How to cite this article: Sudhakar Kanumuri, Kada Venkata Ramana, Sudhir Sachar. Role of mammography and ultrasound in the evaluation of palpable breast masses with histopathological correlation. International Journal of Contemporary Medicine Surgery and Radiology. 2019;4(2):B16-B20.
A B S T R A C TIntroduction: Breast cancer is most common cause of cancer death in women and overall fifth common cause of cancer deaths in the world. 1 In India, breast cancer is the second most common cancer in women, next to cervical cancer. Early detection of breast cancer reduces the morbidity and mortality rate. Present study was designed to evaluate the role of mammography and sonography independently and combinedly in diagnosing palpable breast mass lesions with histopathological correlation. Material and Methods: 50 patients aged 30 and above with palpable abnormalities of breast underwent combined mammographic and sonographic evaluation. Results: In this study 52 breast masses from 50 patients were evaluated with USG and Mammography and the incidence of malignancy was 22%. 10 cases were diagnosed as malignant after a combined mammographic and sonographic evaluation and only one case was missed. 33 of the 50 cases were categorized as benign after a combined mammographic and sonographic evaluation, only one fibrocystic case not detected on mammogram and ultrasound was diagnosed with HPE. The combined evaluation have sensitivity 95.7% and specificity is 102%. The positive predictive value of this test is 100% and negative predictive value 60%. This data clearly shows the value of imaging in avoiding unnecessary biopsies. Conclusion: we can conclude that combined sonography and mammography can appropriately characterize the breast lesion and unnecessary intervention can be avoided.