Enver İLHAN, Zehra Hilal ADIBELLİ, Mehmet Akif ÜSTÜNER, Abdullah ŞENLİKÇİ, Emrah DADALI, Uğur GÖKÇELLİ, Ayşe YAĞCI, Hilmi GÜNGÖR, Orhan ÜREYEN

RADYOLOJİK OLARAK BI-RADS SINIFLAMASINA GÖRE MEMEDEKİ KİTLELERE YAKLAŞIM NE OLMALI? HİSTOPATOLOJİK SONUÇLARLA KARŞILAŞTIRMA

Amaç: Memedeki kitlelerin değerlendirilmesinde kullanılan BI-RADS sınıflamasının en çoktartışılan grubunu BI-RADS 3 ve 4 oluşturmaktadır. Bu çalışmada, radyolojik olarak BI-RADS3, 4 ve 5 grubunda değerlendirilen ve biyopsi yapılan hastaların radyolojik ve histopatolojiksonuçlarını karşılaştırmanın yanı sıra bu kitlelere uygun yaklaşımı tekrar gözden geçirmeyiamaçladık.Yöntem: Ocak 2011 ile Ağustos 2013 tarihleri arasında memede fizik muayene ve/veyaradyolojik olarak kitle saptanan; ultrasonografi, mamografi yada manyetik rezonansgörüntülemeden biri yada birkaçı yapılan hastalardan radyolojik olarak BI-RADS 3, 4 yada 5olan ve biyopsi yapılan hastaların dosyaları retrospektif olarak incelendi.Bulgular: Toplam 97 olgu çalışmaya dahil edildi. BI-RADS 3 kategorideki olguların %11’imalign, BI-RADS 4’ün %58.8’i malign iken BI-RADS 5 lezyonların hepsi maligndi. BI-RADS4 alt gruplarına ayrıldığında 4A’ da malignite oranı %23 iken 4C de %88 idi. Sonuç: BI-RADS 3 lezyonlar genellikle benign karekterdedir, nadiren de olsa bunların malignolabileceği akılda tutulmalıdır. BI-RADS 4 kategorideki lezyonlarda 4A’da malignite potansiyelidüşük, 4C’de ise oldukça yüksektir

Anahtar Kelimeler:

BI-RADS, meme kanseri, histopatoloji

How Should Be the Approach to the Breast Mass According to the Radiological BI-RADS Classification? A Comparison with Histopathological Results

Purpose: BI-RADS 3 and 4 constitute the most debated group of the BI-RADS classificationused in the evaluation of breast masses. The aim of the present study was to compare radiologicaland histopathological results of the patients who were radiological determined as BI-RADS 3,4 or 5, and who underwent biopsy, and to review proper approach to such lesions.Methods: The medical charts of the patients who were found to have a breast mass on physicalexamination and/or using radiological investigation between January 2011 and August 2013,and who were classified as BI-RADS 3, 4 or 5 using ultrasonography, mammography, and/ormagnetic resonance imaging, and who subsequently underwent biopsy examination wereretrospectively reviewed.Results: A total of 97 patients were included in the study. Of the cases in BI-RADS 3 group,11% had malignant lesion, 58.8% of the patients in the BI-RADS 4 group had malignant lesion,and all patients in the BI-RADS 5 group had malignant lesion. When the patients in BI-RADS4 were divided into subgroups, the rate of malignant was 23% in the 4A group and 88% in the4C group. Conclusion: The lesions in BI-RADS 3 group often have benign character, but it must beremembered that they may be rarely malignant lesions. In BI-RADS 4 group, the lesions in 4Ahave low malignancy potential and the lesions in 4C group have extremely high malignancypotential

Keywords:

BI-RADS, breast cancer, histopathology,

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