AI Article Synopsis
- The study aimed to evaluate if sonography could distinguish radial scars (RS) from breast cancers by analyzing mammographic characteristics in 75 cases.
- Sonographic results indicated that RS were less sonopositive compared to carcinomas (43% vs. 93%), with significant differences in echogenic halo presence, breast architecture disruption, and sound attenuation.
- The findings suggest that sonographic features can effectively differentiate RS from malignant breast conditions.
Article Abstract
The aim of this study was to determine whether sonography can help differentiate radial scars (RS) from breast cancers. Series of 75 consecutive mammographic screen-detected RS and carcinomas were reviewed: shape, orientation, echotexture, halo, acoustic attenuation and architectural distortion were compared for sonographic RS and cancers. RS were 43% sonopositive (25/58 examined) vs. 93% sonopositive carcinomas (68/73 examined); P<0.001. Of 22 RS and 66 cancers available for film review, findings were: echogenic halo in zero RS vs. 38 cancers (0% vs. 58%); tiny sonographic cysts in 3 RS vs. zero carcinomas (14% vs. 0%); assessment category malignant vs. indeterminate/suspicious (8% vs. 59%, P<0.001); breast architecture disruption (43% vs. 91%, P<0.001); sound attenuation (55% vs. 86%, P<0.005), taller-than-wide shape (36% vs. 56%, P=0.11). RS showed echogenic components more than cancers (32% vs. 9%, P=0.016). Jagged margins were equally seen (77% vs. 76%, P=0.89). The findings suggest that sonographic differences can help discriminate between RS and carcinomas.
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| http://dx.doi.org/10.1016/j.breast.2005.01.003 | DOI Listing |
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