Comparison of clinicopathological characteristics and prognosis in breast cancer patients with different Breast Imaging Reporting and Data System categories

Bong Kyun Kim; Jai Min Ryu; Se Jeong Oh; Jaihong Han; Jung Eun Choi; Joon Jeong; Young Jin Suh; Jina Lee; Woo Young Sun

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저자정보: Bong Kyun Kim (The Catholic University of Korea) Jai Min Ryu (Sungkyunkwan University School of Medicine) Se Jeong Oh (The Catholic University of Korea) Jaihong Han (National Cancer Center) Jung Eun Choi (Yeungnam University College of Medicine) Joon Jeong (Yonsei University College of Medicine) Young Jin Suh (The Catholic University of Korea) Jina Lee (The Catholic University of Korea) Woo Young Sun (The Catholic University of Korea)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.101 No.3

발행연도: 2021.9

수록면: 131 - 139 (9page)

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Purpose: The Breast Imaging Reporting and Data System (BI-RADS) is a systematic and standardized scheme of the radiological findings of breast. However, there were different BI-RADS categories between breast cancers as the clinical characteristics in previous studies. We analyzed the association of BI-RADS categories with the clinicopathological characteristics and prognosis of breast cancer.
Methods: A total of 44,184 patients with invasive breast cancers assigned to BI-RADS category 3, 4, or 5 in preoperative mammography or ultrasonography were analyzed retrospectively using large-scale data from the Korean Breast Cancer Society registration system. The difference in the clinicopathological factors and prognoses according to the BI-RADS categories (BI-RADS 3–4 and BI-RADS 5) were compared between the mammography and ultrasonography groups. Comparisons of the clinicopathological factors in both groups were made using logistic regression analysis, while the prognoses were based on the breast cancer-specific survival using the Kaplan-Meier method and Cox proportional hazards model.
Results: The factors associated with BI-RADS were T stage, N stage, palpability, histology grade, and lymphovascular invasion in the mammography group; and N stage, palpability, histology grade, and lymphovascular invasion in the ultrasonography group. In the survival analysis, there were significant differences in the breast cancer-specific survival of the BI-RADS category groups in both of the mammography (hazard ratio [HR], 3.366; P < 0.001) and ultrasonography (HR, 2.877; P < 0.001) groups.
Conclusion: In this study, the BI-RADS categories of preoperative mammography and ultrasonography of patients with invasive breast cancer were associated with prognosis and could be an important factor in making treatment decisions.

#Breast neoplasms #Diagnostic imaging #Mammography #Prognosis #Ultrasonography

참고문헌 (3)

참고문헌 신청

홍세리 / 2020 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2017 / Cancer Research and Treatment 52(2):335~350

민선영 / 2016 / The Basic Facts of Korean Breast Cancer in 2013: Results of a Nationwide Survey and Breast Cancer Registry Database / Journal of Breast Cancer 19(1):1~7

Xu J / 2017 / Correlation of the ultrasound imaging of breast cancer and the expression of molecular biological indexes / Pak J Pharm Sci 30(4Suppl):1425~1430

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