Breast fibroadenoma: diagnostic performance of gray-scale sonography and sonoelastography: a prospective observational study

Authors

  • Suresh Phatak Department of Radio-diagnosis, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra, India
  • Nipun Gupta Department of Radio-diagnosis, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20175732

Keywords:

Breast tumor, Lump, Fibro-epithelial tumors, Ultrasonography

Abstract

Background: Elastography is a new technique that can be especially helpful when used as an adjunct to conventional B-mode ultrasound in evaluating breast lesions. The aim of this study was to evaluate the diagnostic performance of interpretation criteria for conventional sonography and sonoelastography in characterising fibroadenoma breast with pathological correlation.

Methods: 50 breast fibroadenomas were prospectively evaluated by ultrasound as well as by strain elastography followed by FNAC//Histopathology correlation. The criteria used in breast elastography were Elastography Score and Strain Ratio. The sensitivity, specificity, accuracy, positive predictive value and negative predictive value were calculated for each modality.

Results: The elastography score was found to have the best performance among the 2 criteria used with a sensitivity, specificity and accuracy of 95.83%, 50% and 94% respectively.

Conclusions: While conventional ultrasound remains the primary modality for the characterization of breast masses, elastography has the potential to improve the sensitivity, specificity and accuracy of conventional ultrasound and, thus avoiding unnecessary biopsy.

References

Ortiz MB, Hernandez BD, Mateos RC. Benign breast diseases: clinical, radiological and pathological correlation. Gynecology Obstretics Mexican. 2002;70:613-8.

Guray M, Sahin AA. Benign breast diseases: classification, diagnosis, and management. Oncologist. 2006;11:435-49.

Schnitt SJ. Benign breast disease and breast cancer risk: morphology and beyond. Americ J Surgic Pathol. 2003;27(6):836-41.

Houssami N, Cheung MN, Dixon JM. Fibroadenoma of the breast. Med J Aust. 2001;174:185-8.

Miltenburg DM, Speights VO. Benign breast disease. Obstet Gynecol Clin North Am. 2008;35:285-300.

Masciadri N, Ferranti C, Benign breast lesions: Ultrasound Journal of Ultrasound. 2011;14:55-65.

Cole-Beuglet C, Soriano RZ, Kurtz AB, Goldberg BB. Fibroadenoma of the breast: sonomammography correlated with pathology in 122 patients. AJR. 1983;140:369-75.

Itoh A, ErikoTohno E, HidetoTakahashi H, Shiina T, Yamakawa M, Matsumura T, Breast Disease: Clinical Application of US Elastography for Diagnosis Radiol. 2006;239(2):341-50.

Zhi H, Xiao XY, Yang HY. Semi-quantitating stiffness of breast Solid lesions in ultrasonic elastography. Acad Radiol. 2008;15(11):1347-53.

Vijaykumar A, Shivaswamy BS, Srinivasan N. A Systematic Study on Fibroadenoma of the Breast Eur J Surg Sci. 2012;3(3):80-5.

Hanna R, Ashebu S. Giant fibroadenoma of the breast in an Arab population. J Medic Imag Radiat Oncol. 2002;46:252-6.

Stehr KG, Lebeau A, Stehr M, Grantzow R. Fibroadenoma of the breast in an 11-year-old girl. Eur J Pediatr Surg. 2004;14:56-9.

Rimsten A. Symptoms and signs in benign and malignant tumors of the breast. Uppsala J Med Sci. 1976;81:54-60.

Ajao OG. Benign breast lesions. J Natl Med Assoc. 1979;71:867-8.

Pike AM, Oberman HA. Juvenile (cellular) adenofibromas. Am J Surg Pathol. 1985;9:730-5.

Williamson ME, Lyons K, Hughes LE. Multiple fibroadenoma of the breast: a problem of uncertain incidence and management. Ann R Coll Surg Engl. 1993;75:161-3.

LY TY, Barnes PJ, Macintosh RF. Fine needle aspiration cytology of mammary fibroadenoma: a comparison of thin PrepR and cytospin preparations. Diagn cytopathol. 2011;39(3):181-7.

Beuglet CC, Soriano RZ, Alfred B. Fibroadenoma of breast correlated with pathology in 122 patients AJR. 1983;140:369-75.

Goel NB, Knight TE, Pandey S. Fibrous Lesions of the Breast: Imaging Pathologic Correlation Radio Graphics. 2005;25:1547-59.

Aly AM, Helal MH, Shabana AM. Role of sonoelastography in the differentiation between benign and malignant breast lesions J Egypt Natl Canc Inst. 2010;22(2):135-42.

Balçık A, Polat AV, Bayrak IK, Polat AK. Efficacy of Sonoelastography in Distinguishing Benign from Malignant Breast Masses J Breast Health. 2016;12: 37-43.

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Published

2017-12-23

How to Cite

Phatak, S., & Gupta, N. (2017). Breast fibroadenoma: diagnostic performance of gray-scale sonography and sonoelastography: a prospective observational study. International Journal of Research in Medical Sciences, 6(1), 268–274. https://doi.org/10.18203/2320-6012.ijrms20175732

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Original Research Articles