Solid breast mass: Ultrasound criteria and histologic correlationt – BIRADS systems

Purpose: To determine the correlation of the ultrasound criteria of the solid breast lesions with cytologic and histologic correlation – for evaluation of solid breast lesions by BI- RADS systems.

Materials and methods: We performed between XII. 1995 and XII. 2006–38 MG examinations and 59 204 US examinations. Into this retrospective study were included 918 new cases of the solid breast lesions. The women were 14–91 years old. The lesions were evaluated according to 9 ultrasound criterion and ware marked 1 or 0 (1 for malignancy, 0 for benign).Our hypothesis was: the lesions marked 0–2 are benign (BIRADS 2),3–4 are susp. benign (BIRADS 3), 5–7 susp. malignant (BIRADS 4), 8–9 are malignant (BIRADS 5).For examination we performed maschine Mammomat 3000, NOVA and Sonoline Pro, SG 50. Aspiration, core cut biopsy was performed under ultrasound control, method free hand.

Results: There were 363 lesions marked 0–2 (BIRADS 2) histology was benign,102 lesions were marked 3–4(BIRADS 3), histology -benign, with proliferative activity or risk, 145 lesions were marked 5–7 (BIRADS 4) – potentionaly malignant, and 312 lesions were marked 8–9 (BIRADS 5), histology malignant, all patients are after surgically and CTh treatment.

Conclusions: The number evaluation of the lesions shows senzitivity 95,5% and the specificity 85%. The evaluation by BIRADS system is useful for sonomammography.