COMPARATIVE DIAGNOSTIC STUDY ON BREAST LESIONS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 28
Abstract
BACKGROUND The aim of the study is to evaluate the breast lumps using ultrasound and mammogram independently and in combination. METHODS In this study group there were 30 patients, out of whom 29 were female and one male patient. They presented with breast symptoms such as palpable lumps, breast pain and nipple discharge. They were examined prospectively over a period of six months. After examining with both the methods, FNAC correlation was done with each method. RESULTS In this study the sensitivity of the mammogram is 95% in detecting lesions and the specificity is 67% giving an accuracy of 90%; the sensitivity of USG is 90% and specificity is only 40% giving an accuracy of 70%. Cytology has a sensitivity of 85% and specificity of 50% and the accuracy is 77%. With the combined modality, the sensitivity is 96% and the specificity is 83% and accuracy is 94%. The study concludes that the sensitivity is increased when both the modalities are used in conjunction and with a needle biopsy it achieves a satisfactory specificity and it avoids unnecessary benign surgical biopsies.
Authors and Affiliations
Anandi , Bakthavatsalam
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