- CODEN : IAJPBB
- issn 2349-7750
TITLE:
VARIOUS FEATURES OF BREAST MASSES ON HIGH-FREQUENCY ULTRASOUND
AUTHORS:
Dr Mamoona Aziz, Dr Uzma Afzal, Dr Waqar Iqbal
ABSTRACT:
Objective: To determine the frequency of various symptoms and categorize breast mass characteristics using high-frequency 12 MHz ultrasound. Study: A descriptive study Place and Duration: The study was conducted at the Department of Radiology, Bahawal Victoria Hospital, Bahawalpur for one-year duration from August 2019 to August 2020. Patients and Methods: All patients with palpable or undetectable breast tumors, referred to the radiology department for breast ultrasound, were included. Other criteria considered were age 15 to 55 years, pain and nipple discharge. Dense breast flesh and asymmetric density in mammography are also taken into account. Breast diseases confirmed by biopsy and treated were excluded. The main measure of outcome was the presence of abnormal clinical and ultrasound outcomes. Findings were categorized in BIRADS terms. Statistical analysis was performed for descriptive statistics. The mean age, frequency and percentage of benign and malignant lesions were analyzed. Results: 265 adult women took part in the study. I80 (67.9%) had a palpable nodule touch, 45 (16.9%) had a non-palpable nodule, but the remaining cases had nipple discharge and mastalgia. The results of ultrasound examinations were classified according to the term BIRADS. Out of 265 cases, 73 (27.5%) showed malignant features on USG and benign lesions in 140 (52.8%) patients. 30 (11.3%) cases were probably mild and 22 (8.30%) cases were suspect. Mild changes observed in young patients 15 to 30 years of age, except 7, showed suspicious malignant features. Dominance of malignant features over 50 years of age. Distribution of 140 benign lesions were cysts in 52 (37.5%) cases, fibroadenoma in 40 (28.5%) and mastalgia in 25 (17.5%) cases and duct ectasia in 23 (16.4%) cases. Malignant features were found in 73 (27.5%) cases. Conclusion: This study shows that 12 MHz high-frequency ultrasound is an ideal imaging method for classified benign and malignant masses, especially in young and dense breasts. It is also useful with mastalgia. There was mild dominance in young patients and malignant dominance in older patients. Ultrasound categorization helps you avoid unnecessary biopsies and provides better options in your management plan. Key words: BIRADS, biopsy, breast pain, lump, mammography, mastalgia, sonomammography, ultrasonography
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