SONOMAMMOGRAPHY FOR EVALUATION OF SOLID BREAST MASSES IN YOUNG PATIENTS

Authors

  • Ghazala Malik
  • Fareesa Waqar
  • Ghulam Qadir Buledi

Abstract

Background: 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.

References

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

;41:397-401.

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

;36:601-38

Drife JO. Breast development in puberty. Ann NY Acad

Sci 1986;464:58-65

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

Surg. 1989;76(8):835-7

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

;16:295-311.

Fornage BD, Coan JD. Ultrasound guided needle biopsy of

breast and other interventional procedures. Radiol Clin

North Am 1992,30;167-185