European Journal of Molecular & Clinical Medicine

Abstract

Ultrasonography for the evaluation of hyperechoic breast lesions.
Material and methods: The retrospective clinical study was conducted, after ethical
permission from the institution. An ultrasonographically guided core needle biopsy was
performed on 980 of 1000 subjects, with 51 percent (n=510) of lesions being benign, 41
percent (n=410) being malignant, and 8 percent (n=80) being high risk. A single
radiologist with expertise in the field performed the ultrasonographically guided core
needle biopsy, ultrasonographic imaging, and associated interpretation. Two orthogonal
views were captured for documentation. Clinical and mammography parameters and
clinical aspects, as well as additional radiologic imaging reports, were evaluated for all
research individuals.
Results: A total of 1000 ultrasonographically guided core needle biopsy were performed
on 980 participants, with 51 percent of lesions (n=510) benign, 41 percent (n=410)
malignant, and 8 percent (n=80) high risk. After examining the picture, the study
results revealed that 1 percent (n=10) of the 1000 lesions examined were hyperechoic in
10 females. 1.47 percent (n=6) of 410 malignant lesions were hyperechoic. When the
sonographic aspects of hyperechoic malignant lesions were evaluated, it was discovered
that vascularity, hypoechoic lesions, shape, and posterior acoustic features were nonsignificant
among benign and malignant hyperechoic lesions, whereas circumscribed
margins were seen in 66.67 percent (n=4) and non-circumscribed by 33.33 percent (n=2)
study subjects with benign lesions, and by 100% (n=4) study subjects with malignant
lesions. With a p-value of 0.06, this difference was statistically significant. In terms of
morphology, 100 (n=4) of the malignant lesions had irregular and lobular edges,
whereas 83.33 (n=5) of the benign lesions had irregular/lobular margins. With p=0.003,
this difference was statistically significant.
Conclusion: The current study reveals that hyperechoic breast lesions on
ultrasonography have a low prevalence of 1% (n=10) lesions. As a result, hyperechoic
breast lesions are less common on sonography. However, the possibility of cancer
should not be ruled out anytime these hyperechoic lesions are seen.