Ultrasound characteristics of breast fibromatosis mimicking carcinoma

Author:

Su Huan‐Zhong1ORCID,Huang Mei1,Li Zhi‐Yong2,Tu Jin‐Hua3,Hong Long‐Cheng1,Zhang Zuo‐Bing1,Zhang Xiao‐Dong1

Affiliation:

1. Department of Ultrasound, The First Affiliated Hospital of Xiamen University, School of Medicine Xiamen University Xiamen China

2. Department of Ultrasound Fujian Medical University Union Hospital Fuzhou China

3. Department of Pathology, The First Affiliated Hospital of Xiamen University, School of Medicine Xiamen University Xiamen China

Abstract

AbstractPurposeTo explore the value of ultrasound (US) characteristics in diagnosing breast fibromatosis (BF) and evaluate their differences from breast carcinoma.MethodsA total of 121 patients with BF (n = 24, 29 lesions) or invasive ductal carcinoma (IDC) (n = 97, 102 lesions) of the breast were included. Their clinical and US findings were recorded and analyzed.ResultsThe mean age of BF was younger than that of IDC (28.75 ± 5.55 vs. 50.19 ± 9.87, p < 0.001). The mean size of the BF was smaller than that of IDC (2.09 ± 0.91 vs. 2.71 ± 1.20, p = 0.011). Compared to IDC, BF had more frequency of posterior echo attenuation (p < 0.001), less frequency of peripheral hyperechoic halo (p = 0.002), calcification (p = 0.001), US reported axillary lymph node positive (p = 0.025), and grade 2–3 vascularity (p < 0.001). The Breast Imaging Reporting and Data System categorized BF at a lower level than IDC (p < 0.001). After adjusting for age, the peripheral hyperechoic halo, posterior echo feature, and vascularity could independently identify the differences between these two entities.ConclusionSome differences were observed between BF and IDC in terms of patient age, lesion size, and US characteristics.

Funder

Natural Science Foundation of Fujian Province

Publisher

Wiley

Subject

Radiology, Nuclear Medicine and imaging

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