BackgroundThe purpose of this study was to evaluate mammography reports for diagnosed breast cancer cases in major government and private centers in Karachi, Pakistan, with respect to concordance with the Breast Imaging Reports And Data System (BI-RADS®) lexicon.MethodsA prospective, descriptive, multicenter study was conducted in the radiology sections of the Aga Khan University Hospital, Pakistan Naval Station Shifa Hospital, Advanced Radiology Clinic, Karachi Institute of Radiotherapy and Nuclear Medicine, and Civil Hospital Karachi between May and October 2010 after approval from the ethical review committee of Aga Khan University. Mammograms reported as BI-RADS category 4 and 5 were included in the study. Mammograms reported as BI-RADS category 0, 1, 2 and 3 were excluded. Fifty reports were collected from each center. Data were collected about the clinical indication, breast density, location and description of the lesion, calcification, and comments on axillary lymph nodes. This description was compared with the BI-RADS lexicon.ResultsThe mean age of the patients was 50 ± 12 years. The clinical indication, breast parenchymal density, lesion location, and presence of calcification were better described by the private centers, while description of lymph node status was better stated by the government centers. This difference was statistically significant, except for lesion description. The description of masses by the two reporting groups was comparable.ConclusionMammographic reporting of malignant breast lesions in the private sector is more in line with the BI-RADS lexicon, as compared with government sector hospitals in Karachi, Pakistan. Lymph node documentation was better in government sector reports.
Background: Breast carcinoma is the most common cancer and leading cause of cancer related death in women world wide.Mammography is currently the gold standard method to screen & diagnose the breast carcinoma at early stage. Materials and Methods: This retrospective cross sectional study is conducted in department of Diagnostic Radiology PUMHSW.SBA. Mammography examination including MLO & CCviews performed between 1January to 31st December 2020 are included in the study Results:Total of 579 women were referred for mammogram in the department in this 12 month duration.Of these 225 ladies had no breast related complains while 354 women complained of breast symptoms. The mean age of the patients was 46 years and the most common complain was mastalgia (44%). Total 2316 mammogram examinations of 1158 breasts was performed including 900 & 1416 in screening and diagnostic settings respectively.Out of 900 screening mammogram 58 (6.4%) patients are reported BIRADS IV. Conclusions:Our study noted reduce trend of screening mammogram in Pakistan women and 6.4% potential breast cancer can be detected in asymptomatic patients by screening mammogram.
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