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Graf, O; Helbich, TH; Fuchsjager, MH; Hopf, G; Morgun, M; Graf, C; Mallek, R.
Ultrasound follow-up of palpable solid, probably benign breast lesions (BI-RADS (TM) category III)
ROFO-FORTSCHR RONTG. 2004; 176(9): 1251-1256.
Doi: 10.1055/s-2004-813369
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
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Fuchsjäger Michael
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- Abstract:
- Purpose: To determine whether palpable non-calcified solid breast masses with benign morphology on ultrasound can be classified as probably benign and whether these lesions fulfill the criteria required for BI-RADS(TM) category III. Materials and Methods: This analysis includes 78 patients with 80 palpable non-calcified solid masses that were classified as probably benign at initial sonography. Of 78 patients, 66 had periodic imaging surveillance (2 - 8 years, mean 4.6 years). The remaining 12 patients had a biopsy after initial imaging. Results: In the 64 patients under surveillance, palpable lesions remained stable at follow-up. In 2 patients lesions increased in size during follow-up and no malignancy was diagnosed at subsequent open biopsy. In 19 of the 66 patients, 29 additional nonpalpable lesions of similar morphology were detected on ultrasound. No malignancy was diagnosed in the 12 patients, who had a biopsy after initial imaging. Conclusion: Our data suggest that palpable non-calcified solid breast masses with benign morphology on ultrasound can be classified as probably benign (BI-RADSTM category III). Biopsy can be averted when lesions remain stable at follow-up.
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Adolescent -
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Adult -
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Algorithms -
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Biopsy -
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Breast - pathology
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Breast Neoplasms - classification Breast Neoplasms - diagnosis Breast Neoplasms - pathology Breast Neoplasms - radiography Breast Neoplasms - surgery Breast Neoplasms - ultrasonography
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Data Interpretation, Statistical -
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Diagnosis, Differential -
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Female -
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Fibroadenoma - diagnosis Fibroadenoma - pathology Fibroadenoma - radiography Fibroadenoma - surgery Fibroadenoma - ultrasonography
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Follow-Up Studies -
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Humans -
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Mammography -
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Middle Aged -
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Palpation -
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Time Factors -
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Ultrasonography, Mammary -
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breast
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breast US
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breast neoplasms
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breast neoplasms, US
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breast neoplasms, diagnosis