Open Access Open Access  Restricted Access Subscription Access

SONO-CYTOLOGICAL EVALUATION OF BREAST MASSES

Richa Maheshwari, Ajad Kumar Sarawagi, Rajesh Mehta, S. Shivram, G. J. Makwana

Abstract


This study, conducted in R.D.Gardi Medical College, Ujjain, proves the efficacy of ultrasound as a first method of choice to evaluate breast masses to differentiate benign and malignant lesions, avoiding X-ray mammography induced radiation and unnecessary biopsy. This study also reflects that benign diseases dominate the disease spectrum in young patients.

Keywords


Sonomammography, Ultrasonography, Cytology, Breast mass, Breast imaging, Sono-cytological evaluation.

Full Text:

PDF

References


Abe H, Schmidt RA, Sennett CA, Shimauchi A, and Newstead GM. (2007). “Ultrasound guided core needle biopsy of axillary lymph nodes in patients with breast cancer; Why and how to do it”, Radiographics, Vol.27(Suppl1), pp.S91-S99. [Pub Med].

Abhijit MG, Anantharaman D, Bhoopal S, and Ramanujam R. (2013). “Benign breast diseases: experience at a teaching hospital in rural India”, Int J Res Med Sci, Vol.1(2), pp.73-78, doi:10.5455/2320-6012.ijrms20130507

Ahuja A, and Ying M. (2003). “Sonography of neck lymph nodes. Part II. Abnormal lymph nodes”, Clin Radiol, Vol.58, pp.351-358.

Alvarez S, Añorbe E, Alcorta P, Löpez F, Alonso I, and Cortés J. (2006). “Role of sonography in the diagnosis of axillary lymph nodes metastasis in breast cancer: a systemic review”, AJR, Vol.186, pp.1342-1348.

American College of Radiology. (2003). “Breast Imaging Reporting And Data System (BI-RADS)”, Ultrasound, 4th ed, American College of Radiolog, VA, Reston.

Ariji Y, Kimura Y, and Hayashi N, et al. (1998). “Power Doppler sonography of cervical lymph nodes in patients with head and neck cancer”, AJNR, Vol.19, pp.303-307.

Bassett LW, Kimme-Smith C, Sutherland LK, Gold RH, Sarti D, and King W III. (1987). “Automated and hand held breast US: effect on patient management”, Radiology, Vol.165, pp.103-108.

Batool M, Arian M, and Gardezi J. (2005). “An experience with breast disease in a surgical unit of a teaching hospital of Lahore”, Biomedica, Vol.21, pp. pp.108-112.

Bedi DG, Krishnamurthy R, and Krishnamurthy S, et al. (2008). “Cortical morphologic features of axillary lymph nodes as a predictor of metastasis in breast cancer: in vitro sonographic study”, AJR, Vol.191, pp.646–652, available online: http://www.ajronline.org/doi/abs/10.2214/AJR.10.4414

Berg WA. Part IV. (2006). “Diagnosis”, Section 0, In: Breg WA, Birdwell RL, and Gombos E, et al. “Diagnostic Imaging: Breast”. Amirys, Salt Lake City Utah, pp.10-13.

Chang MC, Crystal P, and Colgan TJ. (2011). “The evolving role of axillary lymph node fine needle aspiration in the management of carcinoma of breast”, Cancer cytopatho, Vol.119, pp.328-334.

Cho N, Moon WK, Han W, Park IA, Cho J, Noh DY. (2009). “Preoperative sonographic classification of axillary lymph nodes in patients with breast cancer : node to node correlation with surgical histology and sentinel node biopsy results”, AJR Am J Roentgenol, Dec, Vol.193(6), pp.1731-1737, doi: 10.2214/ AJR. 09. 3122.

Cole-Beuglet C, Soriano RZ, Kurth AB, and Goldberg BB. (1980). “Ultrasound mammography”, Radiol Clin North Am, Vol.18, pp.133-143.

Cole-Beuglet C, Soriano RZ, Kurth AB, and Goldberg BB. (1983). “Fibro adenoma of the breast: sonomammography correlated with pathology in 122 patients”, AJR, Vol.140, pp.369-375.

