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Table 1 Baseline characteristics in training and validation sets

From: Atypical ductal hyperplasia diagnosed by US-guided core needle biopsy: clinical, pathological and US features associated with upgrading to malignancy

Variable

Training set

Internal validation set

P Value

External validation set

P Value

Number of lesions

181

54

 

65

 

Median age (year)

47(41–55)a

48(40–61)a

0.55

47(41–63)a

0.38

Median size (cm)

1.3(0.9–2.1)a

1.1(0.9–1.8)a

0.27

1.4(0.9–1.4)a

0.97

Nipple discharge

  

0.35

 

0.73

 Absent

144(79.6)

46(85.2)

 

53(81.5)

 

 Present

37(20.4)

8(14.8)

 

12(18.5)

 

Palpability

  

0.17

 

0.29

 Impalpable

54(29.8)

11(20.4)

 

24(36.9)

 

 Palpable

127(70.2)

43(79.6)

 

41(63.1)

 

Biopsy needle

  

< 0.001

 

0.001

 14-Gauge

0

0

 

43(66.2)

 

 16-Gauge

105(58.0)

13(24.1)

 

22(33.8)

 

 18-Gauge

76(42.0)

41(75.9)

 

0

 

Number of cores

  

0.01

 

0.98

 2

58(32.0)

6(11.1)

 

20(30.8)

 

 3

107(59.2)

42(77.8)

 

39(60.0)

 

 4–6

16(8.8)

6(11.1)

 

6(9.2)

 

Distance from nipple

  

0.57

 

0.31

 ≤ 2 cm

105(58.0)

29(53.7)

 

33(50.8)

 

 > 2 cm

76(42.0)

25(46.3)

 

32(49.2)

 

Pathological pattern

  

0.22

 

0.40

 With fibroadenoma

12(6.6)

2(3.7)

 

7(10.8)

 

 With adenosis

46(25.4)

8(14.8)

 

12(18.4)

 

 With intraductal papilloma

60(33.0)

18(33.3)

 

26(40.0)

 

 ADH alone

63(34.8)

26(48.2)

 

20(30.8)

 

ER status(n = 287)

  

0.34

 

0.33

 Negative

22(12.6)

4(7.8)

 

5(8.1)

 

 Positive

152(87.4)

47(92.2)

 

57(91.9)

 

PR status(n = 287)

  

0.97

 

0.25

 Negative

27(15.5)

8(15.7)

 

6(9.7)

 

 Positive

147(84.5)

43(84.3)

 

56(90.3)

 

Ki-67 status(n = 250)

  

0.95

 

0.44

 Negative

105(71.9)

34(72.3)

 

44(77.2)

 

 Positive

41(28.1)

13(27.7)

 

13(22.8)

 

Negative edge of core

  

0.69

 

0.60

 Yes

86(47.5)

24(44.4)

 

28(43.8)

 

 No

95(52.5)

30(55.6)

 

36(56.2)

 

Max extent of ADH foci

  

0.38

 

0.74

 ≤ 0.1 cm

75(41.4)

26(48.1)

 

28(43.8)

 

 > 0.1 cm

106(58.6)

28(51.9)

 

36(56.2)

 

ADH foci number

  

0.006

 

0.18

 ≤ 2

57(31.5)

28(51.9)

 

26(40.6)

 

 >2

124(68.5)

26(48.1)

 

38(59.4)

 

Lesion types

  

0.59

 

0.80

 Mass-like lesion

145(80.1)

45(83.3)

 

53(81.5)

 

 Non-mass-like lesion

36(19.9)

9(16.7)

 

12(18.5)

 

Shape

  

0.60

 

0.76

 Round/Oval

25(13.8)

9(16.7)

 

8(12.3)

 

 Irregular

156(86.2)

45(83.3)

 

57(87.7)

 

Margin

  

0.42

 

0.41

 Circumscribed

63(34.8)

22(40.7)

 

19(29.2)

 

 Not circumscribed

118(65.2)

32(59.3)

 

46(70.8)

 

Composition

  

0.89

 

0.46

 Solid

175(96.7)

52(96.3)

 

64(98.5)

 

 Complex cystic and solid

6(3.3)

2(3.7)

 

1(1.5)

 

Orientation

  

0.01

 

0.22

 Parallel

161(89.0)

41(75.9)

 

54(83.1)

 

 Not parallel

20(11.0)

13(24.1)

 

11(16.9)

 

Posterior features

  

0.54

 

0.57

 No posterior features

177(97.8)

52(96.3)

 

65(100)

 

 Shadowing /Enhancement

4(2.2)

2(3.7)

 

0

 

Calcifications on ultrasound

  

0.07

 

0.65

 Absent

136(75.1)

34(63.0)

 

47(72.3)

 

 Present

45(24.9)

20(37.0)

 

18(27.7)

 

Duct changes

  

0.09

 

0.81

 Absent

166(91.7)

53(98.1)

 

59(90.8)

 

 Present

15(8.3)

1(1.9)

 

6(9.2)

 

Vascularity

  

0.14

 

0.79

 Absent

94(51.9)

22(40.7)

 

35(53.8)

 

 Present

87(48.1)

32(59.3)

 

30(46.2)

 

Imaging-pathology correlation

  

0.38

 

0.74

 Concordant

96(53.0)

25(46.3)

 

36(55.4)

 

 Discordant

85(47.0)

29(53.7)

 

29(44.6)

 
  1. Note: Unless otherwise specified, variables are expressed as numbers of lesions with percentages in parentheses. ER = estrogen receptor, PR = progesterone receptor, ADH = atypical ductal hyperplasia
  2. a Variables are expressed as medians with interquartile ranges in parentheses