Mammographic and Sonomammographic Evaluation of Breast Masses with Pathological Correlation: A Prospective Original Study
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2016, Vol 5, Issue 3
Abstract
ABSTRACT Introduction: Breast lumps are common problem affecting females, which require proper workup, early diagnosis and treatment. Mammography is used as both screening modality and as an efficient technique to evaluate clinically suspected breast lesions. High-resolution sonography is a adjunct modality used in detecting lesions in dense breast and supplementary assessment of breast lesions. Aim: To determine the sensitivity, specificity, PPV, NPV of mammography, sonomammography and both modalities together combined in assessment of breast lesions. Materials and Methods: One hundred and two palpable or suspicious breast masses from 97 patients were evaluated with sonomammography, mammography and were correlated with appropriate pathological examination. Sensitivity, specificity, positive predictive, negative predictive values and accuracy were computed for mammography, sonomammography and combined tests. Characteristics of mammography and sonomammography of breast lesions which help to differentiate benign from malignant lesions are assessed. Results: Combining the mammography and USG, sensitivity, specificity, PPV, NPV were 92.22%, 98.02%, 92.99% and 86.2% respectively. The study showed that there was no significant difference in sensitivity between mammography and USG (p=0.23). But there was a significant difference in mammography alone and mammography USG combination (p=0.002) and USG alone and combination (p=0.0015). Conclusion: Combined mammographic, sonomammographic evaluation of breast masses was more accurate than either method alone. Irregular shape, high density, spiculated margins, microcalcification, posterior acoustic shadowing, heterogeneously hypoechoic nature, internal vascularity and associated features like skin, nipple thickening and retraction favor malignancy. Oval shape, surrounding halo, wider than tall lesion, anechoic or homogenously hypoechoic lesion with posterior acoustic enhancement favor benign lesion.
Authors and Affiliations
Jaipal R Beerappa, Balu S, Nandan Kumar L D, Anuradha Kapali, Raghuram P
Keywords
Related Articles
- EP ID EP475978
- DOI 10.7860/IJARS/2016/20371:2148
- Views 112
- Downloads 0
Ectopia Cordis: A Case Report
ABSTRACT Pentalogy of Cantrell is a rare a congenital syndrome which includes ectopia cordis, sternal, pericardial, abdominal wall defects (usually omphalocele), diaphragmatic defects and intracardiac abnormalities. We r...
Morphometry of Posterior Cerebral Artery
Introduction: Circle of Willis is an arterial circle made from communicating branches originating from carotid and vertebrobasilar arteries. The Posterior Cerebral Arteries (PCAs) are paired vessels, usually arising from...
An Unusual Case of Calcific Tendonitis of Flexor Carpi Ulnaris Tendon
Images In Medicine
Cadaveric Study on Variations in the Level of Bifurcation of Sciatic Nerve and its Clinical Implications
ABSTRACT Introduction: Sciatic nerve is the thickest nerve of the human body arising from the sacral plexus. It bifurcates into tibial nerve and common fibular nerve at any level from the pelvis to the popliteal fossa. V...
Role of MDCT in Oncological Emergencies in a Tertiary Care Oncological Centre
ABSTRACT Introduction: With increasing incidence of cancer in the general population along with improved treatment and better survival, many patients may need urgent care during the course of the disease and treatment. I...