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Can Color and Spectral Doppler Ultrasound of Breast Cancers Help to Predict the Immunohistochemistry Profile? Publisher



Alikhassi A1 ; Nokandeh SZ2 ; Mousavi K2 ; Saffar H3 ; Gity M4 ; Ahmadinejad N1
Authors
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Authors Affiliations
  1. 1. Department of Radiology, Cancer Institute, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Radiology, Tehran University of Medical Science, Tehran, Iran
  3. 3. Department of Anatomical and Clinical Pathology, Cancer Institute, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Radiology, Medical Imaging Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Archives of Breast Cancer Published:2019


Abstract

Background: To determine the relationship between color and spectral Doppler features of breast cancers and their biomarkers. Methods: From January 2017 to January 2018, 43 patients with breast cancer were enrolled. Age, the existence of color flow in the Doppler ultrasound, color flow pattern, tumor size, and immunohistochemistry (IHC) subtypes were recorded. Results: Among 43 breast cancer patients, IHC profiles showed that 36 patients were estrogen receptor (ER) positive, 30 patients were progesterone receptor (PR) positive, and 12 patients were human epidermal growth factor receptor 2 (Her-2) positive. The prevalence of biomarker groups in this study were as follows: luminal A, 21 patients (48.83%); luminal B, 15 (34.88%); Her-2 amplifiers, 2 (4.65%); and triple negative, 5 (11.62%). Thirty-seven patients (86.04%) with malignant masses had detectable flow and six patients (13.95%) had no detectable flow. The ER-positive and PR-positive breast cancers had the highest vascular presence rate in color Doppler ultrasound, but it was not statistically significant. Maximum vessel diameter in the difference biomarker groups and Doppler color patterns with various biomarkers showed no significant the differences. Conclusion: Based on the results of this article, we could not predict the breast cancer biomarker groups using available Color Doppler features and indexes, so pathology with IHC is still required. © Archives of Breast Cancer.