Differential diagnosis of breast lesions by ultrasonography and its correlation with mammography
Journal Title: Medpulse International Journal of Radiology - Year 2017, Vol 4, Issue 2
Abstract
Background: Breast disease in women encompasses a spectrum of both benign and malignant disorders. High resolutions sonography is an adjunct used in detecting lesions in dense breast and supplementary assessment of breast lesions. Mammography is used as both screening modality and as an efficient technique to evaluate clinically suspected breastlesions. Aim: To evaluate the role of high resolution gray scale ultrasonography in differential diagnosis of breast lesions and its correlation with mammography. Material and Methods: 70 patients with 57 benign lesions and 27 malignant lesions of breast were included in this study. The lesions were evaluated and classified into benign and malignant subgroups based on their sonographic and mammographic features. Pathological confirmation was obtained in all cases. Results: The benign and malignant lesions constituted 67.86% and 32.14% of total lesions, respectively. Fibroadenoma was the most common benign mass in our study constituting 47.4% of all benign masses. Three fibroadenomas were not detected on mammography because of dense breast. Infiltrating duct carcinoma formed the most common malignant mass followed by invasive lobular carcinoma. All the lesions were picked up by mammography as well as sonography. Conclusion: Combined use of mammography and sonography allows more confident diagnosis with higher accuracy than that obtained with any one method alone.
Authors and Affiliations
Uttareshvar Mahaling Dhumal, Balaji Kombade
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