유방암 선별 검사로서 시행한 유방촬영술에서 치밀 유방으로 진단된 여성에서 유방 초음파의 유용성

• 영문명: The effectiveness of breast ultrasonography for cancer screening: a comparison with mammography
• 발행기관: 조선대학교 의학연구원
• 저자명: 정수연(Su-Yeon Jeong) 김유석(Yoo-Seok Kim) 김권천(KweonCheon Kim)
• 간행물 정보: 『The Medical Journal of Chosun University』제45권 제1호, 1~7쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2020.04.30

영문 초록

The purpose of this study was to confirm the effectiveness of breast ultrasonography (US) for breast cancer screening in Korean women by comparing the ratio of patients who are diagnosed with malignancy using breast US with the ratio of those who are diagnosed with dense breasts (category 0) based on mammography (MMG). We conducted a retrograde study on 2,038 female patients who had undergone MMG screening at a single center in South Korea. The patients were categorized according to the Breast Imaging Reporting and Data System (BI-RADS) classification. 82 patients were excluded from the study because they had previously undergone breast cancer surgery and 21 were excluded because they had refused breast US within 6 month after undergone MMG. The patients were categorized based on MMG according to the BI-RADS classification as follows: 1,003 patients (51.8%, 1,003/1,935) corresponding to category 0, 599 (31.0%, 599/1,935) to category 1, 209 (10.8%, 209/1,935) to category 2, 55 (2.8%, 55/1,935) to category 3, and 69 (3.6%, 69/1,935) to category 4 or more. Breast US confirmed suspicious lesions in 141 of the 1,003 patients in category 0, of which 50 patients (5.0% of all patients in category 0) were identified as having malignancy based on biopsy results. 6 patients in category 1 (1.0%, 6/599) were identified as having malignancy, 2 (1.0%, 2/209) in category 2, 4 (7.3%, 4/55) in category 3, and 17 (24.6%, 17/69) in category 4 or more. Our study indicates that cancer detection may be more effective with a combined MMG and breast US screening compared to MMG alone, especially in Korean women.

목차

서론

대상 및 방법

결과

고찰

키워드

Mammography Breast ultrasonography Breast cancer