Comparison between Role of Ultrasound and X-Ray Mammography in Diagnosis of Breast Masses. -
Aruna B. Kadam, Shrikant Shaligram Maniyar · International Journal of Health Sciences and Research · 2014
Context: With progress in surgical techniques an approach of conservative procedures for management of breast cancer, efforts were on for early diagnosis of breast malignancy. Mammography is used a screening procedure and ultrasonography is used for diagnostic purposes of breast masses. In our study we have compared role of both procedures in cases of breast masses and results were compared with histopathology. Inability of ultrasound to pick- up micro calcification had lead to its main limitation in screening procedure. Objectives: To assess the role of ultrasound mammography in diagnostic examination of breast masses and to compare the results obtained by both methods. Methods: This was the prospective study carried out in the Department of Radio diagnosis, SRTR medical college, Ambajogai in the period from October, 1996 to January, 1999. This study comprises 125 unselected patients of different age groups in whom there was clinical suspicion of breast mass. This includes 123 female and 2 male patients. Each patient had been separately studied by using mammography and sonography alone and combined sonography and mammography. Results: Maximum no. of patients’ age was from reproductive age group. Breast masses were commonly found in females and rare in males. Benign breast masses were found to be more common than malignant breast masses. Mammography as found to be comparatively better than ultrasound in detection of malignant breast masses ultrasound was more helpful in detection of benign breast masses. Combined mammography and sonography results were found to be superior to mammography and sonography alone. Conclusion: In present study an attempt has been made to evaluate the specific efficacy of mammography and ultrasound in differentiating palpable breast masses taking pathological confirmation as ultimate milestone. Mammography and sonography if interpreted together as a single breast imaging report, they are complimentary and more beneficial.