Ultrasound features of pregnancy‐associated breast cancer: A retrospective observational analysis

Abstract Pregnancy‐associated breast cancer (PABC) is a poor prognosis in women, and the mortality rate is higher in this subgroup of patients than in non‐PABC. This study aims to assess clinicopathological and ultrasound features of patients with PABC. Of 75 patients with breast cancer, 31 cases we...

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Main Authors: Maryam Jafari, Fereshteh Abbasvandi, Elahe Nazeri, Asiie Olfatbakhsh, Ahmad Kaviani, Rezvan Esmaeili
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.4974
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author Maryam Jafari
Fereshteh Abbasvandi
Elahe Nazeri
Asiie Olfatbakhsh
Ahmad Kaviani
Rezvan Esmaeili
author_facet Maryam Jafari
Fereshteh Abbasvandi
Elahe Nazeri
Asiie Olfatbakhsh
Ahmad Kaviani
Rezvan Esmaeili
author_sort Maryam Jafari
collection DOAJ
description Abstract Pregnancy‐associated breast cancer (PABC) is a poor prognosis in women, and the mortality rate is higher in this subgroup of patients than in non‐PABC. This study aims to assess clinicopathological and ultrasound features of patients with PABC. Of 75 patients with breast cancer, 31 cases were in lactating, or pregnancy phase and 44 patients had no recent history of pregnancy/lactation at the time of cancer detection. The available pathological characteristics and ultrasound findings of the PABC and non‐PABC groups were compared. The analysis of ultrasound findings demonstrated that the percentages of antiparallel orientation (p = 0.04) and heterogeneous internal echo pattern (p = 0.002) were higher in the PABC group. The final Breast Imaging Reporting and Data System (BI‐RADS) assessment in the two groups was significantly different (p = 0.008). In this study, most PABCs were BI‐RADS 4c or 5; compared with age‐matched non‐PABC cases. There were significant differences in ER (p = 0.03), receptor groups (p = 0.007), and tumor grade (p = 0.02) in PABC compared to non‐PABC group. To conclude, radiologists should be careful about ultrasound findings of PABC and recommend core needle biopsy in suspected cases.
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spelling doaj.art-d550cf53f5044c4aba2d05b3ca73db122023-01-28T05:30:04ZengWileyCancer Medicine2045-76342023-01-011221189119410.1002/cam4.4974Ultrasound features of pregnancy‐associated breast cancer: A retrospective observational analysisMaryam Jafari0Fereshteh Abbasvandi1Elahe Nazeri2Asiie Olfatbakhsh3Ahmad Kaviani4Rezvan Esmaeili5Department of Radiology Ali Asghar Children Hospital, Iran University of Medical Sciences Tehran IranATMP Department, Breast Cancer Research Center Motamed Cancer Institute, ACECR Tehran IranGenetics Department, Breast Cancer Research Center Motamed Cancer Institute, ACECR Tehran IranBreast Diseases Department, Breast Cancer Research Center Motamed Cancer Institute, ACECR Tehran IranDepartment of Surgery Tehran University of Medical Science Tehran IranGenetics Department, Breast Cancer Research Center Motamed Cancer Institute, ACECR Tehran IranAbstract Pregnancy‐associated breast cancer (PABC) is a poor prognosis in women, and the mortality rate is higher in this subgroup of patients than in non‐PABC. This study aims to assess clinicopathological and ultrasound features of patients with PABC. Of 75 patients with breast cancer, 31 cases were in lactating, or pregnancy phase and 44 patients had no recent history of pregnancy/lactation at the time of cancer detection. The available pathological characteristics and ultrasound findings of the PABC and non‐PABC groups were compared. The analysis of ultrasound findings demonstrated that the percentages of antiparallel orientation (p = 0.04) and heterogeneous internal echo pattern (p = 0.002) were higher in the PABC group. The final Breast Imaging Reporting and Data System (BI‐RADS) assessment in the two groups was significantly different (p = 0.008). In this study, most PABCs were BI‐RADS 4c or 5; compared with age‐matched non‐PABC cases. There were significant differences in ER (p = 0.03), receptor groups (p = 0.007), and tumor grade (p = 0.02) in PABC compared to non‐PABC group. To conclude, radiologists should be careful about ultrasound findings of PABC and recommend core needle biopsy in suspected cases.https://doi.org/10.1002/cam4.4974BI‐RADSnon‐PABCpathological characteristicspregnancy‐associated breast cancerultrasound
spellingShingle Maryam Jafari
Fereshteh Abbasvandi
Elahe Nazeri
Asiie Olfatbakhsh
Ahmad Kaviani
Rezvan Esmaeili
Ultrasound features of pregnancy‐associated breast cancer: A retrospective observational analysis
Cancer Medicine
BI‐RADS
non‐PABC
pathological characteristics
pregnancy‐associated breast cancer
ultrasound
title Ultrasound features of pregnancy‐associated breast cancer: A retrospective observational analysis
title_full Ultrasound features of pregnancy‐associated breast cancer: A retrospective observational analysis
title_fullStr Ultrasound features of pregnancy‐associated breast cancer: A retrospective observational analysis
title_full_unstemmed Ultrasound features of pregnancy‐associated breast cancer: A retrospective observational analysis
title_short Ultrasound features of pregnancy‐associated breast cancer: A retrospective observational analysis
title_sort ultrasound features of pregnancy associated breast cancer a retrospective observational analysis
topic BI‐RADS
non‐PABC
pathological characteristics
pregnancy‐associated breast cancer
ultrasound
url https://doi.org/10.1002/cam4.4974
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AT asiieolfatbakhsh ultrasoundfeaturesofpregnancyassociatedbreastcanceraretrospectiveobservationalanalysis
AT ahmadkaviani ultrasoundfeaturesofpregnancyassociatedbreastcanceraretrospectiveobservationalanalysis
AT rezvanesmaeili ultrasoundfeaturesofpregnancyassociatedbreastcanceraretrospectiveobservationalanalysis