El-Sheikh, H., Abdel Aziz, S., Hegazy, R. (2021). Breast related axillary masses Sonographic and color Doppler characteristics. Benha Journal of Applied Sciences, 6(6), 343-350. doi: 10.21608/bjas.2021.214837
H.E. El-Sheikh; S.Z. Abdel Aziz; R.A. Hegazy. "Breast related axillary masses Sonographic and color Doppler characteristics". Benha Journal of Applied Sciences, 6, 6, 2021, 343-350. doi: 10.21608/bjas.2021.214837
El-Sheikh, H., Abdel Aziz, S., Hegazy, R. (2021). 'Breast related axillary masses Sonographic and color Doppler characteristics', Benha Journal of Applied Sciences, 6(6), pp. 343-350. doi: 10.21608/bjas.2021.214837
El-Sheikh, H., Abdel Aziz, S., Hegazy, R. Breast related axillary masses Sonographic and color Doppler characteristics. Benha Journal of Applied Sciences, 2021; 6(6): 343-350. doi: 10.21608/bjas.2021.214837
Breast related axillary masses Sonographic and color Doppler characteristics
Diagnostic Radiology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt
Abstract
Breast cancer screening and assessment of symptomatic and newly diagnosed breast cancer patients often encounter axillary adenopathy in diagnostic radiology practise. Axillary adenopathy may be caused by a wide range of disorders. Doctors who are familiar with normal and aberrant nodal morphology and the many causes of adenopathy are more equipped to make an appropriate diagnosis. US is the primary imaging modality for assessing axillary lymph nodes on mammograms, computed tomography (CT), and magnetic resonance imaging. All breast associated axillary masses were studied for their Sonographic and Color Doppler features. Methods: Patients with clinically suspected axillary edoema were enrolled in this investigation, which was conducted in a prospective manner. There was a medical history form completed for each of the participants in this research (Detailed history of the complaint - Results of the clinical examination- Any previous radiological or laboratory examination). The axilla and breast are examined using clinical, ultrasound, and colour Doppler techniques. Further imaging will correlate the results of the ultrasound. Both (Clinical examinations) were used to get the final diagnosis. - MRI. After a biopsy, there is a follow up. Results: Malignant lesions accounted for 35.9% of all related breast lesions, followed by fibroadenosis (25%), and fibrodenoma (9.4%). The most prevalent breast mass was a simple cyst in 3.1 percent of cases, followed by abcess, mastitis, fibrocystic disease, and an accessory breast. Age, marital status, pregnancy and breastfeeding, as well as HTN,DM,SLE, cardiac illness, and bronchial asthma, did not have a significant connection with axillary lesion identified by US, while, HTN,DM,SLE, cardiac disease, and bronchial asthma did. There was a substantial difference in the onset, course, and duration of illness between axillary lesions diagnosed by US. Diagnosis by ultrasound revealed considerable differences in the symptoms of axillary tumours in terms of pain, redness, and heat. US diagnosis of axillary lesions was not significantly different from trauma or discharge. Differences in the location, size, and shape of axillary lesions were found when axillary lesions were analysed by US. While a non-specific lymph node is more likely to be oval or rounded, a suspicious lymph node is more likely to be globular. A considerable discrepancy in the axillary lesions' vascularity and cortical thickness was found between those diagnosed by ultrasound and those by conventional imaging methods based on radiological parameters such as hilum, consistency, and echo pattern. Normal echopattern, solid firmness, normal surrounding parynchyma, and normal cortical thickness were seen in the nonspecific lymph node. Lt and both breasts were found to have soft consistency, form, (smooth, speculated, regular uneven) margins, and substantial ascocation with axillary lesion diagnosis in terms of clinical characteristics. Axillary breast lesions were not related with fibbroglandular lesions in terms of radiologic characteristics except in the cases where the fibboglandular lesions were found to be edametous or vascular. Hypoechoic, increased vascularity, BIRD grade IV, suspicious lymph node. When it came to diagnosing axillary lesions, the results of mammography were strikingly different. Dense speculatd or hypothesised mammography was linked to suspicious lymph nodes. A normal mammogram was found in 99.2 percent of cases of abscess and 97.2 percent of cases of non-specific lymph node. Axillary lesion diagnosis had a substantial effect on the improvement of patients. An axillary Doppler and US may identify axillary breast masses and have the same accuracy rate as mammography and biobsy.
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