Evaluation of mammography, sonomammography in correlation with fine needle aspiration of breast lumps

Authors:Jayadeva Phurailatpam , Anil Sakalecha , CSBR Prasad , B.N. Kishore Kumar , Purnima Hegde
Int J Biol Med Res. 2014; 5(3): 4370-4376  |  PDF File

Abstract

OBJECTIVES 1. To evaluate the role of mammography and sonomammography independently and in combination and correlating with FNAC for early diagnosis of breast lesions. 2. Benign To study the characteristics of mammography and sonomammography in detecting breast lesions and differentiating from benign and malignant lesions METHODS 75 female patients attending Department of Radio diagnosis with breast lumps over a period of 18 months were assessed using mammography, sonomammography and comparing with FNAC finding. RESULTS A total of 75 patients were included in the study, with age ranging from more than 30 yrs. diseases (64 %) were more common than malignant (36 %), of which fibroadenoma constituted 42.6 % of cases. The sensitivity, specificity, positive and negative predictive values of mammography is 92.3%, 91.8%, 85.7%, 95.7%; Sonomammographt is 80.7%, 100%, 100%, 90.7%; Combined imaging modality is 92.3 %, 100 %, 100 % and 96.0% respectively. CONCLUSION Combined imaging modalities of mammography and sonomammography play an important role in diagnosing palpable breast lesions. Its applications help: a) Better characterization of the breast lesions. b) Avoiding unnecessary investigations or surgical procedures in which imaging findings are unequivocally benign.Negative findings on combined mammographic and sonomammographic imaging studies have very high specificity and are reassuring to the patient.