Research Article

Calcification, Posterior Acoustic, and Blood Flow: Ultrasonic Characteristics of Triple-Negative Breast Cancer

Table 1

Characteristics of patients with TNBC versus non-TNBC.

TNBC patients (N = 162) lesion (184)Non-TNBC patients (N = 174) lesion (196) value

Age (years)50.58 ± 10.3049.75 ± 9.120.43

Age<40 yrs2419

Size of lesions measured by US
 D1(mm)23 (15, 31)21 (15, 33)0.63
 D2 (mm)16 (11, 23)15 (11, 21)0.20
 D1/D2<125 (13.59%)29 (14.80%)

Mass shape0.67
 Irregular152 (83.06%)160(81.63%)
 Oval28(15.30%)33(16.84%)
 Regular1 (0.55%)1(0.51%)
 Indistinct1 (0.55%)0
 Flaky lesions1 (0.55%)0
 Round02(1.02%)

Mass margins0.061
 Well-defined37 (20.22%)28 (14.29%)
 Angular28 (15.30%)31 (15.82%)
 Crab-like21 (11.48%)43 (21.94%)
 Indistinct 39 (21.31%)36 (18.37%)
 Microlobulated/lobulated35 (19.13%)42 (21.43%)
 Spiculated23 (12.57%)16 (8.16%)

Echogenicity<0.001
 Hypoechoic lesions129 (70.11%)183 (93.37%)
 Mix-hypoechoic lesions9(4.89%)3 (1.53%)
 Markedly-hypoechoic lesions44 (23.91%)8 (4.08%)
 Anechoic lesions2 (1.09%)1 (0.51%)
 Hyperechoic lesions01(0.51%)

Calcifications0.03
 None109 (59.24%)90 (45.91%)
 Microcalcification64(34.78%)95 (48.47%)
 Macrocalcification10(5.43%)9 (4.59%)
 Microcalcification and macrocalcification1 (0.54%)2 (1.02%)

Posterior features<0.001
 No posterior acoustic feature136 (73.91%)128 (65.31%)
 Enhancement28 (15.22%)5 (2.55%)
 Attenuating20 (10.87%)63 (32.31%)

The lesion’s effect on the surrounding tissue0.40
 No change159 (86.41%)167 (85.20%)
 Structural distortion12 (6.52%)9 (4.59%)
 Ductal dilatation1 (0.54%)2 (1.02%)
 Edema of skin or surrounding tissue4 (2.17%)12 (6.12%)
 Changes of cooper ligament2 (1.09%)1 (0.51%)
 Others6 (3.26%)5 (2.55%)

Blood flow<0.001
 Avascular40 (21.74%)2 (1.02%)
 Strip110 (59.78%)147 (75.00%)
 Spot24 (13.04%)47 (23.98%)
 Rich strip10 (5.43%)0
 Resistance index (TNBC = 39, non -TNBC = 58)0.78 ± 0.410.77 ± 0.070.91
 Resistance index >0.63558

Classification of TNM
 Tis/T1/T2/T3/T40/54/84/8/151/58/93/13/9
 N0/N1/N2/N380/53/15/12/173/58/25/15/3
 M0/M1156/5167/7

Tumor type
 Invasive ductal124154
 Ki67 (%)60 (40, 75)35 (20, 50)<0.001

A lesion was too large to measure. Some data on TNM were missing.