J Korean Soc Ultrasound Med.  2012 Mar;31(1):43-50.

Correlation of Imaging Findings with Pathologic Findings of Sclerosing Adenosis

• Choi BB
• Shu KS

Abstract

PURPOSE
The purpose of this study was to evaluate the mammographic and sonographic findings of pure sclerosing adenosis.
MATERIALS AND METHODS
We retrospectively reviewed the mammographic and sonographic findings in 40 cases of pure sclerosing adenosis confirmed by core needle biopsy (n = 23), vacuum-assisted biopsy (n = 7), excision biopsy (n = 9), and lumpectomy (n = 1) from January 2002 to March 2010. All imaging findings were analyzed according to the American College of Radiology (ACR) breast imaging reporting and data system (BI-RADS). Radiologic features were correlated with pathologic findings.
RESULTS
Although most mammograms showed negative findings (57%), calcification was the most common abnormal finding of sclerosing adenosis. On sonography, the most common finding was a circumscribed oval hypoechoic mass without posterior features (78%). Most masses showed BI-RADS category 3, (75%, 27/36). Five cases showed categories 4 or 5 (14%, 5/36).
CONCLUSION
Most mammographic and sonographic findings of sclerosing adenosis are non-specific and non-pathognomonic, even though sometimes sclerosing adenosis can be radiologically or histopathologically confused with malignancy.

Keyword

Mammography; Ultrasonography; Breast neoplasm; Breast disease

MeSH Terms

Biopsy
Biopsy, Large-Core Needle
Breast
Breast Diseases
Breast Neoplasms
Information Systems
Mammography
Mastectomy, Segmental
Retrospective Studies