Risk of breast cancer in women with cystic lesions
Session
Medicine and Nursing
Description
The aim of this study, was to diagnose breast cancer in women with breast cystic lesions using sonographic features of ultrasound and fine needle aspiration. Materials and methods: We examined 1560 patients with breast lesions, 87 patients had cystic breast masses. Most often symptoms was : a lump, breast pain, nipple discharge. The mean age of the patients was 45 years (range, 18–73 years). Diagnosis was determined with sonography with high frequency transducers 12 MHz and with fine- needle aspiration. Excision was performed for all malignant lesions. Cystic lesions were categorized as simple cysts, clustered cysts, cysts with thin septa, complicated cysts, cystic masses with a thick wall, and complex solid and cystic masses. Sonographic findings were compared with the pathologic results and were classified as benign and malignant masses. Results: Of 87 patients with cystic lesions, 12 (13.8%), were simple cysts, 8 (9.2%) were clustered cysts, 11 (12.6%) were cysts with thin septa, 17(19.5%) complicated cyst. All of cases were pathologically proven to be benign. Of 13 (15%) cases with cystic masses with a thick wall, 3 (23.1%) proved malignant, of 26 (29.9%) cases with complex solid and cystic masses, 11(42.3%) of them proved malignant. Conclusion: In our study sonographically detected and pathologically proved, simple cysts, clustered cysts and cysts with thin septa were all benign, so for this kind of cysts interventional treatment was not needed, just annual routine follow-up with sonography. Symptomatic complicated cysts should be follow-up by sonography and aspiration cytology and treated according to clinical symptoms. Cystic masses with a thick wall and complex solid and cystic masses should be examined by biopsy with pathologic confirmation.
Keywords:
Breast cancer, breast cyst, sonography, FNA-biopsi
Session Chair
Besnik Elshani
Session Co-Chair
Valdete Serreqi
Proceedings Editor
Edmond Hajrizi
ISBN
978-9951-437-96-7
Location
Lipjan, Kosovo
Start Date
31-10-2020 10:45 AM
End Date
31-10-2020 12:15 PM
DOI
10.33107/ubt-ic.2020.410
Recommended Citation
Disha, Emine Devolli, "Risk of breast cancer in women with cystic lesions" (2020). UBT International Conference. 413.
https://knowledgecenter.ubt-uni.net/conference/2020/all_events/413
Risk of breast cancer in women with cystic lesions
Lipjan, Kosovo
The aim of this study, was to diagnose breast cancer in women with breast cystic lesions using sonographic features of ultrasound and fine needle aspiration. Materials and methods: We examined 1560 patients with breast lesions, 87 patients had cystic breast masses. Most often symptoms was : a lump, breast pain, nipple discharge. The mean age of the patients was 45 years (range, 18–73 years). Diagnosis was determined with sonography with high frequency transducers 12 MHz and with fine- needle aspiration. Excision was performed for all malignant lesions. Cystic lesions were categorized as simple cysts, clustered cysts, cysts with thin septa, complicated cysts, cystic masses with a thick wall, and complex solid and cystic masses. Sonographic findings were compared with the pathologic results and were classified as benign and malignant masses. Results: Of 87 patients with cystic lesions, 12 (13.8%), were simple cysts, 8 (9.2%) were clustered cysts, 11 (12.6%) were cysts with thin septa, 17(19.5%) complicated cyst. All of cases were pathologically proven to be benign. Of 13 (15%) cases with cystic masses with a thick wall, 3 (23.1%) proved malignant, of 26 (29.9%) cases with complex solid and cystic masses, 11(42.3%) of them proved malignant. Conclusion: In our study sonographically detected and pathologically proved, simple cysts, clustered cysts and cysts with thin septa were all benign, so for this kind of cysts interventional treatment was not needed, just annual routine follow-up with sonography. Symptomatic complicated cysts should be follow-up by sonography and aspiration cytology and treated according to clinical symptoms. Cystic masses with a thick wall and complex solid and cystic masses should be examined by biopsy with pathologic confirmation.