Correlation Between BIRADS Scoring and Histology in Women Undergoing Breast Surgery in our Institution
Journal Title: New Indian Journal of Surgery - Year 2019, Vol 10, Issue 1
Abstract
Developed in the early 1990s, the BIRADS classification has been used extensively as a surrogate to histopathological reporting of breast cancer. Prior to implementation of BIRADS there was a lack of uniformity in reporting of mammography findings and this often resulted in varied reporting and management strategies. This ambiguity had also led to increased difficulties in establishing performance standards across settings. This had been the main impetus in developing the BIRADS system and several research studies have shown the scoring system to be useful in predicting the likelihood of cancer. These results are also seen in this study and hence further show the value of BIRADS in effective management of breast cancer. In this study, a total of 50 patients aged between 15 and 73 years with mean age being 44 years were included. They underwent preoperative imaging with either ultrasound or mammogram after which they underwent surgery. And their Mammogram/ultrasound findings are compared with their final Histopathology report. The BIRADS categories 1, 2 and 3 are clubbed together and considered as “Benign”, while categories 4, 5 and 6 were clubbed together as “Malignant”. This was compared with the final histopathology report which was either benign or malignant and the correlation was established. Out of the 50 cases, 40 of them were correctly classified. Breast lesions evaluated for malignancy using BIRADS scoring had Sensitivity of 75%, Specificity of 83.3%, Positive predictive value of 75% and Negative predictive value of 83.3%. The standardized terminology of the BI-RADS lexicon allows quantification of the likelihood of carcinoma in a breast lesion. In experienced hands, the BIRADS system can be a very useful predictor of malignancy. However, Imaging should not be used in isolation due to chance of missing malignancy. Imaging should always be done in conjunction with clinically examination and FNAC/Biopsy (Triple Test) to get a comprehensive perspective prior to surgery [25].
Authors and Affiliations
Bichu Joseph Maliakal
Keywords
Related Articles
- EP ID EP594113
- DOI 10.21088/nijs.0976.4747.10119.4
- Views 88
- Downloads 0
Evaluation of Prognosis in Patients’ with Perforation Peritonitis Using Mannheim’s Peritonitis Index
Background: Perforation peritonitis is quite common surgical emergency in India as well as worldwide. There are various prognostic indexes available for evaluation of prognosis in patients with peritonitis but none of th...
The Outcome of Neoadjuvant Chemo Radiotherapy and Surgery in Carcinoma Rectum: Our Experience
Introduction: Carcinoma of the rectum is not only a medical but a social problem. Adenocarcinoma of the rectum accounts for 30% of these cancers. Locally advanced cancers of the rectum i.e., stage 2 and 3 diseases prove...
Upper and Lower Gastrointestinal Endoscopy Pattern and Record Management in A Rural Medical College in Southern India: An Audit
Gastrointestinal endoscopies are commonly performed procedures following gastrointestinal symptoms. Endoscopy reporting, data entry and data management are standardized in developed countries. Here we audited the endosco...
Testicular Abscess: Findings of A Study on Eight Patients
Testicular abscess is a rare surgical entity scrotal region. E Coli is the commonest causative organism. A total number of eight cases of testicular abscesses had been reviewed for a period of one year. It was seen that,...
Congenital Paraesophageal Hernia in Infants and Children: Our Experience
Background: Congenital Paraesophageal Hernia (CPH), though rare in the pediatric age group, can cause significant respiratory and gastrointestinal symptoms ranging from repeated attacks of chest infection and vomiting to...