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Sonographic appearance of mucinous carcinoma of the breast.

Sonographic appearance of mucinous carcinoma of the breast. Research Abstract Details 

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  • Sonographic appearance of mucinous carcinoma of the breast. Abstract Text:

    w w m lamW W M Lam,w c w chuW C W Chu,g m tseG M Tse,t k maT K Ma,

    OBJECTIVE: The aim of this study was to evaluate the sonographic and mammographic features of mucinous carcinoma and to correlate the imaging features with two histologic classifications. MATERIALS AND METHODS: Two radiologists analyzed the mammographic and sonographic features of 33 mucinous carcinomas. Mammographic features according to the Breast Imaging Reporting and Data System (BI-RADS) and sonographic features were recorded and analyzed. The imaging features of the mass were correlated with the nuclear grade and mucin content of these 33 mucinous carcinomas. The incidence of axillary lymph nodes metastasis in different histologic grades and their detection by imaging were also assessed. RESULTS: As many as 21.2% (7/33) of mucinous carcinomas could not be detected mammographically. When they were detected mammographically, more than 92% of the tumors presented as a mass, either oval or lobular. Microlobulations were present in 38.5% of these lesions. The margin of the lesion as seen on mammography can be used to predict the histologic grade. A circumscribed margin was associated with a favorable histologic grade (p = 0.01), whereas an indistinct margin was more commonly associated with the mixed type of lesion (p = 0.05). Sonographically, mixed cystic and solid components, distal enhancement, and microlobulated margins were commonly found in mucinous carcinomas, with an incidence of 37.5%, 43.8%, and 56.3%, respectively. Homogeneity on sonography was associated with the pure type of mucinous carcinoma and hence a better prognosis. Sonography showed a sensitivity of 50%, specificity of 89%, positive predictive value of 60%, negative predictive value of 84%, and accuracy of 79.2% in the detection of axillary lymph node metastasis. CONCLUSION: Both sonographic and mammographic assessments are important in the correct diagnosis of mucinous carcinoma, the prediction of histologic grade, and the prognosis of the tumors.

    Sonographic appearance of mucinous carcinoma of the breast. Publishing Authors By Initials

    ww lamWW Lam,wc chuWC Chu,gm tseGM Tse,tk maTK Ma,

    For similar diagnosis: diagnostic techniques and procedures: diagnostic imaging: ultrasonography: ultrasonography, mammary research abstracts see: diagnosis: diagnostic techniques and procedures: diagnostic imaging: ultrasonography: ultrasonography, mammary research

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    Sonographic appearance of mucinous carcinoma of the breast. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: AJR. American journal of roentgenology

    VOLUME: 182

    Page Numbers: 1069-74

    Journal Abbreviation:

    ISSN: 0361-803X

    DAY: 15

    MONTH: Apr

    YEAR: 2004

    Sonographic appearance of mucinous carcinoma of the breast. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7708173

    Sonographic appearance of mucinous carcinoma of the breast. Keywords Mesh Terms:

    KEYWORDS: Ultrasonography, Mammary

    MESH TERMS: ultrasonography

    Chemical & Substance for Abstract: Sonographic appearance of mucinous carcinoma of the breast. Information

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    Grant and Affiliation Information for Sonographic appearance of mucinous carcinoma of the breast.

    AFFILIATION: Department of Diagnostic Radiology and Organ Imaging, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Ngan Shing St., Shatin, New Territories, Hong Kong.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: AJR Am J Roentgenol

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