COMBINED ROLE OF MAMMOGRAPHY AND ULTRASONOGRAPHY IN THE DETECTION OF BREAST LUMP

Purpose: Purpose of this study is to find out the combined role of mammography and ultrasonography in the detection of breast lumps.

Study Design: Cross-sectional Study Design.

Material and Method: It was a time-based study of three months. Total 127 symptomatic patients with age range 25yrs to 80yrs were referred for mammography and ultrasonography as well. Imaging was performed at GE medical System mammography machine and Nemio, 20 Toshiba ultrasound machine. Data was analyzed using SPSS Version 20.0.

Results: Out of 127 patients 78% presented with pain, 63% with palpable mass, 47% with tenderness and 30% were with positive family history. On mammogram 78.7% were having normal density whereas increased density was noted in 21.3% cases. Individual %age mass detected on USG and mammography were 55.1% & 8.7% respectively, on combining 7.1% were further detected. On the basis of BI-RADS Classification 16% to 14% patients were categorized as CAT 4 & 5. Sensitivity and specificity of USG for mass detection, calcification and Lymphadenopathy was 0.81, 0.5, 0.71, 0.47, 0.84, and 0.80 respectively.

Conclusion: Undiagnosed Breast mass/lump may lead to Breast cancer and it is the most common cause of death from malignancies that affect the female gender. Combining of ultrasonography with mammography can reduce the %age of undiagnosed cases.

Key words: Breast Mass, Ultrasonography, Mammography, Sensitivity, Specificity. BI-RADS.