Ultrasound Can Estimate the Pathologic Size of Infiltrating Ductal Carcinoma
Christina A. Finlayson, MD;
Tracey A. MacDermott, BA
Arch Surg. 2000;135:158-159.
Hypothesis Ultrasound (US) of the breast will accurately measure breast tumor size when compared with size as determined by pathologic examination.
Design Retrospective case series.
Setting University hospital–based breast center.
Patients Thirty-five women with a diagnosis of breast cancer who had US as a component of their evaluation.
Main Outcome Measure Tumor size as measured by US compared with size measured by pathologic examination.
Results Size measured by US ranged from 0.45 to 3.81 cm. Size measured by pathologic examination ranged from 0.5 to 5 cm. The mean difference of size measured by US vs pathologic size was 0.4 cm (P = .01). When only tumors with invasive ductal histology are evaluated, the mean difference in size is 0.33 cm (P = .008). The range of difference was -1.6 cm to +0.42 cm. Seventeen percent of invasive ductal tumors were underestimated by more than 1 cm; none were underestimated by more than 2 cm.
Conclusions This study demonstrates that, although US tends to underestimate the pathologic tumor size, 83% of invasive ductal tumors fall within a 1-cm and 100% fall within a 2-cm extension of the US-measured tumor size. Therefore, it is possible to use US to monitor the extent of treatment size when developing very localized therapeutic tools.
From the Department of Surgery, University of Colorado Health Sciences Center, Denver.
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