Role Of High Resolution Ultrasonography & Colour Doppler In Evaluation Of Breast Masses And Its Correlation With Fine Needle Aspiration Cytology
Journal Title: National Journal of Medical and Dental Research - Year 2017, Vol 5, Issue 2
Abstract
Aim: To determine the role of High Resolution Ultrasonography & Colour Doppler (HRUSG& CD) in evaluation of breast masses and its correlation with Fine Needle Aspiration Cytology (FNAC). Method: Prospective analytical study. A total of 100 patients referred with clinically palpable breast lump were included in the study. A detailed history was obtained from each patient with emphasis on presence of lump in the breast, its duration & associated symptoms. Ultra-sonographic examination of breast was performed in supine position with elevation of ipsilateral hemi thorax by high resolution real time transducer of 7.5 to 10 MHz Results: Youngest patient was 15 years old and the oldest was 76 years old. The mean age of presentation of all type of breast lumps was 35.13 years and the malignant lumps was 50.07years. The mean size of malignant lesion was 4.72 cm. 39% of benign lumps and 61% of malignant lumps were in upper outer quadrant. Fibroadenoma was the commonest lesion detected in our study (43%). Doppler sonography added useful information to the gray-scale imaging in characterizing solid breast nodules. Ultrasound coupled with Doppler was found to be useful in differentiating vascular lesions from non-vascular lesions like cysts, abscesses and also in differentiating the benign from malignant lesions to some extent. Conclusion: It was possible to reach a correct diagnosis in 96 % of the 100 total cases based on ultrasonography & Colour Doppler alone. The overall sensitivity of HRUSG &CD in the detection and characterization of malignant breast lesions was 89.66 % with overall accuracy of 96%.
Authors and Affiliations
Zende UM, Desai SM, Chakravarthy S
Keywords
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