Constantini M, Belli P, Lombardi R, Franceschini G, Mule A, and Bonomo L. (2006). “Characterization solid breast masses: use of the sonographic Breast Imaging Reporting and Data System Lexicon”, J Ultrasound Med, Vol.25, pp.649-659.

Damera A, Evans AJ , Cornford EJ, Wilson AR, Burrell HC, and James JJ, et al. (2003). “Diagnosis of axillary nodal metastasis by ultrasound guided core biopsy in primary operable breast cancer”, Br J Cancer, Vol.89, pp.1310-1313.[Pub Med]

Dialani V, Baum J, and Mehta TS. (2010). “Sonographic features of gynecomastia”, MPH JUM, April 1, Vol.29, 4539-547.

Egan RL, and Egan KL. (1984). “Automated water path full breast sonography: correlation with histology of 176 solid lesions”, AJR, Vol.143, pp.499-507.

Evans WP. (1995). “Breast masses: appropriate evaluation”, Radiol Clin North Am, Vol.33, pp.1185-1108.

Fleishcher AC, Muhletaler CA, and Reynolds VH, et al. (1983). “Palpable breast masses: evaluation by high frequency hand held real time sonography and xeromammograhy”, Radiology, Vol.148, pp.813-817.

Fornage BD, Lorigan JG, and Andry E. (1989). “Fibroadenoma of breast: US appearance”, Radiology, Vol.172, pp.671-676.

Gabriel K. (2011). “ElastoscanTM in breast ultrasound: a novel technique is improving diagnostic accuracy”, Samsung Medison, Article # WP201108-ELS, Issue Date 31 Aug, 2011, available online: http://www.samsungmedison.com/include/downloadFileName.jsp?fileName=WP_201108_%20Gabriel_ElastoScan(breast).pdf.

Garra BS, Cespedes EI, and Ophir J, et al. (1997). “Elastography of breast lesions: Initial clinical results”, Radiology, Vol.202, pp.79-86.

Giuseppetti GM, Martegani A, Di Cioccio B, and Baldassarre S. (2005). “Elastography in the diagnosis of the nodular breast lesions: preliminary report”, Radiol Med, Vol.110, pp.69-76.

Gonzaga MA. (2010). “How accurate is ultrasound in evaluating palpable breast masses?”, The Pan African Medical Journal, Vol.7(1), available online: http://www.panafrican-med-journal.com/content/article/7/1/full/#.Vq4IDpp97RY.

Griffith JF, Chan AC, and Ahuja AT, et al. (2000). “Neck ultrasound in staging squamous esophageal carcinoma: A high yield technique”, Clin Radiol, Vol.55, pp.696-701.

Gunhan BI, Bozkaya H, Ustun EE, and Memis A. (2002). “Male breast disease: clinical mammographic and sonographic features”, Eur J Radiol, Vol.43, pp.246-255.

Harvey JA. (2006). “Sonography of palpable breast masses”, Semin Ultrasound CT MR, Vol.27(4), pp.284-297.

Hong AS, Rosen EL, Soo MS, and Baker JA. (2005). “BI-RADS for sonography : positive and negative predictive values of sonographic features”, AJR, Vol.184, pp.1260-1265.

Houssami N, Cheung MN, and Dixon JM. (2001). “Fibroadenoma of breast”, Med J Aust, Vol.174, pp.185-188.

Howard J. (1987). “Using mammography for cancer control, an unrealized potential”, Cancer, Vol.33, pp.33-48.

Itoh A, Ueno E, Tohno E, and Kamma H, et al. (2006). “Breast Disease: Clinical application of US elastography for diagnosis”, February 16, doi:10.1148/radiol.2391041676, May, Radiology, Vol.239, pp.341-350.

Jackson VP. (1995). “The current role of ultra sonography in breast imaging”, Radiol Clin North Am, Vol.33, pp.1161-1170.

Kampert JV, Whitmore AS, and Paffenbarger RS Jr. (1988). “Combined effect of child bearing, menstrual events and body size on age specific breast cancer risk”, Am J Epidemiol, Vol.128, pp.962-972.

