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Review
. 2022 Apr-Jun;12(2):109-114.
doi: 10.4103/jwas.jwas_84_22. Epub 2022 Aug 27.

Correlation of Sonographic Findings and Histopathological Diagnoses in Women Presenting With Breast Masses

Affiliations
Review

Correlation of Sonographic Findings and Histopathological Diagnoses in Women Presenting With Breast Masses

Hafsat Oluwatosin Akinnibosun-Raji et al. J West Afr Coll Surg. 2022 Apr-Jun.

Abstract

Background: Breast lumps have been reported as the most common breast symptom among adult females in Western Nigeria and are benign in 60% of cases. In South-Eastern Nigeria, fibroadenoma has been reported as the most common breast disease (47.5%), followed by carcinoma (30.4%) and fibrocystic disease. The aim of this study was to determine the correlation between sonographic and histopathologic findings in women who presented with breast masses.

Materials and methods: This was a cross-sectional study conducted among 160 consecutive female patients who presented with breast masses. A breast ultrasound scan was carried out to categorize the masses using the American College of Radiology Breast Imaging Reporting and Data System classification, and the histopathological diagnoses of the masses were obtained. The correlation of the sonographic findings and histopathological diagnoses was determined using the Statistical Package for Social Sciences (SPSS) IBM version 23.0.

Results: Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were found to be 79.5%, 98.3%, 93.9%, 93.7%, and 93.8%, respectively. There was a positive correlation between the sonographic findings and histopathological diagnoses of the breast masses, which was statistically significant (P = 0.000, r = 0.846).

Conclusion: This study found a statistically significant positive correlation between sonographic findings and histopathological diagnoses of breast masses.

Keywords: BI-RADS; breast mass; histopathology; ultrasonography.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Sonographic image of a right breast mass in a 41-year-old P3+0 showing a circumscribed hypoechoic mass with lateral shadowing. (b) Histology section confirmed the diagnosis of fibroadenoma. The section shows proliferating breast glands and the glands are compressed into slit-like spaces (black arrow [arrow], stroma [red arrows], and capsule [blue arrow])

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