Correlation between ultrasonography and elastography parameters and molecular subtypes of breast cancer in young women

Objective To explore the differences of conventional ultrasound characteristics, elastic imaging parameters and clinicopathological characteristics of distinct molecular subtypes of breast cancer in young women, and to identify imaging parameters that exhibited significant associations with each mol...

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Main Authors: Dian-xia Men, Hui-zhan Li, Juan Dong, Meng-hua Xue, Zhi-fen Wang, Wen-li Xiao, Ji-ping Xue, Mei-hong Jia
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Annals of Medicine
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Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2024.2443041
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author Dian-xia Men
Hui-zhan Li
Juan Dong
Meng-hua Xue
Zhi-fen Wang
Wen-li Xiao
Ji-ping Xue
Mei-hong Jia
author_facet Dian-xia Men
Hui-zhan Li
Juan Dong
Meng-hua Xue
Zhi-fen Wang
Wen-li Xiao
Ji-ping Xue
Mei-hong Jia
author_sort Dian-xia Men
collection DOAJ
description Objective To explore the differences of conventional ultrasound characteristics, elastic imaging parameters and clinicopathological characteristics of distinct molecular subtypes of breast cancer in young women, and to identify imaging parameters that exhibited significant associations with each molecular subtype.Methods We performed a retrospective analysis encompassing 310 young women with breast cancer. Observations were made regarding the ultrasonography and elastography characteristics of the identified breast lesions. Subsequently, based on immunohistochemistry results patients were classified into five distinct molecular subtypes: luminal A, luminal B (HER2−), luminal B (HER2+), HER2+, and triple-negative breast cancer (TNBC). Clinical, pathological, and ultrasound imaging features were compared among these subtypes using binary logistic regression analysis.Results Statistically significant differences were observed in various parameters across the five molecular subtypes (p < 0.05), including tumor size, morphology, margins, calcification, posterior echo features, blood flow (Adler grading), and tumor hardness. Specifically, luminal A subtype exhibited propensity for spiculated margins, lower blood flow grading, and decreased hardness; luminal B subtype was characterized by angular margins; HER2+ subtype manifested higher blood flow grading, calcification, and elevated hardness. Conversely, TNBC subtype displayed smooth margins, absence of calcification, and heightened hardness.Conclusion Specific molecular subtypes of breast cancer have unique ultrasonic and elastic imaging characteristics.
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spelling doaj-art-0d65ab2bb7a140cb94136aaa7f230ba22025-08-20T02:39:32ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2024.2443041Correlation between ultrasonography and elastography parameters and molecular subtypes of breast cancer in young womenDian-xia Men0Hui-zhan Li1Juan Dong2Meng-hua Xue3Zhi-fen Wang4Wen-li Xiao5Ji-ping Xue6Mei-hong Jia7Department of Ultrasonographl, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi Province, ChinaDepartment of Ultrasonographl, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi Province, ChinaDepartment of Ultrasonographl, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi Province, ChinaDepartment of Ultrasonographl, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi Province, ChinaDepartment of Ultrasonographl, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi Province, ChinaDepartment of Ultrasonographl, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi Province, ChinaDepartment of Ultrasonographl, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi Province, ChinaDepartment of Ultrasonographl, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi Province, ChinaObjective To explore the differences of conventional ultrasound characteristics, elastic imaging parameters and clinicopathological characteristics of distinct molecular subtypes of breast cancer in young women, and to identify imaging parameters that exhibited significant associations with each molecular subtype.Methods We performed a retrospective analysis encompassing 310 young women with breast cancer. Observations were made regarding the ultrasonography and elastography characteristics of the identified breast lesions. Subsequently, based on immunohistochemistry results patients were classified into five distinct molecular subtypes: luminal A, luminal B (HER2−), luminal B (HER2+), HER2+, and triple-negative breast cancer (TNBC). Clinical, pathological, and ultrasound imaging features were compared among these subtypes using binary logistic regression analysis.Results Statistically significant differences were observed in various parameters across the five molecular subtypes (p < 0.05), including tumor size, morphology, margins, calcification, posterior echo features, blood flow (Adler grading), and tumor hardness. Specifically, luminal A subtype exhibited propensity for spiculated margins, lower blood flow grading, and decreased hardness; luminal B subtype was characterized by angular margins; HER2+ subtype manifested higher blood flow grading, calcification, and elevated hardness. Conversely, TNBC subtype displayed smooth margins, absence of calcification, and heightened hardness.Conclusion Specific molecular subtypes of breast cancer have unique ultrasonic and elastic imaging characteristics.https://www.tandfonline.com/doi/10.1080/07853890.2024.2443041Breast cancermolecular subtypeshear wave elastographyultrasonographyyoung women
spellingShingle Dian-xia Men
Hui-zhan Li
Juan Dong
Meng-hua Xue
Zhi-fen Wang
Wen-li Xiao
Ji-ping Xue
Mei-hong Jia
Correlation between ultrasonography and elastography parameters and molecular subtypes of breast cancer in young women
Annals of Medicine
Breast cancer
molecular subtype
shear wave elastography
ultrasonography
young women
title Correlation between ultrasonography and elastography parameters and molecular subtypes of breast cancer in young women
title_full Correlation between ultrasonography and elastography parameters and molecular subtypes of breast cancer in young women
title_fullStr Correlation between ultrasonography and elastography parameters and molecular subtypes of breast cancer in young women
title_full_unstemmed Correlation between ultrasonography and elastography parameters and molecular subtypes of breast cancer in young women
title_short Correlation between ultrasonography and elastography parameters and molecular subtypes of breast cancer in young women
title_sort correlation between ultrasonography and elastography parameters and molecular subtypes of breast cancer in young women
topic Breast cancer
molecular subtype
shear wave elastography
ultrasonography
young women
url https://www.tandfonline.com/doi/10.1080/07853890.2024.2443041
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