The effectiveness of Power Doppler vocal fremitus imaging in the diagnosis of breast hamartoma


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Yildiz S., Bakan A. A., Aydin S., Kadioglu H., Serter A., Bilgin S., ...Daha Fazla

Medical Ultrasonography, cilt.16, sa.3, ss.201-207, 2014 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 16 Sayı: 3
  • Basım Tarihi: 2014
  • Doi Numarası: 10.11152/mu.2013.2066.163.sy1
  • Dergi Adı: Medical Ultrasonography
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.201-207
  • Anahtar Kelimeler: Breast masses, Breast sonography, Hamartoma, Power Doppler vocal fremitus
  • İstanbul Medipol Üniversitesi Adresli: Evet

Özet

Objectives: To evaluate the usefulness of power Doppler vocal fremitus (PDVF) breast sonography for differentiation of hamartomas from other breast (malign or benign) masses. Material and methods: Two hundred and six breast masses in 180 women were evaluated. The breast lesions were scanned first by mammography (MG), then by ultrasonography (US) with PDVF imaging. Finally, biopsy was performed on lesions suspicious for malignancy (n=172). We used PDVF imaging to evaluate whether the Power acoustic Doppler artifact existed in all breast lesions. Results: Pathology results of 172 biopsied lesions showed that 83 were malign and 89 masses were benign. Totally 39 breast hamartomas were diagnosed radiologically (n=25) or histopathologically (n=14). All hamartomas (n=39) produced the power acoustic Doppler artifact as the surrounding tissue at the same depth in PDVF imaging. On the other hand, none of the malign or benign lesions, apart from hamartomas, evidenced a similar vibrational artifact as the surrounding tissue at the same depth in the PDVF imaging. Conclusion: PDVF imaging during breast sonography is an invaluable technique in the identification of breast hamartomas from other benign or malign breast masses.