SONOMAMMOGRAPHY FOR EVALUATION OF SOLID BREAST MASSES IN YOUNG PATIENTS
AbstractBackground: This study was carried out to evaluate the applicability of sonomammography as theprimary radiological modality in young patients with breast masses. Methods: This study wascarried out at Radiology Departments of PNS Shifa Karachi and CMH Rawalpindi from February2002 to April 2005. Sonomammography of 56 young patients with breast lump was done. Lesionswere characterised by using sonographic criteria as benign (n=49), malignant (n=2) andintermediate (n=5) masses. Results of this evaluation were assessed by fine needle aspirationcytology. Results: No false positive result was noted in 49 benign lesions while only oneintermediate mass turned out to be malignant. Sensitivity of sonomammography was more forbenign 92% than malignant lesions 67%, and its specificity was high for malignant lesions 92.4%.Retrospective scanning was done for intermediate masses. Conclusion: This study proves theefficacy of ultrasound as a method of choice to evaluate breast masses in young patients avoidingthe need of biopsy. This study also reflects that benign diseases dominate the disease spectrum inyoung patients.Keywords: Sonomammography, benign diseases, young patients.
Neinstein LS. Breast disease in adolescent and young.
Pediatric Clinic North America 1999;47:607-29.
Khanna R, Khanna S, Chaturvedi S, Arya NC. Spectrum of
breast disease in young females. Indian J Path Microbiol
Bootheroyd A, Carty H. Breast masses in childhood and
adolescent. Pediatric Radiol 1994;24:81-4
Reston VA. American College of Radiology Breast
Imaging Reporting and Data System 2nd ed (BI-RADS).
American College of Radiology 1995
Greydanus DE, Parks DS, Farell DG. Breast disorder in
children and adolescent. Pediatric Clinic North America
Drife JO. Breast development in puberty. Ann NY Acad
Evans WP. Breast masses-appropriate evaluation. Radiol
Clin North Am 1995;33:1085-1108
Donegan WL. Evaluation of a palpable breast mass. N Engl
J Med 1992;327:937-42
Kolb TM, Lichy J, Newhouse JH. Occult cancer in women
with dense breast, detection with screening-US diagnostic
yield and tumour characteristics. Radiology 1998;207:191-
Jackson VP. Management of breast nodule role of
sonography. Radiology 1995;196:14-15
Jackson VP. The current role of ultrasonography in breast
imaging. Radiol Clinic of North America 1995;22;1161-70
Sravros AT, Thickman D, Rapp CL, Dennis MA, Parker
SH, Sisney GA. Use of USG to differentiate benign and
malignant masses Radiology 1995;196:123-34
J Ayub Med Coll Abbottabad 2006;18(2)
Ashley S, Royle JT, Rubin CM. Clinical, radiological and
cytological diagnosis of breast cancer in young women Br J
Guyer PB, Dewbury KC. Sonomammography in benign
breast disease. Br J Radiol 1988;61:725-8
Gorden PB. Ultrasound for breast screening and staging
Kuusk U. Multiple giant fibroadenoma in an adolescent Radiol Clin North Am 2002;40(3):431-41
female breast. Can J Surg 1988;31:133-4 21. Breast Biopsy Avoidance. The Value of Normal
Mammograms and Normal Sonograms in the Setting of a
Palpable Lump Radiology 2001;219(1):186-191
Pike AM, Oberman HA. Juvinile adenofibroma; a
clinicopathlogic study. Am J Surg Pathol 1985;9;730-6
Bassett LW, Ysrael M, Gold RH, Ysrael C. Usefulness of
mammography and sonography in women less than 35
years of age. Radiology 1991;180:831-5
Esserman LJ. New approaches to the imaging, diagnosis
and biopsy of breast lesions. Cancer J 2002;14:
Chaudry IA, Kafeel S, Rasool S. Pattern of benign breast
diseases. Pak J Surg 2003;8(3): 23. The uniform approach to breast fine needle aspiration
biopsy: National Cancer Institute Fine-Needle Aspiration of
Breast Workshop Subcommittees. Diagn Cytopathol
Fornage BD, Coan JD. Ultrasound guided needle biopsy of
breast and other interventional procedures. Radiol Clin
North Am 1992,30;167-185
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