Accuracy of Breast Ultrasonography In Predicting The Diagnosis of Breast Lump

Authors

  • Birat Sharma Department of Surgery, Pokhara Academy of Health Sciences. Western, Regional Hospital, Pokhara, Nepal.
  • David Shrestha Department of Surgery, Pokhara Academy of Health Sciences. Western, Regional Hospital, Pokhara, Nepal.
  • Annush Tha Department of Surgery, Pokhara Academy of Health Sciences. Western, Regional Hospital, Pokhara, Nepal.
  • Saroj Dhital Department of Surgery, Kathmandu Model Hospital, Kathmandu, Nepal.

DOI:

https://doi.org/10.70250/mjpahs165

Keywords:

Breast Ultrasonography, Breast Lump, Palpable lump, Breast disease

Abstract

Introduction: A palpable lump in a woman’s breast could be benign or malignant, and it requires prompt evaluation to confirm or exclude cancer. This study was done to assess the accuracy of ultrasonography in diagnosing breast lumps.

Methods: Cross-sectional study over 6 months. Demographic data along with the site and size of breast lumps, relevant history and clinical information were collected to determine the nature (malignant/nonmalignant) of breast lumps. Points relevant to the predictive values of the sonograms were obtained. The data were entered into Microsoft Excel, and statistical analysis was performed using SPSS, RStudio, and MedCalc.

Results: The diagnostic accuracy of ultrasonography in relation to histopathological diagnosis was 85%. The sensitivity and specificity of ultrasonography were found to be 80%, 86%. The positive and negative predictive values of the ultrasonography were 53.33% and 95.55%.

Conclusions: Whenever feasible, pathological correlation should be performed in all cases of breast lumps.

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Published

2025-03-20

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Articles