Journal of Korean Society of Medical Ultrasound 1994;13(2): 189-195.
Fibrocystic disease of the breast: Analysis of sonographic findings with histopathologic correlation
Kyoung Suk Shin, Chung Hyun Kim, Chung Keun Lee, Young Ran Oh, June Sik Cho, Byung Chull Rhee, Dong Wook Kang
Department of Diagnostic Radiology, Department of Anatomical Pathology1 College of Medicine, Chungnam National University
ABSTRACT
To evaluate the sonographic findings of fibrocystic disease with histopathologic correlation, weretrospectively analyzed the sonographic findings and pathologic findings of 48 cases with histopathologicallyproven fibrocystic disease. The sonographic pattern of the lesions were classified into type I (ill definedisoechoic lesion), Type IIa (ill defined hypoechoic lesion with heterogeneity), Type IIb (ill defined hypoechoiclesion with nodularities), Type III (mass lesion with thick or thin boundary echoes). The pathologic feature wasclassified into stromal hyperplasia, mixed, proliferative and fibroadenomatosis patterns. In sonographic type I,stromal hyperplasia and mixed patterns were seen in 77% and 23% , respectively. In sonographic Type IIa, stromalhyperplasia, mixed and proloferative patterns were seen in 57%, 29% and 14%, respectively. In sonographic TypeIIb, stromal hyperplasia & mixed patterns were seen in 17% and 83%, respectively. In sonographic type III, stromalhyperplasia, mixed, proloferative and fibroadenomatosis patterns were seen in 10%, 23%,13% and 54%, respectively.In conclusion, the sonographic findings of fibrocystic disease were variable and were not correlated good withhistopathologic patterns. Sonography might to be helpful in the diagnosis of fibrocystic disease in conjunctionwith other imaging modalities in cases with Type I or Type II sonographic patterns. However, in cases with TypeIII patterns, biopsy should be performed to differentiate them from other benign or malignant masses.
Keywords: Breast, disease, breast, US studies, Breast, fibrocystic disease
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