Abstract
Background: To evaluate the palpable breast masses using mammography and sonography independently and in combination and to evaluate the additional advantage of Doppler sonography when used in conjunction with grayscale sonography.
Methods: The study was carried out in the department of Radiodiagnosis, Medical college, Kottayam for a period of 18 months in female patients complaining of breast lump. All patients were evaluated with both es showed Doppler vascularity. mammography and sonography independently and in combination. Histopathology follow up was obtained by FNAC/BIOPSY and the results were correlated with mammographic and sonographic findings.
Results: A total of 150 female patients were included in the study. 68 (45.3%)cases were malignant and 82 (54.7%)were benign. Infiltrating ductal carcinoma accounted for 91.1% of malignant mass. Combined mammography and ultrasonography showed more sensitivity (92.6%) and negative predictive value (92.4%) than either modality alone. Among malignant lesions 66.2% show Doppler vascularity whereas only 25.6% of benign cases showed Doppler vascularity.
Conclusion: Sensitivity of mammography was found to decease with increase in breast density. Combined mammography and ultrasonography play an important role in better characterization of breast masses and thereby avoiding unnecessary biopsies in benign lesions.
Keywords: breast masses, mammography, ultrasonography.
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Corresponding Author
Dr Sajitha K
Department of Radiodiagnosis ,Government Medical College, Kottayam
Mobile No: 9447596346, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i9.08
