EVALUATION OF BREAST MASSES USING MAMMOGRAPHY, SONOGRAPHY AND ITS CORRELATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 23
Abstract
BACKGROUND Breast diseases are common in females. In developing countries like India, females are unaware of breast pathologies and are hesitant to reveal, hence they are detected usually in advanced stages. Breast cancer is the most common cause of cancer deaths in women and overall fifth common cause of cancer deaths in the world. Aims and Objectives: To study the specificity of mammography and ultrasonography separately and in combination for detection of breast masses (Ultrasonography-Mammography Correlation); To study the investigations to evaluate various breast masses; To describe suitable indications, advantages and limitations of each technique compared with other available modalities; To study the mimics of breast masses; To have histopathology follow-up and retrospective evaluation with imaging findings to improve diagnostic skills in series of 88 patients complaining of breast mass diagnosed radiologically. MATERIALS AND METHODS The study was a descriptive study, carried out in the Department of Radiodiagnosis, for a period of 1-year extending from October 2016 to October 2017 in female patients complaining of breast mass. A well-informed written consent was obtained from them. Histopathology follow-up was obtained from either biopsy or post-operative tissue. RESULTS Ultrasonography and mammography was done in most of the cases. They were sufficient to diagnose the lesion in most of the cases, especially in benign breast masses. Total 88 patients complaining of breast mass in one or both breasts were examined and evaluated with USG and mammography. The lesions were confirmed on histopathology (FNAC/biopsy). Out of 9 diagnosed malignancies, 1 lesion was missed on mammography and 1 lesion was missed on ultrasonography. One of them was missed on both. For malignancies, specificity of mammography is 93.3% and that of ultrasonography is 86.67%. Combining both the modalities, specificity is near 97%. Out of total 60 abnormal breasts, 6 were missed on USG and 10 were missed on mammography. Combining both the modalities only 2 lesions were missed and were diagnosed on histopathology alone. CONCLUSION Our study confirms the higher combined sensitivity rate for ultrasonography and mammography for detection of breast masses including malignancies. USG is useful in cystic lesions, ectasias, infections, pregnancy-lactation and dense breast evaluation and for image guidance, whereas mammography is useful in detecting microcalcifications, spiculated masses for early detection of malignancies and for stereotactic biopsies. To suggest single modality, ultrasonography is better in younger population and BIRAD 1, 2 and 3 lesions. Whereas, mammography is better in older population and BIRAD 4 and 5 lesions. However, sonomammographic correlation is best in both.
Authors and Affiliations
Ramesh Parate, Vipin Kasat, Rahul Solanke
Keywords
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- EP ID EP439404
- DOI 10.14260/jemds/2018/637
- Views 56
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