The value of ultrasound to differentiate between benign and malignant duct ectasia
Joint Authors
Jabbar, Jinan A.
al-Tamimi, Inam A.
Ahmad, Layth
al-Shahin, Zaynab O.
Source
Journal of the Faculty of Medicine Baghdad
Issue
Vol. 55, Issue 4 (31 Dec. 2013), pp.333-338, 6 p.
Publisher
University of Baghdad Faculty of Medicine
Publication Date
2013-12-31
Country of Publication
Iraq
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background : Mammary duct ectasia is defined as dilated duct larger than 2 mm in diameter seen in fibrocystic changes, ductal epithelial hyperplasia, papiloma, DCIS.
US has a significant role in diagnostic breast imaging.
It is most commonly used as an adjunctive test in characterizing lesions detected by other imaging modalities or by clinical examination JFac Med Baghdad Objective : This study was designed to investigate differences in ultrasonographic findings between malignant and benign mammary duct ectasia.
Patients and Methods: From November 2010 to July 2011, 100 womem with mammary duct ectasia lesions depicted on sonograms were included in this study.
We evaluated the ultrasonographic (US) findings in terms of involved ductal location, size, margin, intraductal echogenicity, presence of an intraductal nodule, calcification, ductal wall thickening and echo changes of the surrounding breast parenchyma.
The US findings were correlated with the pathological features.
Results : Of the 100 lesions, 84 lesions were benign and 16 lesions were malignant.
Benign lesions include : an inflammatory change (n = 14), ductal epithelial hyperplasia (n=6), fibrocystic change (n = 54), intraductal papilloma (n = 10).
Malignant lesions include : ductal carcinoma in situ (DCIS) (n = 2), infiltrating ductal carcinoma (n = 14).
On US images, the peripheral ductal location, an ill-defined margin, ductal wall thickening and a hypoechoic change of the surrounding parenchyma were features significantly associated with malignant duct ectasia.
Conclusion : For ill-defined peripheral duct ectasia with ductal wall thickening and surrounding hypoechogenicity as depicted on US, the possibility of malignancy should be considered and radiologists should not hesitate to recommend a prompt biopsy.
American Psychological Association (APA)
al-Tamimi, Inam A.& Ahmad, Layth& al-Shahin, Zaynab O.& Jabbar, Jinan A.. 2013. The value of ultrasound to differentiate between benign and malignant duct ectasia. Journal of the Faculty of Medicine Baghdad،Vol. 55, no. 4, pp.333-338.
https://search.emarefa.net/detail/BIM-380854
Modern Language Association (MLA)
Ahmad, Layth…[et al.]. The value of ultrasound to differentiate between benign and malignant duct ectasia. Journal of the Faculty of Medicine Baghdad Vol. 55, no. 4 (2013), pp.333-338.
https://search.emarefa.net/detail/BIM-380854
American Medical Association (AMA)
al-Tamimi, Inam A.& Ahmad, Layth& al-Shahin, Zaynab O.& Jabbar, Jinan A.. The value of ultrasound to differentiate between benign and malignant duct ectasia. Journal of the Faculty of Medicine Baghdad. 2013. Vol. 55, no. 4, pp.333-338.
https://search.emarefa.net/detail/BIM-380854
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 338
Record ID
BIM-380854