Abstract
Purpose: In this study, we aimed at comparing the sensitivity and selectivity rates of Ultrasonography (USG), Mamography (MG) and Magnetic Resonance (MR), based on the biopsy results of breast mass lesions. Materials and methods: Between January 2009 and December 2010 in Konya Training and Research Hospital the biopsy results and reports of imaging tecniques such as USG, MG and MR, were obtained from the hospital automation. The sensitivity and selectivity of the USG, MG and MR were calculated. Results: The avarage age of the 112 patients included in this study is 49 ± 10 (23 - 71). 27 (24%) of the patients were found to have breast cancer after the histopathologic examination. USG was used with the 95 (94%) of the patients and 17 (18%) of the patients were diagnosed to have cancer. MG was used with the 75 (67%) of the patients and 15 (20%) of the patients were diagnosed to have cancer, and MR was used with the 112 (100%) of the patients and 25 (22%) of the patients were diagnosed to have cancer. In the pathologic diagnosis of cancer, the sensitivity of USG was found 85%, the sensitivity of MG was found 89%, and the sensitivity of MR was found 92%. The selectivity of these tecniques were 58%, 87% and 57% respectively. Conclusion: MR and MG have similar sensitivity rates in the diagnosis of breast cancer. Breast MR is an appropriate imaging tecnique that can be used in suitable indications in addition to USG and MG.
Highlights
Breast cancer is still at the top of list of morbidity and mortality besides being one of the most common type of cancer among women both in the World and in our country [1]
USG and MG is insufficient in evaluating the behavioral characteristics of the determined lesions, determining the focus occurance of the multifocalmulticentric pre-breast conserving surgery, differentiating between the residue lesion and the granulation tissue and the post treatment monitoring and in such situations Magnetic Resonance (MR) examination is required to solve the problem in routine applicaitons [2,8,9]
The files that belong to the patients who consulted to Konya Training and Research Hospital with a breast complaint and were applied breast MR were studied retrocpectively
Summary
Breast cancer is still at the top of list of morbidity and mortality besides being one of the most common type of cancer among women both in the World and in our country [1]. MG is still the basic method for scanning and the determining the breast lesions with its 90% sensitivity rate [2,3,4]. USG is the first method to be used when mamography is insufficient with sclerosing breast tissue [6]. USG is more sensitive with women who are under the age of 40 and who have dens breast tissue [7]. USG and MG is insufficient in evaluating the behavioral characteristics of the determined lesions, determining the focus occurance of the multifocalmulticentric (mf-mc) pre-breast conserving surgery, differentiating between the residue lesion and the granulation tissue and the post treatment monitoring and in such situations MR examination is required to solve the problem in routine applicaitons [2,8,9]. With the use of contrast agent in MR, it is easier to differentiate between the belign and malign lesions
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