Khanna ANC, and Khanna NN. (1988). “Spectrum of benign breast diseases”, Ind J Surgery, Vol.3, pp.169-175.

Kim TH, Kang DK, Kim SY, Lee EJ, Jung YS, and Yim H. (2008). “Sonographic differentiation of benign and malignant papillary lesions of the breast”, American Institute of Ultrasound in Medicine, J Ultrasound Med, Vol.27, pp.75-82, 0278-4297.

Kolb TM, Lichy J, and New house JH. (1998). “Occult cancer women with dense breast: detection with screening US-diagnostic yield and tumor characteristics”, Radiology, Vol.207, pp.191-199.

Kopans DB, Meyer JE, and Lindfords KK. (1985). “Whole breast imaging: 4 year follow up”, Radiology, Vol.157, pp.505-507.

Krouskop TA, Wheeler TM, Kallel F, Garra BS, and Hall T. (1998). “Elastic module of breast and prostate tissues under compression”, Ultrason Imaging, Vol.20, pp.260-274.

Kumar M, Ray K, Harode S, and Wagh DD. (2010). “The pattern of benign breast disease in rural hospital in India”, East Central African J of Surg, Vol.15, pp.59-64.

Malik AM, Pathan R, Sheikh NA, Qureshi JN, and Talpur KAH. (2010). “Pattern of presentation and management of carcinoma breast in developing countries”, J Pak Med Assoc, Vol.60(9), pp.718-721.

Malik MAN, Salahuddin O, Azhar M, Dilawar O, Irshad H, Sadia, and Salahuddin A. (2010). “Breast diseases; Spectrum in Wah Cantt; POF Hospital experience”, Professional Med J Sep, Vol.17(3), pp.366-372.

Mansoor T, Ahmed A, and Syed HH, et al. (2002). “Role of ultrasonography in the differential diagnosis of palpable breast lumps”, Ind J Surgery, Vol.64(6), pp.499-501.

Marchal G, Oyen R, Verschakelen J, Gelin J, Baert AL, and Stessens RC. (1985). “Sonographic appearance of normal lymph nodes”, J Ultrasound Med, Vol.4, pp.417-419.

McNicholas MMJ, Mercer PM, and Miller JC, et al. (1993). “Color Doppler sonography in evaluation of palpable breast masses”, AJR, American Roentgen Ray Society, Vol.161, pp.765-771.

Michel SC, Keller TM, Fröhlich JM, Fink D, Caduff R, and Seifert B, et al. (2002). “Preoperative breast cancer staging: MR Imaging of axilla with ultrasmall super paramagnetic iron oxide enhancement”, Radiology, Vol.225, pp.527-536. [ Pub Med]

Minavathi MS, and Dinesh MS. (2012). “Classification of mass in breast ultrasound images using image processing techniques”, International Journal of Computer Applications, Vol.42(10), pp.29-36.

Moon WK, Im J-Gi, Koh YH, and Noh DY. (2000). In: Park Ae. “US of mammographically detected clustered microcalcifications”, Radiology, Vol.217, pp.849-854.

Moon WK, Myung JS, and Yu Jin Lee. (2002). “US of intraductal carcinoma in situ”, In Park Ae, Noh DY, Im J-Gi, and March M, Radiographics, Vol.22, pp.269-281.

Navarro B. (2011). “Role of Elastography in the assessment of breast lesions”, JUM, March 1, Vol.30(3), pp.313-321.

Niklason LT, Christian BT, and Niklason LE, et al. (1997). “Digital Tomosynthesis in breast imaging”, Radiology, Vol.205(2), pp.399-406.

Nuttal FQ. (1979). “Gynecomastia as physical finding in normal men”, J clin Endocrinol Metab, Vol.48, pp.338-340.

Ophir J, Cespedes EI, Ponnekanti H, Yazdi Y, and Li X. (1991). “Elastography: A quantitative methods for imaging the elasticity of biological tissues”, Ultrason Imaging, Vol.13, pp.111-134.

