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Journals / Düzce Tıp Fakültesi Dergisi / 2014 / Cilt: 16 Sayı: 1

How Should Be the Approach to the Breast Mass According to the Radiological BI-RADS Classification? A Comparison with Histopathological Results

RADYOLOJİK OLARAK BI-RADS SINIFLAMASINA GÖRE MEMEDEKİ KİTLELERE YAKLAŞIM NE OLMALI? HİSTOPATOLOJİK SONUÇLARLA KARŞILAŞTIRMA

Enver İLHAN
Zehra Hilal ADIBELLİ
Mehmet Akif ÜSTÜNER
Abdullah ŞENLİKÇİ
Emrah DADALI
Uğur GÖKÇELLİ
Ayşe YAĞCI
Hilmi GÜNGÖR
Orhan ÜREYEN
Pages
49–52
Publication Date
2014-03-01
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In BI-RADS 4 group, the lesions in 4Ahave low malignancy potential and the lesions in 4C group have extremely high malignancypotential

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: BI-RADS 3 and 4 constitute the most debated group of the BI-RADS classificationused in the evaluation of breast masses.
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Key Findings & Data:The aim of the present study was to compare radiologicaland histopathological results of the patients who were radiological determined as BI-RADS 3,4 or 5, and who underwent biopsy, and to review proper approach to such lesions.Methods: The medical charts of the patients who were found to have a breast mass on physicalexamination and/or using radiological investigation between January 2011 and August 2013,and who were classified as BI-RADS 3, 4 or 5 using ultrasonography, mammography, and/ormagnetic resonance imaging, and who subsequently underwent biopsy examination wereretrospectively reviewed.Results: A total of 97 patients were included in the study.
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Conclusion & Impact:In BI-RADS 4 group, the lesions in 4Ahave low malignancy potential and the lesions in 4C group have extremely high malignancypotential
🔬Design:Review & Systematic Survey
📍Scope:2011 Verileri
⚙️Variables:BI-RADS · meme kanseri · histopatoloji

Abstract

Purpose: BI-RADS 3 and 4 constitute the most debated group of the BI-RADS classificationused in the evaluation of breast masses. The aim of the present study was to compare radiologicaland histopathological results of the patients who were radiological determined as BI-RADS 3,4 or 5, and who underwent biopsy, and to review proper approach to such lesions.Methods: The medical charts of the patients who were found to have a breast mass on physicalexamination and/or using radiological investigation between January 2011 and August 2013,and who were classified as BI-RADS 3, 4 or 5 using ultrasonography, mammography, and/ormagnetic resonance imaging, and who subsequently underwent biopsy examination wereretrospectively reviewed.Results: A total of 97 patients were included in the study. Of the cases in BI-RADS 3 group,11% had malignant lesion, 58.8% of the patients in the BI-RADS 4 group had malignant lesion,and all patients in the BI-RADS 5 group had malignant lesion. When the patients in BI-RADS4 were divided into subgroups, the rate of malignant was 23% in the 4A group and 88% in the4C group. Conclusion: The lesions in BI-RADS 3 group often have benign character, but it must beremembered that they may be rarely malignant lesions. In BI-RADS 4 group, the lesions in 4Ahave low malignancy potential and the lesions in 4C group have extremely high malignancypotential

Özet

Amaç: Memedeki kitlelerin değerlendirilmesinde kullanılan BI-RADS sınıflamasının en çoktartışılan grubunu BI-RADS 3 ve 4 oluşturmaktadır. Bu çalışmada, radyolojik olarak BI-RADS3, 4 ve 5 grubunda değerlendirilen ve biyopsi yapılan hastaların radyolojik ve histopatolojiksonuçlarını karşılaştırmanın yanı sıra bu kitlelere uygun yaklaşımı tekrar gözden geçirmeyiamaçladık.Yöntem: Ocak 2011 ile Ağustos 2013 tarihleri arasında memede fizik muayene ve/veyaradyolojik olarak kitle saptanan; ultrasonografi, mamografi yada manyetik rezonansgörüntülemeden biri yada birkaçı yapılan hastalardan radyolojik olarak BI-RADS 3, 4 yada 5olan ve biyopsi yapılan hastaların dosyaları retrospektif olarak incelendi.Bulgular: Toplam 97 olgu çalışmaya dahil edildi. BI-RADS 3 kategorideki olguların %11’imalign, BI-RADS 4’ün %58.8’i malign iken BI-RADS 5 lezyonların hepsi maligndi. BI-RADS4 alt gruplarına ayrıldığında 4A’ da malignite oranı %23 iken 4C de %88 idi. Sonuç: BI-RADS 3 lezyonlar genellikle benign karekterdedir, nadiren de olsa bunların malignolabileceği akılda tutulmalıdır. BI-RADS 4 kategorideki lezyonlarda 4A’da malignite potansiyelidüşük, 4C’de ise oldukça yüksektir

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Cite This Article

İLHAN, E., ADIBELLİ, Z. H., ÜSTÜNER, M. A., ŞENLİKÇİ, A., DADALI, E., GÖKÇELLİ, U., YAĞCI, A., GÜNGÖR, H., ÜREYEN, O. (2014). How Should Be the Approach to the Breast Mass According to the Radiological BI-RADS Classification? A Comparison with Histopathological Results. Düzce Tıp Fakültesi Dergisi, Cilt: 16 Sayı: 1, 49–52. https://ajindex.com/articles/927116

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