Features of preoperative diagnosis of the breast sclerosing adenosis

Written by Mordvinov Yu.P., Apanasevich V.I., Boltaev Yu.Yu.

  UDK: 618.19-007.17-004-073.7 | Pages: 58–61 | Full text PDF | Open PDF 


Objective. The clinical, sonographic and mammographic symptoms in breast sclerosing adenosis were analyzed. Methods. The study included 18 patients 28–51 years with histologically confirmed diagnosis of ‘sclerosing adenosis’. In addition to sonography and mammography used Doppler and clinical evaluation process for BI-RADS categories. Results. Under the 3nd BI-RADS category has got most determined preoperatively entities: 53.3 % for mammography and 61.1 % for sonography. BI-RADS category 4 has been assigned to each of the fifth observation. The absence of any pathological changes in mammography was noted in 4 patients, while sonography – in 3 patients. Doppler contouring showed no amplification of the vasculature in all cases. Conclusions. As a possible criterion for differential diagnosis of sclerosing adenosis and breast cancer it can be indicated the presence of palpable formation in the absence of pathological findings on ultrasound and X-ray studies. Doppler sonography has certain advantages: the absence of the gain pattern of the vasculature leads to the conclusion benign nature of the process. With the grade of the 4th BI-RADS category it is necessary to conduct the histologic diagnosis verification.

Links to authors:
Yu.P. Mordvinov1, V.I. Apanasevich2, 3, Yu.Yu. Boltaev2
1 Breast Care Centre (18a Kalinina St. Vladivostok 690021 Russian Federation),
2 Regional Clinical Centre of Specialized Types of Medical Care (30/37 Uborevicha St. Vladivostok 690091 Russian Federation), 
3 Pacific State Medical University (2 Ostryakova Ave. Vladivostok 690950 Russian Federation)

1. American College of Radiology. Breast imaging reporting and data system atlas. 5th ed. Reston, VA: American College of Radiology, 2013. BI-RADS: ultrasound, 2nd ed.
2. Cucci E., Santoro A., Gesù C. [et al.]. Sclerosing adenosis of the breast: report of two cases and review of the literature // Polish Journal of Radiology. 2015. Vol. 80. P. 122–127.
3. Gunhan-Bilgen I., Memis A., Ustun E.E. [et al.]. Sclerosingadenosis: mammographic and ultrasonographic findings with clinical and histopathological correlation // Eur. J. Radiol. 2002. Vol. 44, No. 3 .Р. 232–238.
4. Myong J.H., Choi B.G., Kim S.H. [et al.]. Imaging features of complex sclerosing lesions of the breast // Ultrasonography. 2014. Vol. 33, No. 1. Р. 58–64.
5. Sreedharanunni S., Das A., Veenu S. [et al.] Nodular sclerosingadenosis of breast: a diagnostic pitfall in fine needle aspiration cytology // Journal of Cytology. 2013. Vol. 30, No. 1. Р. 49–51.
6. Visscher D.W., Nassar A., Degnim A.C. [et al.]. Sclerosingadenosis and risk of breast cancer // Breast Cancer Res. Treat. 2014. Vol. 144, No. 1. Р. 205–212.
7. WHO classification of the breast. IARC/World health organization of tumors / Likhani S.R., Ellis I.O., Schnitt S.J. [et al.]. Lyon, France: WHO Press, 2012. 432 p.


Founded in 1997  |  Editions in a year: 4, Articles in one issue: 30 |  ISSN of print version: 1609-1175  |  Ind.: 18410 (Agency "Rospechat’")  |  Edition: 1000 c.