Pande AR, Lohani B, Sayami P, and Pradhan S. (2003). “Predictive value of Ultrasonography in the diagnosis of palpable breast lump”, Kathmandu Uni Med J (KUMJ), Vol.1(2), pp.78-84.

Park JM, Franken EA Jr, Garg M, Fajardo LL, and Niklason LT. (2007). “Breast Tomosynthesis: Present consideration and future applications”, Radiographics, Vol.27, S231-S240.

Park YM, Kim EK, and Lee JH, et al. (2008). “Palpable breast masses with probably benign morphology at sonography :can biopsy be deferred”, Acta Radiol, Vol.14, pp.1-8.

Parris T, Wakefield D, and Frimmer H. (2013). “Real world performance of screening breast ultrasound following enactment of Connecticut Bill 458”, Breast J, Vol.19, pp.64-70.

Prasad SN, Houserkovaa D. (2007). “The role of various modalities in breast imaging”, Biomed Pap Med Fac Univ Palacky Olomouc Czec Repub, Vol.151(2), pp.209-218.

Rahbar G, Sie AC, Hansen GC, Prince JS, Melany ML, Reynolds HE, Jackson VP, Sayre JW, and Bassett LW. (1999). “Benign versus Malignant Solid Breast Masses: US Differentiation”, Radiology, Dec, Vol.213, pp.889–894, 10.1148/radiology.213.3.r99dc20889

Rao R, Lilley L, Andrews V, Radford L, and Ulissey M. (2009). “Axillary staging by percutaneous biopsy: sensitivity of fine needle aspiration versus core needle biopsy”, Ann Surg Oncol, Vol.16, pp.1170-1175.

Raza S, Odulate A, Ong EM, Chikarmane S, and Harston CW. (2010). “Using real time tissue Elastography for breast lesion evaluation: our initial experience”, J Ultrasound Med, Vol.29, pp.551-563.

Regini E, Bagnera S, Tota D, and Campanino P, et al. (2010). “Role of sonoelastography in characterizing breast nodules: Preliminary experience with 120 lesions”, Radiol Med, Vol.115, pp.551-562.

Reston VA. (2003). “Breast Imaging Reporting and Data System: Ultrasound”, 4th edition, American College of Radiology.

Rinaldi P, Ierardi C, and Constantini M, et al. (2010). “Cystic breast lesions: Sonographic findings and clinical management”, American Institute of Ultrasound, Med J Ultrasound Med, Vol.29, pp.1617-1626, 0278 4297/10.

Rubin E, Miller VE, and Berland LL et al. (1986). “Hand held real time breast sonography”, American J Radiol, Vol.144, pp.623-627.

Sankaranarayanan R. (2006). “Strategies for implementation of screening programme in low and medium –resource setting”, UICC World cancer congress, 8-12 July, Washington D C, USA.

Scaperrotta G, Ferranti C, and Costa C, et al. (2008). “Role of sonoelastography in non palpable breast lesions”, Eur Radiol, Vol.18, 2381-2389.

Shetty MK, and Carpenter WS. (2004). “Sonographic evaluation of isolated abnormal axillary lymph node s identified on mammograms”, JUM, Vol.23(1), pp.63-71.

Sickles A, Filly FA, and Allen PW. (1983). “Breast cancer detection with Ultrasonography and mammography: comparison using state-of –the –art equipment”, AJR, Vol.140, pp.843-845.

Singh K, Azad T, and Gupta GD. (2008). “From the PG Department of Surgery and Radiology, Government Medical college, Jammu (J&K) India”, The Accuracy of Ultrasound in Diagnosis of breast lumps, Vol.10(4), Oct-Dec, pp.186-188.

Smallwood JA, Guyer P, and Dewbury K et al. (1886). “The accuracy of ultrasound in the diagnosis of breast diseases”, Ann R Coll. Surg Engl, Vol.68, pp.19-22.

Soo MS, Kornguth PJ, and Hertzberg B. (1998). “Fat necrosis in breast: sonographic features”, Radiology, Vol.206(1), pp.261-269.

Srivastava A, and Dhar A. (2006). “Benign breast disease: A neglected entity”, Recent Advances in Surgery, Vol.10.

