Önder YENİÇERİ, Önder ÖZCAN, Neşat ÇULLU, Mehmet DEVEER

Meme Kitlelerinde Tru-Cut Biyopsinin Yararlılığı

Amaç: Bu çalışmanın amacı, meme kitlelerinde ultrasonografi kılavuzluğunda yapılan tru-cut biyopsinin tanısal yararlılığını araştırmaktır. Metod: Kasım-2009 ile Mayıs-2014 tarihleri arasında hastanemiz Radyoloji Bölümünde ultrasonografik ve mamografik olarak memede kitlesel lezyon saptanan ve ultrasonografi kılavuzluğunda tru-cut biyopsisi yapılan 103 ardışık kadın olgunun kayıtları retrospektif olarak incelendi. Bu lezyonlarda radyolojikpatolojik tanısal uyum ve memedeki yerleşimleri değerlendirildi. Bulgular: Olguların ortalama yaşı 47 idi. Lezyon büyüklüğü 5 mm ile 80 mm arasında değişmekte olup ortalama boyut 20,45 mm'ydi. Kitlelerin %52.4'ü sağ memede, %47,6'sı sol memede olup en sık üst dış kadran (%49,5) yerleşimliydi. Üst iç kadranda %18,4, alt iç kadranda %8,7, alt dış kadranda %18,4 oranda izlenirken, lezyonların sadece %4,9'u retroareolar bölgeye yerleşimliydi. Malign ve benign lezyonların memede yerleşimleri arasında istatistiksel fark izlenmedi. Histopatolojik değerlendirmede lezyonların 53'ü (%51,4) benign ve 50'si (%48,6) maligndi. Lezyonların radyolojik sınıflaması ile patolojik tanıları arasında BIRADS 3 ve BIRADS 5'te tam uyum mevcuttu. BIRADS 4 olarak sınıflandırılan 20 olgunun 9'u benign tanı alırken 11 tanesi malign tanı aldı. Sonuç: Ultrasonografi kılavuzluğunda yapılan tru-cut biyopsileri, hızlı uygulanan ve hızlı sonuç alınan, daha güvenilir preoperatif planlamaya olanak sağlayan, yüksek güvenilirlikli bir yöntemdir

Anahtar Kelimeler:

Meme tümörleri, biyopsi, ultrasonografi

The Benefit of Tru-Cut Biopsy in Breast Masses

Backgrounds: To investigate the diagnostic benefit of tru-cut biopsy made under ultrasonography guidance in breast masses. Methods: A retrospective review was made of the records of 103 consecutive female patients who underwent tru-cut biopsy under ultrasonography guidance for a mass lesion determined in the breast mammographically and ultrasonographically in our hospital Radiology Department between November 2009 and May 2011. Radiological and pathological conformity and location in the breast were evaluated in these lesions. Results: The mean age of the patients was 47 years. The mean size of the lesion was 20.45mm (range, 5- 80mm). The mass was located in the right breast in 52.4% of cases and in the left breast in 47.6% and most frequently in the upper external quadrant (49.5%). Location was observed in the upper internal quadrant in 18.4%, in the lower internal quadrant at 8.7% and the lower external quadrant at 18.4% with only 4.9% located in the retroareolar region. No statistically significant difference was determined between malignant and benign lesions in respect of location. In the histopathological evaluation, 53 (51.4%) lesions were benign and 50 (48.6%) were malignant. There was full conformity to BIRADS 3 and BIRADS 5 between the pathological diagnoses and the radiological grading of the lesions. Of 20 cases classified as BIRADS 4, 9 were diagnosed as benign and 11 as malignant. Conclusions: Tru-cut biopsy made under ultrasonography guidance is a highly reliable method which can be quickly applied to give rapid results, allowing preoperative planning to be made more safely.

Keywords:

Breast tumors, biopsy, ultrasonography,

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