BREAST CANCER DETECTION USING COMPLIMENTARY ULTRASOUND IN WOMEN WITH MAMMOGRAPHICALLY DENSE BREASTS

Abstract

Objective: The purpose of this study was to assess the effectiveness of US scanning for detecting breast cancer in women with mammographically dense breasts.

Material and Methods: The current descriptive cross-sectional was conducted at the Department of Diagnostic Radiology, Khyber Teaching Hospital Peshawar from January 2021 to July 2021. Women with mammographically dense breasts and from 35 to 70 years of age were selected for the study. Age, gender, menopausal state, rationale for mammography, mass lesion appearance on mammography, sonographic BI-RADS descriptors, BI-RADS final evaluation classification, and histological diagnosis are examples of sociodemographic information.. All subjects underwent bilaterally complete breast ultrasound scans using a Toshiba Xario 200 machine. SPSS version 24 was used to create frequency tables and proportions that summarized both nominal and categorical data.

Results: In the present study, a total of 178 mammograms were performed, out of which 88 patients with BI-RADS density grade 3 or 4 (mammographically dense breast tissue) underwent bilateral breast ultrasound scans. The mean age of the participants was 55 years, additionally, the BI-RADS lexicon was used to identify and describe 62 lesions, which were then categorized for final assessment. As the most common histological type, ductal carcinoma was responsible for 47% of cases, second only to adenocarcinoma.

Conclusion: The present concluded that breast ultrasounds may significantly increase the diagnostic rate of breast cancer in symptomatic patients having mammographically dense breast tissue (about 29.50%). There it would be better to do a complimentary ultrasound on a daily basis in those patients having mammographically dense breasts in limited resource settings, in order to diagnose breast cancer accurately.