Stavros AT, Thicman D, Rapp CL, Dennis MA, Parkar SH, and Sisney GA. (1995). “Solid breast nodules: Use of sonography to distinguish between benign and malignant lesions”, Radiol Vol.196, pp.123-134.

Steinkamp HJ, Mueffelmann M, Bock JC, Thiel T, Kenzel P, and Felix R. (1998). “Differential diagnosis of lymph node lesions: a semi quantitative approach with color Doppler ultrasound”, BJR, Vol.71, pp.828-833.

Suryanarayanan S, Karellas A, and Vedantham S. (2000). “Comparison of Tomosynthesis methods used with digital mammography”, Acad Radiol, Vol.7(12), pp.1085-1097.

Svensson WE, Pandian AJ, and Hashimoto H. (2010). “The use of breast ultrasound color Doppler vascular pattern morphology improves diagnostic sensitivity with minimal change in specificity”, Ultraschall Med, Oct, Vol.31(5), pp.466-474.

Taminga S, and Kuroishi T. (1995). “Epidemiology of breast cancer in Japan”, Cancer letters, Vol.90, pp.75-79.

Tardivon A, Elkhoury C, Thiboult F, Wyler A, Barreau B, and Neuen Schwender S. (2007). “Elastography of the breast a prospective study of 122 lesions”, French J Radiology, Vol.88, pp.657-662.

Taylor K, O’Keefe S, Britton PD, Wallis MD, Treece GM, Housden J, Parasar D, Bond S, and Sinnatamby R. (2011). “Ultrasound Elastography as an adjuvant to conventional ultrasound in the preoperative assessment of axillary lymph nodes in suspected breast cancer: a pilot study”, Nov, Clin Radiol, Vol.66(11), pp.1064-1071. Doi:10.1016/j.crad .2011.05.015.Epub 2011.

Thomas A, Fischer T, and Frey H, et al. (2006). “Real time Elastography : an advance method of ultrasound –First result in 108 patients with breast lesions”, Ultrasound Obst Gynecol, Vol.28, pp.335-340.

Ueno E, and Iboraki P. (2004). “Clinical application of US Elastography in the diagnosis of breast disease”, Paper presented at: European Congress of Radiology, March 5-9, Vienna, Austria.

Umanah IN, Akhiwu W, and Ojo OS. (2010). “Breast tumours of adolescent s in an African population”, Afr J Paediatr Surg, Vol.7, pp.78-80.

Wild JJ, and Neal D. (1952). “Further pilot echographic studies of the histologic structures of tumors of living intact human breast”, American J Pathol, Vol.28, pp.839-861.

Wilkens TH, Burke BJ, Cancelada DA, and Jatoi I. (1998). “Evaluation of palpable breast masses with color Doppler sonography and gray scale imaging”, American Institute of Ultrasound in Medicine, Ultrasound Med, Vol.17, pp.109-115, 0278-44297/98/43.50.

Yang WT, Metreweli C, Lam PKW, and Chang J. (2001). “Benign and Malignant Breast Masses and Axillary Nodes: Evaluation with Echo-enhanced Color Power Doppler US”, Radiology, Vol.220, pp.795-802, available online: 10.1148/radiol.2203001545

Yang WT, Suen M, and Ahuja A, et al. (1997). “In vivo demonstration of microcalcification in breast cancer using high resolution ultrasound”, Br J Radiol, Vol.70, pp.685-690.

Ying M, and Ahuja A. (2003). “Sonography of neck lymph nodes. Part I. Normal lymph nodes”, Clin Radiol, Vol.58, pp.351-358.

Zhi H, Ou B, Luo BM, Feng X, Wen YL, and Yang HY. (2007). “Comparison of ultrasound, Elastography, mammography, and sonography in the diagnosis of solid breast lesions”, J Ultrasound Med, Vol.26, pp.807-815.


Refbacks

  • There are currently no refbacks.


Send mail to ijmpr@ijmpr.com with questions or comments about this web site. 

International Journal of Medical and Pharma Research, All rights reserved.