Online ISSN: 2515-8260

Keywords : BIRADS


The profusion of breast lesions in breast biopsies showed imaging and pathological discordance

1Amod Kumar, 2Aashish Gupta, 3Monica, 4Payal Kumari, .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 3286-3293

Introduction: For nonpalpable breast lesions, imaging-guided breast tissue biopsy has become a viable alternative to open surgical biopsy. It can be difficult to talk about abnormal results of the connection between imaging and pathology findings because they can help with decision-making about additional treatment options by arriving at a full diagnosis.
Materials and Methods: This was a retrospective study. A specialist radiologist collected and classified radiological data from 500 patients' imaging-guided breast biopsies over a 6-year period using the BIRADS format. The discordance between histopathology reports was investigated.
Results: A total of 500 cases were reviewed. Approximately 4.6% (23) of cases fell into BIRADS 2 category, 33.6% (168) of cases fell into the BIRADS 3 category, 24.4% (122) into the BIRADS 4, 36.6% (183) into BIRADS 5 categories and 0.8% (4) into BIRADS 6 categories. Approximately 49.2% (n = 246) cases were benign, 3.4% (17) belonged to the high‑risk category, and 47.4% (237) were malignant. The number of discordant cases was 12 (2.4%), mostly due to technical factors. The sensitivity of biopsies to detect malignancy was 85%, specificity was 96%, and accuracy of biopsy in diagnosing cancer was 90%.
Discussion: The most sensitive way for detecting early breast cancer is the "triple assessment." Because of the high occurrence of carcinoma in these lesions, an effective communication line between a physician, radiologist, and pathologist is required for surgical excision in discordance.
Conclusion: In discordant cases, the ultimate choice is based on two concordant findings out of the three parameters, either due to abnormal imaging results or abnormal pathology findings. A multidisciplinary breast conference is held, with the pathologist taking an active role.

BREAST DISEASES OF THE LACTATING WOMEN; A RADIOLOGICAL-PATHOLOGICAL CORRELATION

1Dr.Preethi.V 2Dr.Vijay.S

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4802-4808

Aims and objectives: To recognize, describe the radiological manifestations and correlate pathologically the breast disorders related to lactation. To ascertain the value of the different radiological modalities in such disorders
Materials and Methods: This is an observational prospective study of 50 lactating women who presented with breast complaints. They were subjected to X-ray mammography, sonomammography and MR mammography with contrast if needed. All reports were histologically verified and correlated
Results: Of the 50 women evaluated, the following diseases were diagnosed: Puerperal mastitis (n= 18, 36%); Breast abscess (n=6, 12%); Granulomatous mastitits (n=4, 8%); Galactocele (n=10, 20%); Lactating adenoma (n=2, 4%); Fibroadenoma (n=8, 16%); Pregnancy associated breast cancer (n=2, 4%). Of the 50 women evaluated, sonomammography upstaged the Xray mammography BIRADS category for 8 women which also corresponded with the HPE findings, X-ray mammography did not upstage the sonomammography BIRADS category for any woman, X-ray mammography and sonomammography showed similar findings in 42 women and MRI was used in indecisive cases, in 9 women, where the findings correctly predicted the HPE outcome.
Conclusion: Familiarity with the imaging spectrum of breast disorders during lactation is essential in today’s scenario. It would be a better practice to always perform USG evaluation in lactating women referred to X-ray mammography for breast complaints and to use MR mammography for indecisive cases.