Ketepatan ultrasonografi dan mammografi dalam mendiagnosis wanita dengan kanker payudara di RSUP Sanglah Denpasar

Abstract

Introduction: The high incidence of breast cancer in women, accompanied by delays in making contact with medical personnel and the absence of good early detection contribute to the very high mortality caused by breast cancer. Early detection using ultrasound and mammographic modalities plays an important role in the early diagnosis of breast cancer which will have an impact on the survival of patients. This study aims to compare the diagnostic values of ultrasonography and mammography compared with histopathological features in patients with breast cancer. Methods: This study used a diagnostic test design with a retrospective approach that compared sensitivity values, specificity, positive predictive value (PPV), negative predictive value (NPV), likelihood ratio from mammography and ultrasonography to histopathological morphology in patients with breast cancer at Sanglah General Hospital Denpasar. Results: It can be seen that in the total sample, ultrasonography in the toal condition of the sample has a diagnostic value that is very similar to mammography in establishing a diagnosis of breast cancer. Whereas at the age of> 40 years mammography has a diagnostic test value that is far better than ultrasonography (

Analisis Densitas Pada Citra Mammograph Diagnost AR Di RSUD Dr. H. Abdul Moeloek Provinsi Lampung

“…Salah satu pemanfaatan sinar-X yaitu pada pesawat mamografi yang merupakan pemeriksaan radiologi khusus menggunakan sinar-X dosis rendah untuk mengidentifikasi adanya kelainan pada jaringan payudara [4]. Menurut Baruna dan Manuaba pada tahun 2019 [5], proses pemeriksaan payudara manusia menggunakan sinar X dengan meletakkan semacam piringan pada payudara yang dilakukan untuk mencari perubahan anatomis pada jaringan payudara seperti benjolan. Gambar yang diambil dalam proses mamografi disebut mamogram.…”

Ultrasonography (USG) Accuracy in Diagnosing Breast Cancer; a Cross-sectional Study at Prima Medika General Hospital Denpasar

“…The initial symptom that is often complained of by patients with a diagnosis of breast cancer is a palpable lump in the breast. These lumps can be accompanied by pain, changes in the shape of the breast, changes in the skin around the breast, as well as reddish discharge and discharge from the nipples 5 .…”

“…The working principle of this USG uses ultrasonic waves. USG can be used in the initial assessment of organ systems because ultrasonic waves are considered effective in differentiating various tissue structures without radiation 5 .…”

“…Anatomical pathology biopsy is the gold standard examination to assess the presence of breast cancer in a person. Biopsy can differentiate between benign and malignant tumors significantly through the cytological appearance found through microscopy 5 .…”