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Characterization of Breast Masses With Sonography
Author(s) -
Mainiero Martha B.,
Goldkamp Allison,
Lazarus Elizabeth,
Livingston Linda,
Koelliker Susan L.,
Schepps Barbara,
Mayo-Smith William W.
Publication year - 2005
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.2005.24.2.161
Subject(s) - medicine , biopsy , radiology , malignancy , breast imaging , bi rads , breast biopsy , ultrasonography , fine needle aspiration , ultrasound , breast ultrasound , mammography , breast cancer , pathology , cancer
Objective To determine whether sonography can be used to categorize some solid breast masses as probably benign so that biopsy can be deferred.Methods We prospectively characterized 844 sonographically visible solid breast masses referred for biopsy. Mammographic and sonographic features of the masses were recorded, and all masses were categorized by American College of Radiology Breast Imaging Reporting and Data System classification before biopsy. Of the 844 masses, 148 were categorized as probably benign (Breast Imaging Reporting and Data System category 3). Sonographically guided biopsy (n = 804) or fine‐needle aspiration (n = 40) was performed for pathologic correlation. Results Of the 148 masses that met the sonographic criteria for probably benign masses, there was 1 malignancy, for a negative predictive value of 99.3%. Conclusions Follow‐up can be an acceptable alternative to biopsy for sonographically probably benign solid masses.