Significance of Quadruple assessment of breast lump–A hospital based study

Authors

  • MK Shrestha Department of Radiology, Gandaki Medical College, Pokhara
  • D Ghartimagar Department of Pathology, Manipal Teaching Hospital, Pokhara
  • A Ghosh Department of Pathology, Manipal Teaching Hospital, Pokhara
  • E Shrestha Department of Radiology, Manipal Teaching Hospital, Pokhara
  • P Bolar Department of Radiology, Manipal Teaching Hospital, Pokhara

DOI:

https://doi.org/10.3126/jpn.v4i8.11499

Keywords:

Breast carcinoma, Cytology, Mammography, Sonomammography

Abstract

Background: Approximately 10% of breast masses are breast cancer. It is important for women with a breast lump to receive appropriate evaluation. Mammography has been the “gold standard” in breast cancer detection for >40 years. Ultrasonography is non-invasive easily available, cheaper and accurate tool while Fine needle aspiration cytology has a high diagnostic accuracy rate in hands of experienced cytopathologist.

Materials and methods: This was a retrospective and prospective study of 173 women attending radiology department in Manipal Teaching Hospital, Pokhara for mammography during a period of 18 months from January 2011 to June 2012.The age ranged from 20yrs to 75yrs. BIRADS score was given for both mammography and sonomammography. All malignant and suspicious cases had undergone fine needle aspiration cytology. Cytology reports were correlated with imaging study.

Results: The most common age group for the breast lump was 40-49 years showing 65(37.57%) cases. Most lumps were seen on the left side 54.3% (94/ 173) cases and were seen in upper outer quadrant of the breast (74 cases). 11 cases each were given the BIRADS score of 4 in both mammography and sonomammography. Sensitivity and specificity of mammography and sonomammography were compared to cytologyreports. The sensitivity for mammogram was 73.7% while specificity was 96.3%. The sensitivity and specificity for sonomammogram was 78.9% and 95% respectively.

Conclusion: Quadruple assessment i.e. clinical assessment, mammography, sonomammography and cytological study are the new “gold standard” in the investigation of breast disease.

DOI: http://dx.doi.org/10.3126/jpn.v4i8.11499

Journal of Pathology of Nepal; Vol.4,No. 8 (2014) 630-634

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Published

2014-09-24

How to Cite

Shrestha, M., Ghartimagar, D., Ghosh, A., Shrestha, E., & Bolar, P. (2014). Significance of Quadruple assessment of breast lump–A hospital based study. Journal of Pathology of Nepal, 4(8), 630–634. https://doi.org/10.3126/jpn.v4i8.11499

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Original Articles