Sonographic features in pure mucinous breast carcinoma through propensity score matching analysis
Objective To explore the sonographic features in pure mucinous breast carcinoma(PMBC)by propensity score matching analysis.Methods Fourty-seven female patients(age at 54.6±14.5 years old)with PMBC were retrospectively enrolled in the First People's Hospital Foshan from March 2019 to August 2022 as the research object,and 550 patients(average age 38.8±9.7 years)with breast fibroadenoma(BF)were enrolled as the control group in the same time.The propensity score matching analysis was performed to adjust the baseline differences,and the clinical characteristics,sonographic features and BI-RADS category were compared between the PMBC and BF groups.Results There was no significant difference in age,tumor size and tumor location between the two groups after propensity score matching(P>0.05).Absence of tumor capsule,not circumscribed tumor margin,mixed echoic with cystic and solid component,and internal blood flow were significantly more frequent in PMBC group than in BF group(P<0.05).The incidence of BI-RADS category 4 or above was 87.2%(41/47)and 61.7%(29/47)in PMBC and BF group,respectively.The incidence of BI-RADS category 4 or above was significantly higher in PMBC group than BF group(P=0.005).Five cases with axillary lymph node metastasis confirmed by pathology were detected on ultrasound in PMBC group.Conclusion The sonographic features can help early identification of PMBC and avoid misdiagnosis,so as to provide basis for clinical personalized treatment and evaluation of patient prognosis.
pure mucinous breast carcinomafibroadenomapropensity score matchingsonographic featuresBI-RADS dictionary