BACKGROUND:

Globally, women of all age groups are seen being affected by various pathological conditions of the breast. The most common complain that females present with in breast pathologies is breast lump which needs to be efficiently investigated and rightly diagnosed because amongst the numerous pathologies that affect the breast, cancers are the ones most commonly dealt with and the most dreadful.

AIM:

To compare the diagnostic accuracy of mammography and sonomammography in assessing benign and malignant lesions with pathological correlation.

MATERIALS AND METHODS:

This study was conducted over a period of 6 months. A total of 50 patients presenting with lump, pain and discharge in breast referred to the Department of Radio diagnosis at Dr.Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik were evaluated with mammography, sonomammography and histo–pathological correlation.

RESULTS :

The sensitivity of mammography for diagnosing breast lesions was 93.55%, specificity was 73.68% and the positive predictive value was 85.29%. Sensitivity, specificity and positive predictive value with sonomammography was 93.55%, 78.95% and 87.88% respectively. The combination of mammography and sonomammography showed sensitivity, specificity and positive predictive value of 96.77%, 84.21% and 90.91% respectively.

CONCLUSION:

Our study confirms that there is higher sensitivity, specificity and positive predictive value with combined use of mammography and sonomammography in evaluation of breast masses as compared to when used individually.