Imaging classification and BIRADS assessment of cystic breast lesions with pathologic correlates. a 5-year experience in Zaria, North West Nigeria

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

African Health Sciences Pub Date : 2023-10-11 DOI:10.4314/ahs.v23i3.31

Sefiya Adebanke Olarinoye-Akorede, Suleiman Lawal, Mohammed Zaria Ibrahim

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引用次数: 0

Abstract

Background: Breast cysts encompass a variety of pathologies, both benign and malignant. Therefore, classifying cysts into different categories is needful to develop a management algorithm. This study aimed to describe and distinguish between simple, complicated and complex cysts; and compare the final BIRADS assessment with pathologic findings. Materials and methods: A 5-year retrospective review of our ultrasound database identified two hundred and seventy patients with cystic breast lesions. They were divided into simple, complicated and complex cysts according to ultrasound characteristics based on shape, orientation, margin, wall thickness, internal features (echogenicity, septa, mass) posterior acoustic features, surrounding tissue vascularity. The final BIRADS assessment was correlated with histological findings. Results: There were two hundred and sixty-six (98.5%) females and four (1.5%) males with a mean age 34.9 ± 11.8 years. The commonest presentation was a palpable mass, in 70% of the patients. There were 89 (33.0%) simple cysts, 61 (22.6%) complicated cysts and 120 (44.4%) complex cysts. Conclusion: Majority of the breast cysts (83%) were benign with overall 17% incidence of malignancy. Complex cysts were the most frequent cyst type in our study, it is also the category most frequently associated with breast cancer, obviating the need for histology. Keywords: Breasts; Cysts; BIRADS; ultrasound; pathology.

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具有病理相关性的乳腺囊性病变的影像学分类和BIRADS评估。在尼日利亚西北部的扎里亚有5年的工作经验

背景:乳腺囊肿包括多种病理，有良性的也有恶性的。因此，有必要对囊肿进行分类，以开发一种管理算法。本研究旨在描述和区分简单、复杂和复杂囊肿;并将最终BIRADS评估结果与病理结果进行比较。材料和方法:对我们的超声数据库进行5年回顾性分析，确定了270例乳腺囊性病变患者。根据囊肿的形状、方向、边缘、壁厚、内部特征(回声性、间隔、肿块)、后声学特征、周围组织血管分布等超声特征将其分为简单、复杂和复杂三种类型。最终的BIRADS评估与组织学结果相关。结果:女性266例(98.5%)，男性4例(1.5%)，平均年龄34.9±11.8岁。最常见的表现是可触及的肿块，占70%的患者。单纯性囊肿89例(33.0%)，复合性囊肿61例(22.6%)，复合性囊肿120例(44.4%);结论:绝大多数乳腺囊肿(83%)为良性，恶性发生率为17%。复杂囊肿是我们研究中最常见的囊肿类型，也是最常与乳腺癌相关的类别，因此无需进行组织学检查。关键词:乳房;囊肿;BIRADS;超声波;病理

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来源期刊

African Health Sciences MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

0.00%

发文量

179

审稿时长

>12 weeks

期刊介绍： The African Health Sciences is an internationally refereed journal publishing original articles on research, clinical practice, public health, policy, planning, implementation and evaluation, in the health and related sciences relevant to Africa and the tropics. Its objectives are to: Advocate for and promote the growth of reading culture in sub Saharan Africa; Provide a high quality journal in which health and policy and other researchers and practitioners in the region can and world wide, can publish their work; Promote relevant health system research and publication in the region including alternative means of health care financing, the burden of and solution of health problems in marginalized urban and rural communities amongst the displaced and others affected by conflict; Promote research and the systematic collection and collation and publication of data on diseases and conditions of equity and influence; Promote development of evidence-based policies and guidelines for clinical, public health and other practitioners. African Health Sciences acknowledges support provided by the African Health Journals Partnership Project that is funded by the US National Institutes of Health (through the National Library of Medicine and the Fogarty International Center) and facilitated by the Council of Science Editors.