DOI: http://dx.doi.org/10.18203/2349-2902.isj20195960

Diagnosis of breast lumps based on breast imaging reporting and data system score and histopathological examination: a comparative study

Shahaji G. Chavan, Sree Ganesh B., Nandan Vemuri

Abstract


Background: Breast cancer incidence in India is increasing and has now become the most common cancer among women. Preoperative pathology diagnosis and mammography (using breast imaging reporting and data system      (BI-RADS) scoring system) constitute an essential part of the workup of breast lesions. The present study was aimed to compare the diagnostic accuracy of BI-RADS score with histopathological finding in diagnosis of benign and malignant lesions of breast.

Methods: This is a cross-sectional study. The present study was conducted on 100 randomly selected newly diagnosed cases of breast lump attending the General Surgery Department (OPD).

Results: Considering histopathological examination as gold standard, the sensitivity and specificity of BI-RADS score is 93.9% and 82.3% respectively. The positive predictive value, negative predictive value and diagnostic accuracy of BI-RADS score is 91.1%, 87.5% and 90.0% respectively.

Conclusions: Author conclude from the present study that BI-RADS score being non-invasive, it may become a very useful test for evaluating Breast lump lesions. However, BI-RADS score cannot be considered as gold standard and thus cannot be used as an alternative to histopathology in diagnosis of breast lumps.


Keywords


Breast Imaging Reporting and Data System, Breast lump, Histopathology, Triple assessment

Full Text:

PDF

References


Malvia S, Bagadi SA, Dubey US, Saxena S. Epidemiology of breast cancer in Indian women. Asia‐Pacific J Clin Oncol. 2017;13(4):289-95.

Kingsnorth A, Bennet DH, Russell RC, Williams NS, Bulstrode CJ. Bailey and Love's short practice of surgery. Russel RCG, Williams NS and Bulstrode CJK. 2000:1272-93.

Cusheiri A, Steele RJ, Mossa A. Essential surgical practice. 4th ed. Oxford: Butterworth- Heinimann; 2002:72-73.

Leichter I, Buchbinder S, Bamberger P, Novak B, Fields S, Lederman R. Quantitative characterization of mass lesions on digitized mammograms for computer-assisted diagnosis. Investigative Radiol. 2000;35(6):366-72.

Hukkinen K, Kivisaari L, Heikkilä PS, Von Smitten K, Leidenius M. Unsuccessful preoperative biopsies, fine needle aspiration cytology or core needle biopsy, lead to increased costs in the diagnostic workup in breast cancer. Acta Oncol. 2008;47(6):1037-45.

Radhakrishna S, Gayathri A, Chegu D. Needle core biopsy for breast lesions: An audit of 467 needle core biopsies. Indian J Med Paediatr Oncol: Official J Ind Soc Med Paediatr Oncol. 2013;34(4):252.

D'Orsi CJ. Breast Imaging Reporting and Data System: breast imaging atlas: mammography, breast ultrasound, breast MR imaging. ACR, Am Coll Radiology.2003.

Baker JA, Kornguth PJ, Floyd CE Jr. Breast Imaging Reporting and Data System standardized mammography lexicon: observer variability in lesion description. AJR. 1996;166:773-8.

Liberman L, Abramson AF, Squires FB, Glassman JR, Morris EA, Dershaw DD. The breast imaging reporting and data system: positive predictive value of mammographic features and final assessment categories. AJR. Am J Roentgenol. 1998;171(1):35-40.

Burnside ES, Ochsner JE, Fowler KJ, Fine JP, Salkowski LR, Rubin DL, et al. Use of microcalcification descriptors in BI-RADS 4th edition to stratify risk of malignancy. Radiol. 2007;242(2):388-95.

Riedl CC, Pfarl G, Memarsadeghi M, Wagner T, Fitzal F, Rudas M, et al. Lesion miss rates and false-negative rates for 1115 consecutive cases of stereotactically guided needle-localized open breast biopsy with long-term follow-up. Radiol. 2005;237(3):847-53.

Navya BN, Thomas S, Hiremath R, Alva SR. Comparison of Diagnostic Accuracy Of BIRADS Score With Pathologic Findings In Breast Lumps. Annals Pathol Lab Med. 2017;4(3):A236-42.

Mohan A, Kumar C. Clinical profile and management of breast cancer in women in a rural based tertiary care hospital our experience. Intern Surg J. 2017;4(2):697-702.

Takalkar UV, Asegaonkar SB, Kulkarni U, Kodlikeri PR, Kulkarni U, Saraf M, et al. Clinicopathological profile of breast cancer patients at a tertiary care hospital in marathwada region of Westen India. Asian Pac J Cancer Prev. 2016;17(4):2195-8.

Arsalan FA, Subhan AN, Rasul SH, Jalali UZ, Yousuf M, Mehmood Z. Sensitivity and specificity of BI-RADS scoring system in carcinoma of breast. J Surg Pak. 2010;15(1):38-43.

Soyder A, Taşkın F, Ozbas S. Imaging-histological discordance after sonographically guided percutaneous breast core biopsy. Breast care. 2015;10(1):33-7.

Rathi V, Patankar K. Assessment of the breast masses with diagnostic mammography and FNAC correlation. J Evol Med Dent Sci. 2016;5(51):3265-71

Kaira V, Aggarwal A, Kaira P. Clinical profile of breast lesions - a hospital based study. International J Contemp Med Res. 2017;4(6):1294-6.

Shrestha MK, Ghartimagar D, Ghosh A, Shrestha E, Bolar P. Significance of quadruple assessment of breast lump- a Hospital based study. J Pathol Nepal. 2014;4(8):630-4.

Shumaila SM, Tayyiba A, Safdar AM. Mammographic - Sonographic co-relation in the diagnosis of breast lump. Biomedica. 2008;24:147-51.

Emine D, Suzana M, Halit Y, Arben K. Comparative accuracy of mammography and ultrasound in women with breast symptoms according to age and breast density. Bosn J Basic Med Sci. 2009;9:131-6.