G Gatta1, F Iaselli, V Parlato, G Di Grezia, R Grassi, A Rotondo. 1. Dipartimento di Internistica Clinica e Sperimentale "Magrassi-Lanzara", Sezione di Radiodiagnostica e Radioterapia, Seconda Università degli Studi di Napoli, P.zza Miraglia 2, 80138 Napoli, Italy. ggatta@sirm.org
Abstract
PURPOSE: The aim of this study was to analyse mammographic and ultrasound (US) features of fibroadenoma and phyllodes tumour and assess the diagnostic accuracy of mammography, US and US-guided core needle biopsy (CNB) in the differential diagnosis of these two lesions. MATERIALS AND METHODS: The results of the pathological analysis of excision biopsy of 83 lesions (67 fibroadenomas and 16 phyllodes tumours) were correlated with the findings of mammography, US and US-guided CNB performed on 83 women with a mean age of 45.4 years (range 18-75 years). RESULTS: Sensitivity, specificity and positive predictive values compared with histology were 45%, 50% and 79% for mammography, 34%, 69% and 82% for US and 81%, 97% and 87% for US-guided CNB (p=0.001). CONCLUSIONS: The almost complete overlap between mammographic and US parameters of fibroadenomas and phyllodes tumours and the absence of pathognomonic features preclude the differential diagnosis between the two histological types. US-guided CNB is a valuable tool in the differential diagnosis between fibroadenoma and phyllodes tumour.
PURPOSE: The aim of this study was to analyse mammographic and ultrasound (US) features of fibroadenoma and phyllodestumour and assess the diagnostic accuracy of mammography, US and US-guided core needle biopsy (CNB) in the differential diagnosis of these two lesions. MATERIALS AND METHODS: The results of the pathological analysis of excision biopsy of 83 lesions (67 fibroadenomas and 16 phyllodestumours) were correlated with the findings of mammography, US and US-guided CNB performed on 83 women with a mean age of 45.4 years (range 18-75 years). RESULTS: Sensitivity, specificity and positive predictive values compared with histology were 45%, 50% and 79% for mammography, 34%, 69% and 82% for US and 81%, 97% and 87% for US-guided CNB (p=0.001). CONCLUSIONS: The almost complete overlap between mammographic and US parameters of fibroadenomas and phyllodes tumours and the absence of pathognomonic features preclude the differential diagnosis between the two histological types. US-guided CNB is a valuable tool in the differential diagnosis between fibroadenoma and phyllodestumour.
Authors: Susanne Wurdinger; Aimée B Herzog; Dorothee R Fischer; Christiane Marx; Gerd Raabe; Achim Schneider; Werner A Kaiser Journal: AJR Am J Roentgenol Date: 2005-11 Impact factor: 3.959
Authors: Lale Duman; Naciye S Gezer; Pınar Balcı; Canan Altay; Işıl Başara; Merih G Durak; Ali I Sevinç Journal: Breast Care (Basel) Date: 2016-03-23 Impact factor: 2.860