Article Sidebar
Views PDF: 258
ĐÁNH GIÁ GIÁ TRỊ CHẨN ĐOÁN CỦA CÁC DẤU HIỆU NGHI NGỜ ÁC TÍNH TRÊN SIÊU ÂM VÚ
Main Article Content
Abstract
Objective: To evaluate the diagnostic value of suspected malignancy signs on breast ultrasound.
Methods: patients who have the solid mass in breasts underwent ultrasound examination (they have at least one of eight signs of suspected malignancy on breast ultrasound) and performed the ultrasound guided needle
biopsy of these mass at Bach Mai Hospital from July 2019 to July 2020 were investigated.
Results: 268 patients have breast tumors with signs of suspected malignancy detected on ultrasound (mean age, 42,1 years; range, 12 to 75). There were 97 breast cancer patients accounted for 36,2 %, including 84.5%
of patients over 40 years old. Cancer lesions are mainly at the upper - outer
quadrant position, accounting for 58,8 %.
The sensitivity, specificity, PPV and the OR value in regression analysis of suspected malignancies signs, respectively: spiculation and/or thick hyperechoic halo ( 67,01%; 97,07%, 92,87%; 67,44), irregular shape with
angular margins (89,69% and 70,76%; 63,5%; 21,05), retrotumoral acoustic shadowing (18,56 % and 98,83 %; 90 %, 19,25), hypoechoic echo pattern (96.91% and 7.02%; 37.15%), orientation not parallel (includes round solid nodules with round shape) (57,73 % and 84.21%; 67,47 %; 7,29), duct changes -
enlarged ducts within surrounding tissues (24,74 % and 95.91%; 77,42 %; 7,7),
microlobulations (38,14 % and 90.06 %; 68,52 %; 5,59), microcalcifications within or outside a mass (49,48 % and 89,47 %; 72,73%; 8,33).
Conclusion: The signs of suspected malignancy on breast ultrasound have high diagnostic value in diagnosing breast cancer, especially the signs of spiculation and/or thick hyperechoic halo, irregular shape with angular margins and retrotumoral acoustic shadowing. In which, spiculation and/or thick
hyperechoic halo is the sign with the highest UTV diagnostic value, followed by a sign of irregular shape with angular margins and retrotumoral acoustic shadowing. Hypoechoic echo pattern sign have high Se but low Sp and PPV, have no meaning in the diagnosis of breast cancer.
Article Details
Keywords
ung thư vú,, các dấu hiệu nghi ngờ ác tính trên siêu âm
References
2. Chương trình mục tiêu phòng chống ung thư vú năm 2013.
3. ACR BI-RADS Atlas Breast Imaging Reporting and Data System, Carl J. D’Orsi, MD, Editor and Chair,
Committee on BI-RADS Edward A. Sickles, MD, Chair, Subcommittee on BI-RADS Mammography Ellen B.
Mendelson, MD, Chair, Subcommittee on BI-RADS UltrasounElizabeth A. Morris, MD, Chair, Subcommittee on
BI-RADS MRI
4. Brayn CP, Smith GE. The Papyrus Ebers, Translated from the German Version. Letchworth, Herts: The Guardian City Press LTD; 1930.
5. Ultrasound positive predictive values by BI-RADS categories 3–5 for solid masses: An independent reader
study A. Thomas Stavros1 & Andrea G. Freitas2 & Giselle G. N. deMello2 & Lora Barke3 & Dennis McDonald4,5 & Terese Kaske3,6 & Ducly Wolverton3,7 & Arnold Honick4,8 & Daniela Stanzani2 & Adriana H. Padovan2 & Ana Paula
C. Moura2 & Marilia C. V. de Campos ACR BI- RADS 2013 5th Edition, William E. Creech, ACR staff member.
6. Priscilla F. Butler, MS, ACR staff member Paul G. Wiegmann, ACR staff member,Mythrey, B. Chatfield, PhD,
ACR staff member, Luther W. Meyer, MS, ACR staff member Pamela A. Wilcox, MBA, ACR staff member.
7. Gomez-Raposo C, Zambrana Tevar F, Sereno Moyano M, Lopez Gomez M, Casado E. Male breast cancer.
Cancer Treat Rev. 2010;36(6):451–457. [PubMed].
8. Nguyễn Chấn Hùng T.V.T. (1999). Chẩn đoán và điều trị ung thư vú tại Trung Tâm Ung Bướu TP Hồ Chí Minh.
Học TP Hồ Chí Minh, 4(3), 297–306.
9. Maffuz-Aziz A., Labastida-Almendaro S. Espejo-Fonseca A. et al. (2017). Clinical and pathological features of
breast cancer in a population of Mexico. Cir Cir Engl Ed, 85(3), 201–207.
10. Đỗ Doãn Thuận (2008). Nghiên cứu giá trị của chụp Xquang và siêu âm trong chẩn đoán ung thư vú. Đại Học
Hà Nội.
11. Đặng Văn Chính (2008). Nghiên cứu đặc điểm lâm sàng, X quang, đánh giá kết quả sinh thiết bằng kim dưới
hướng dẫn siêu âm trong chẩn đoán ung thư vú Tis-T1. Học Viện Quân Hà Nội.
12. Trương Thị Hiền (1998). So sánh giá trị ba phương pháp lâm sàng, tế bào học, chụp vú trong chẩn đoán ung
thư vú tại viện bảo vệ bà mẹ trẻ sơ sinh. Trường Đại Học Hà Nội.
13. Kim E.-K., Ko K.H., Oh K.K. et al. (2008). Clinical Application of the BI-RADS Final Assessment to Breast
Sonography in Conjunction with Mammography. Am J Roentgenol, 190(5), 1209–1215.
14. Stavros T, Thickman D, Rapp CL, Dennis MA, Parker SH, Sisney GA. Solid breast nodules: use of sonography
to distinguish between benign and malignant lesions.
15. Andrea S. Hong, Eric L. Rosen, Mary S. Soo and Jay A. Baker. BI-RADS for Sonography: Positive and Negative
Predictive Values of Sonographic Features, 2008.