Gökhan AKBAŞ, Ayşe Murat AYDIN, Hakan ARTAŞ, Erkin OĞUR

Solid Meme Kitlelerinin Power Doppler Ultrasonorafi ile Değerlendirilmesi

Amaç: Solid meme kitlelerinin vasküler yapılarının Power Doppler ultrasongrafi ile değerlendirerek malign- bening ayrımının yapılması amaçlandı. Gereç ve Yöntem: 12-77 yaş arasında, (ortalama 44.3 ± 13.5), 71 kadın, 1 erkek hastada tespit edilen 36 benign (Grup 1), 38 malign (Grup 2) olmak üzere toplam 74 meme kitlesi Power doppler ultrasonografi ile değerlendirildi. İnceleme Toshiba SSA-770A/80 Aplio Doppler cihazı (Tokyo, Japonya), 7.5 MHz multifrekans lineer prob kullanılarak yapıldı. B-mod incelemeyle saptanan kitle daha sonra power Doppler modunda değerlendirildi. Kitleler akım olup olmamasına göre; akım var ise tespit edilen akımlar lokalizasyonlarına (periferik, santral, penetre) ve morfolojik görünümlerine göre (lineer, dallanma, distorsiyon) değerlendirildi Bulgular: Akımların özelliklerine göre değerlendirildiğinde periferal ve lineer akımlar açısından gruplar arasında anlamlı fark yoktu ( p=0.13 ve p=0.34 ). Santral ve penetre akım paterni karşılaştırıldığında ise her iki grup arasındaki fark anlamlıydı (p

Anahtar Kelimeler:

Benign, malign, solid meme kitleleri, power Doppler ultrasonografi

Evaluation of Solid Breast Masses With Power Doppler Sonography

Objectives: In this study, vascular structures of solid breast masses were evaluated via power Doppler ultrasonography (PDUS) to see its usefulness in benign-malignant differentiation. Material and Methods: 71 female patients and one male patient between the ages of 12-77 (mean 44.3±13.5) were included to the study. 36 benign (Group 1), 38 malignant (Group 2) totally 74 breast masses were evaluated by PDUS for the presence of flow and if there is flow, properties of vascular structures were evaluated. Study was performed via Toshiba SSA-770A/80 Aplio Doppler device (Tokyo, Japan) by using 7.5 MHz multifrequency linear transducer. Localization, contour characteristics and internal echo structure of the mass were evaluated. After B-mode examination, localization and morphological features of vascular structures with respect to masses were evaluated by Doppler Mode examination. Peripheral, central and penetrating features in respect to localization; linear, branching and distortion properties in respect to morphological features were evaluated. Results: There was no significant difference in respect to peripheral flow localization and morphologically being linear (p=0.13 v p=0.34). There were significantly differences between the groups in respect to central flow pattern and penetrating flow pattern (p

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