The World Health Organization (WHO) has predicted a global amount of 19 million cancer case in 2025. After the lungs and liver, bone is the third most common site of tumour spread. The bone is a dynamic tissue that plays a critical role not only in structural support and movement, a reservoir for minerals and energy, but also houses of the bone marrow, which is the main site of postnatal hematopoiesis. A 54-year-old Indonesian woman presented to orthopaedist with complaints of sudden left hip pain and progressive difficulty in walking for three weeks. She reported severe pain that is exacerbated by any physical activity and movement. She has a medical history of breast cancer (pathologically confirmed in Sanglah General Hospital) which had undergone radiotherapy and chemotherapy a year ago. Outpatient left hip X-rays revealed lytic lesions at left acetabulum to left ilium, suggestive of metastatic disease. The established imaging techniques projectional radiography, skeletal scintigraphy, computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) have undergone further development, with a resulting improvement in their diagnostic yield.
Background: The latest report by the world health organization and international agency for research on cancer told that the incidence and mortality of breast cancer is the most among female cancer patients.
Methods: This is descriptive study which uses medical record of 50 samples patients in Dharma Yadnya general hospital. This study include patients at least 25 years old who presented to the Dharma Yadnya general hospital between January 2019 to March 2023 which get breast ultrasound examination and pathology examination, benign or malignant mass.
Results: In ultrasound findings, there are 43 (86%) people with benign cancer, 7 (14%) people with malignant cancer, 43 (86%) people with hipoechoic density and solid lession, 7 (14%) people with isoechoic density and cystic lession, 43 (86%) people with regular margin, 7 (14%) people with irregular margin, 43 (86%) people without lymph nodes axillary, 7 (14%) people with lymph nodes axillary, and by Doppler there are 43 (86%) people without neovascularitation inside lession and 7 (14%) people with neovascularitation inside lession. There are statistically significant relationship (p<0.05) between diagnosis (benign and malignant) with age of patients, density, margin, existence of lymph nodes axillary, and neovascularitation inside the lession by doppler.
Conclusions: Breast sonography is the modality of choice for further investigation of palpable breast findings that are not clearly benign and mammographic screen-detected abnormalities.
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