IJSR - International Journal of Scientific Research

Dr.Piyudeo Mahant; Dr.Neerja Agarwal; Dr. Brajendra Kumar

Volume : VI, Issue : I, January - 2017

Comparative study of Mammography and Sonography in Breast Lump with Fineneedleaspirationcytology correlation in RIMS ,RAIPUR

Dr. Piyudeo Mahant, Dr. Neerja Agarwal, Dr. Brajendra Kumar

Abstract :

Breast diseases are common pathological condition affecting female of all age group. Breast diseases ranges from benign conditions such as fioadenoma, galactocele, cysts, east abscess, duct ectasia, fioadenosis to malignant conditions such as east cancer. The most common presentation in east disease is east lump which needs to be investigated and diagnosed because of high incidence of east cancer. 100 patients reporting with complaints of east lump in surgical OPD(atRIMS,RAIPUR,CHHATTISGURH) were taken up for the study. Patients underwent mammography and sonography investigation. The findings found with mammography and ultrasonography were confirmed with findings of fine needle aspiration cytology to know sensitivity, specificity and positive predictive values of mammography and ultrasonography in diagnosing palpable east lump conditions Result: In case of benign lesions sensitivity of mammography was 56.75% specificity was 100% and the positive predictive value was 100%. Ultrasonography sensitivity was 97.30% and specificity was 92.3% and the positive predictive value was 97.29%. Combined approach sensitivity was 97.30% and specificity was 100% and positive predictive value was 100%. In case of malignant lesions sensitivity of mammography was 84.61% specificity was 94.59% and positive predictive value was 84.61%. Ultrasonography sensitivity was 92.30% and specificity was 97.29% positive predictive value was 92.30%. Sensitivity for combined approach was 100% and specificity was 97.29% and positive predictive value was 92.85%. In case of malignancy although mammography was believed to be more sensitive screening method than Ultrasonography but in context of palpable malignancies targeted ultrasonography is definitively better and combination of both gives further better results.