Epidemiological, Radio-Clinical and Histological Correlations of Breast Lesions ACR 3, ACR 4 and ACR 5 in the Ouagadougou’ City

Abstract

Objective: To correlate the epidemiological and histological data of breast lesions ACR 3, ACR 4 and ACR 5 biopsied on ultrasound in the city of Ouagadougou. Materials and methods: This was a retrospective study of data for 02 years (2015-2017) in the city of Ouagadougou. With the approval of the Ethics Committee for Health Research, the study focused on the histological results and radiological reports of biopsied lesions. Results: A total of 150 patients files had been collected. Breast lesions classified as ACR 4 were 50%, ACR 3 40% and ACR 5 10%. The risk factors were related to the ACR class. Ultrasound was performed in all patients. The masses were the most common elementary lesions found in breast imaging. On histology 98 lesions were benign, 16 intermediate lesions and 36 malignant lesions. Fibroids were the most common benign lesions of the ACR 3 and ACR 4 classes. Invasive ductal carcinoma was the most common histologic type among malignant lesions in all ACR classes. Conclusion: Cancerous lesions are discovered late in our context. The ACR classification must always take into account discriminative elements.