Correlation of Ultrasound & Mammography to Histopathology Results in Breast Cancer. A One Year Study at King Khalid Hospital, Najran, Saudi Arabia
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 71, Issue 2
Abstract
<strong>Objective</strong>: To compare the ultrasound & mammography results to histopathology reports of breast cancer cases presented in King Khalid hospital, Najran, Saudi Arabia, 2016. <strong> Methods:</strong>This retrospective cross-sectional analytic study was performed on 105 patients with breast lumps, who were referred to breast clinic King Khalid hospital Najran, during 2016. The patients’ information was recorded using a checklist, which included name, code, age, ultrasonography, and mammography results and pathology reports. The results of ultrasonography and mammography were compared with histopathology. The results were analyzed on SPSS (version 16). <strong>Results: </strong>The mean age of the patients was 42.3 (±5) years. Our results showed that in histopathology reports, in (30/105) patients i.e. 28.6% were malignant, 26 patients (24.8%) biopsy revealed benign disease. Examination with mammogram revealed that, 33/105 i.e. (31.4%) were malignant and 40 cases (38.1%) had benign disease. On ultrasound examination, 21/105 (20%) were malignant and 43(40.1%) had benign disease.The mammography sensitivity was 76.6% and ultrasound sensitivity was 60%<strong>. </strong>Breast Imaging-Reporting and Data System (BIRADS) by mammogram revealed the categories as follows; category 0 in 21.9%, 2in 11.4%, 3 in 31.4, 4 in 5.7%), 4a in 6.7%, 4b in 4.8%, 4c in1.9%, 5 in 8.6% in 6 in 4.8% and unclear in 2.9% of cases.Retro areolar area was involved in 24.8%, Upper Outer Quadrant in 45.7%, Upper Inner Quadrant in 3.8%, Lower Outer Quadrant in 4.8%, Lower Inner Quadrant in 8.6%, Diffuse involvement in 9.5% and unable to pick in 2.9%. By mammogram, the calcification found revealed 15.2% of examined patients had malignant lesions. Findings of lymph nodes examination by mammogram revealed 5.7% of the examined patients had malignant lesions. Significant difference (P<0.05) regarding the age group was found in pathology and mammogram results.<strong> Conclusion: </strong>This study showed that mammography is the preferred diagnostic tool in screening early breast cancer patients aged above than 40 years with a higher sensitivity; the results are near to open biopsy. For the younger age group the use of ultrasonography in cases with high breast density is promising.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP583859
- DOI -
- Views 102
- Downloads 0
The Prevalence of Cholecystectomy and its Associated Risk Factors and Complications in Saudi Arabia
<span>Background: </span><span>despite the modern life and people knowledge about certain diseases, the prevalence of cholecystectomy procedures have been increased in the recent years in Saudi Arabia.<br /> </span><span...
Review Article: Risk Factors for Non-communicable Diseases in Libya
This review article highlights the current situation of some non-communicable diseases in Libya and factors contributing to its prevalence such as obesity, diabetes, cardiovascular diseases (CVD), high bloo...
Audiological Profile in Children with Autism Spectrum Disorders
<span>Background: </span><span>Autism spectrum disorder is defined by the Diagnostic Statistical Manual of Mental Disorders V (DSM V) as a neurobehavioral disorder manifested by persistent deficits in social and communic...
Using Pregabalin for Prevention of Post Anesthesia Shivering
s
Serum Procalcitonin and C-reactive Protein Level as Markers of Bacterial Infection
<strong>Background: </strong>C-reactive protein (CRP) and procalcitonin (PCT) are useful diagnostic tools used to estimate the risk of bacterial infection and the severity of the infection. The accurate diagnosis of bact...