Features of preoperative diagnosis of the breast sclerosing adenosis

Abstract

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 3^nd 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 4^th BI-RADS category it is necessary to conduct the histologic diagnosis verification.