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

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Date
2020-01
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Journal ISSN
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Publisher
Medip Academy
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.
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Keywords
Breast Imaging Reporting and Data System, Breast lump, Histopathology, Triple assessment
Citation
Chavan Shahaji G., B. Sree Ganesh, Vemuri Nandan. Diagnosis of breast lumps based on breast imaging reporting and data system score and histopathological examination: a comparative study. International Surgery Journal. 2020 Jan; 7(1): 144-149