Mammographic and Ultrasonographic Evaluation of Breast Lesions with Pathological Correlation

Introduction: Study objectives were to determine the sensitivity & specificity of mammography, sonomammography and both modalities together combined in assessment of breast lesions and to study role of mammography and ultrasonography in detecting breast lesions and differentiate benign and malignant lesions. Material and methods: 50 female patients attending Department of RadioDiagnosis with palpable breast lumps over a period of 12 months were assessed using mammography, sonomammography and comparing with pathological findings. Results: Out of 50 cases, 27 cases were diagnosed as benign, 23 were diagnosed as malignancy. Fibroadenomas were most common 15 amongst benign lesions followed by fibrocystic disease 5 and cysts 3. There were 1 case of each lipoma & phyllodes and 2 cases of inflammatory mastitis. Pathologically malignant lesions included atypical ductal hyperplasia (ADH), ductal carcinoma in situ (DCIS), infiltrating ductal carcinoma, lobular carcinoma, papillary carcinoma and inflammatory carcinoma. Combining the mammography and USG, sensitivity & specificity were 92.62% and 98.12%. Conclusion: Combination of mammography and sonography plays an important role in diagnosis of palpable breast lump.