of Radiology Ultrasonographic Breast Imaging Reporting and Data System (BI-RADS) and to correlate the BI-RADS 4 and BI-RADS 5 category with pathohistological findings.
A retrospective study was conducted with the breast sonograms of 30 women presented with palpable breast masses found to be mammography category BI-RADS 0 and ultrasonographic BI-RADS categories 4 and 5. The sonographic categories were correlated with pathohistological findings.
Surgical biopsy in 30 masses revealed: malignancy (56.7%), fibroadenoma (26.7%), fibrocystic dysplasia with/without atypia (10/6), lipoma (3.3%) and intramammary lymph node (3.3%). Correlation between BI-RADS categories and pathohistological findings was found (P < 0.05). All BI-RADS 5 masses were malignant, while in BI-RADS 4A category fibroadenomas dominated. A total of 53.8% of all benign lesions were found in women 49 years of age or younger as compared with 35.3% of all malignancies in this group (p < 0.05).
Ultrasonography BI-RADS improved classification of breast masses. The ultrasound BI-RADS 4 (A, B, C) and BI-RADS 5 lesions should be worked-up with biopsy.
背景/目的：超声不仅能像其刚开始应用时那样区分乳腺组织的囊性和实性改变，还能进行良恶性的鉴别诊断。本研究的目的是根据美国放射学会乳腺超声成像报告和数据系统（BI-RADS）评估超声在可触及乳腺肿块诊断中的作用，并将BI-RADS 4类和BI-RADS 5类与病理组织学结果相关联。
对30例可触及乳腺肿块的女性患者的乳腺超声图像进行回顾性研究，这些患者的乳腺X线摄影分类为BI-RADS 0类，超声分类为BI-RADS 4类和5类。将超声分类与病理组织学结果相关联。
30个肿块的手术活检显示：恶性肿瘤（56.7%）、纤维腺瘤（26.7%）、伴或不伴非典型性的纤维囊性增生（10/6）、脂肪瘤（3.3%）和乳腺内淋巴结（3.3%）。发现BI-RADS分类与病理组织学结果之间存在相关性（P < 0.05）。所有BI-RADS 5类肿块均为恶性肿瘤，而在BI-RADS 4A类中纤维腺瘤占主导。49岁及以下女性中所有良性病变的比例为53.8%，而该组所有恶性肿瘤的比例为35.3%（p < 0.05）。
超声BI-RADS改善了乳腺肿块的分类。超声BI-RADS 4（A、B、C）类和BI-RADS 5类病变应进行活检。
