Предоперационная диагностика склерозирующего аденоза молочной железы затруднительна, так как заболевание не имеет специфической картины при сонографии и маммографии. Как возможный критерий дифференциального диагноза склерозирующего аденоза и рака молочной железы можно указать наличие пальпируемого образования при отсутствии патологических находок в ультразвуковом и рентгенологическом исследованиях. Несомненную пользу имеет доплерография при сонографии: отсутствие усиления рисунка сосудистой сети позволяет сделать вывод о доброкачественном характере процесса. При наличии оценки по 4-й категории BI-RADS требуется гистологическая верификация диагноза.
Objective. The clinical, sonographic and mammographic symptoms in breast sclerosing adenosis were analyzed. Methods. The study included 18 patients 28-51 years with histologically confirmed diagnosis of 'sclerosing adenosis'. In addition to sonography and mammography used Doppler and clinical evaluation process for BI-RADS categories. Results. Under the 3nd BI-RADS category has got most determined preoperatively entities: 53.3 % for mammography and 61.1 % for sonography. BI-RADS category 4 has been assigned to each of the fifth observation. The absence of any pathological changes in mammography was noted in 4 patients, while sonography - in 3 patients. Doppler contouring showed no amplification of the vasculature in all cases. Conclusions. As a possible criterion for differential diagnosis of sclerosing adenosis and breast cancer it can be indicated the presence of palpable formation in the absence of pathological findings on ultrasound and X-ray studies. Doppler sonography has certain advantages: the absence of the gain pattern of the vasculature leads to the conclusion benign nature of the process. With the grade of the 4th BI-RADS category it is necessary to conduct the histologic diagnosis verification.
The authors declare that there are no conflicts of interest present.