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The Assessment of Sonography in Distinguishing Benign from Malignant Solid Breast Mass, Can It Be Improved? | ||
| Medical Journal of Babylon | ||
| Article 1, Volume 6, Issue 2, 2009, Pages 300-308 | ||
| Authors | ||
| Kassim A. Hadi Taj-Aldean; Kadhim Ch. Hasan | ||
| Abstract | ||
| Objective: To determine whether sonography could help accurately distinguish benign solid breast masses from malignant ones and whether its role can be improved . Patients and Methods: Between November 2007 and January 2009 , 243 female patients with breast lesions diagnosed by their managing surgeons, were sonographically assessed .Those who had solid lesions were selected for a prospective study through comparison with the histopathological finding of the open biopsies taken from the lesions . US features that most reliably characterize masses as benign or malignant had been strictly applied for diagnosing these cases. Sonographic classifications were compared with histopathological reports of the biopsies . The sensitivity, specificity, and negative and positive predictive values of the sonography were calculated. Results: Sonographically, 108(44%) cases were classified as benign and 135(56%) were malignant . 12 (11%) lesions classified as benign sonographically, were found to be malignant histopathologically. 33 (24%) lesion classified as malignant were found to be benign histopathologically. Thus, the classification scheme had a negative predictive value of 89% and positive predictive value 75%. Conclusion: Sonography can be used to identify most benign solid lesions for follow up through imaging. Making use of FNA cytology and True-cut needle biopsy, in addition to including mammography will eliminate son graphic mishaps. | ||
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