PATTERN OF MAMMOGRAPHIC FINDINGS AMONG FEMALES REFERRED FOR MAMMOGRAPHY AT TERTIARY CARE CENTRE IN IGIMS, PATNA
Amit Kumar, Sanjay Suman K, Umakant Prasad, Vinod Kumar, Manisha Kumari · Journal of Evolution of Medical and Dental Sciences · 2018
BACKGROUNDBreast diseases and symptomatology are frequent complaints among female patients seeking consultation in our institute, coming from different parts of Bihar.Most important concern of ours is to segregate cancerous appearing lesions with benign or normal findings.Standard imaging technique used for breast are x-ray mammography, high-resolution sonography and magnetic resonance imaging.Mammography, whether screening or diagnostic is established and accurate first line modality for breast diseases and early detection of breast malignancy.The objective of this study is to document the pattern of mammographic findings in females advised for mammography (Screening and Diagnostic). MATERIALS AND METHODSFemale with symptoms of pain in the breast, palpable or non-palpable lumps, nipple discharge or others referred for mammography were included in the study at Department of Radiodiagnosis, IGIMS, Patna from July 2015 to June 2017.A total of 192 female patients were included in this study.Two standard views (craniocaudal and mediolateral oblique) were used for both breasts.Relevant parameters of patients like age, presenting complaints, indications and mammographic findings were recorded and evaluated. RESULTSA total of 192 patients in this study with age range of 24 -75 years.Of these, 50.52% presented with breast pain, 34.37% had palpable lump, while 4.16% presented with nipple discharge.Overall, positive mammographic findings were noted in 36.83% of total screening participants.These were well circumscribed breast opacity (5.45%), speculated opacity (10.41%), asymmetric soft tissue density (4.15%), calcification (4.67%), nipple retraction (1.04%), tissue retraction (3.38%), skin thickening (5.20%) and axillary nodes (2.86%).Mammographic calcification was noted in 18 cases, of these 13 cases (72.22%) showed microcalcification and 5 cases (27.77%) showed various form of macrocalcification. CONCLUSIONNormal study, dense glandular breast and speculated mass opacities were the commonest mammographic findings in breast disease in our environment because of inclusion of all patients with or without symptoms.Most of them were found to have malignant breast condition than benign in positive mammographic findings, thus it has high diagnostic yield in the evaluation and management of breast in this environment.Follow-up imaging and minimally invasive image-guided biopsy or cytology may be indicated for further evaluation.