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Journal of Ultrasound in Medicine, Vol 9, Issue 10 559-568, Copyright © 1990 by American Institute of Ultrasound in Medicine
Sonographic appearance and ultrasound-guided fine-needle aspiration biopsy of breast carcinomas smaller than 1 cm3
B. D. Fornage, N. Sneige, M. J. Faroux and E. Andry
Department of Diagnostic Radiology, University of Texas M.D. Anderson Cancer Center, Houston 77030.
The purpose of this study was to review the sonographic appearance and the
results of ultrasound-guided fine-needle aspiration biopsies of a series of
49 breast carcinomas smaller than 1 cm3. No tumor was found to be
hyperechoic. Contours were irregular in 69% of cases. In 53%, an echogenic
rim was present, and the echotexture was nonhomogeneous in 41%. Sound beam
attenuation was present in 39%. The ratio of longitudinal diameter to
anteroposterior diameter ranged from 0.67 to 2.25 (mean, 1.08 +/- 0.28).
Fine-needle aspiration biopsy under continuous real-time sonographic
guidance was performed on 36 patients and yielded 30 positive and four
suspicious results (sensitivity, 94%), one inadequate specimen, and one
false-negative result. With high-resolution hand-held transducers, breast
sonography can depict small carcinomas and provides accurate,
cost-effective guidance for fine-needle aspiration biopsy.
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