scholarly journals Effect of Anatomical and Physiological Factors on Ultrasonic Breast Imaging Reporting and Data System Score in Iraqi Women Presenting with Breast Lumps

2021 ◽  
Vol 9 (A) ◽  
pp. 1214-1218
Author(s):  
Ahmed Fakhir Hameed ◽  
Sameh S. Akkila ◽  
Khalida I. Noel ◽  
Saad Alshahwani

BACKGROUND: Breast lumps are a common presentation that can be assess non-invasively using the ultrasonic examination. AIM: The study aimed to assess the effect of different anatomical and physiological factors on the outcome of ultrasonic scoring of breast lumps. METHODS: A total of 60 females presented with a breast lump on ultrasound assessment were randomly selected after their consent at the Clinic for Early Detection of Breast Cancer in Baghdad. The results were expressed according to the ultrasound breast imaging reporting and data system (BI-RADS) scoring. RESULTS: There was a statistically significant positive correlation between the BI-RADS score with breast size, age, postmenopausal state, and personal or familial history of breast disease. Most cases (46.7%) scored BI-RADS II, followed by scores of III (21.6%), 4 (16.7%), and V (15%). The upper lateral quadrant of the breast was the most commonly affected sites. Marital status, parity, and breastfeeding didn’t have statistically significant influence on the sores. CONCLUSION: Ultrasonic BI-RADS scoring of breast lumps provides an initial reliable tool for the management of breast disease. Higher scores are associated with increasing breast size, age, postmenopausal state, and personal or familial history of breast disease. Several anatomical, physiological, hereditary, and environmental aspects influence such factors.

1990 ◽  
Vol 7 (3) ◽  
pp. 136-142 ◽  
Author(s):  
Maureen Beckett ◽  
Selina Redman ◽  
Christina Lee

Fifty women with a history of breast lumps, and fifty control women matched for age and educational level, were administered a self-report questionnaire to determine knowledge of breast cancer, frequency and proficiency of breast self-examination (BSE), and health beliefs relating to BSE. Although women with previous breast lumps were more knowledgeable about breast cancer than those without, the two groups did not differ in attitudes or preventive behaviours. Overall knowledge of cancer and of BSE practice was low. This suggests a need for educational campaigns to increase knowledge and awareness, as a first step towards behaviour change, and a need for research to identify more effective predictors of BSE practice.


Author(s):  
Laura J. Horvath

Reduction mammoplasty is a surgical procedure performed to decrease breast size. Breast parenchyma and skin are resected, and the nipple is repositioned to a more superior location on the smaller breast mound. The goals of the procedure are to alleviate a variety of physical and psychological complaints. Because women with a history of reduction surgery are commonly seen for screening mammography and other breast imaging studies, it is important to be aware of the normal post-operative appearance. This chapter, appearing in the section on intervention and surgical change, reviews the key imaging and clinical features, imaging protocols and pitfalls, differential diagnoses, and management recommendations for reduction mammoplasty. Topics discussed include clinical indications, surgical technique, and benign post-operative changes, including scars, oil cysts, fat necrosis, and calcifications.


2019 ◽  
Vol 7 (1) ◽  
pp. 144
Author(s):  
Shahaji G. Chavan ◽  
Sree Ganesh B. ◽  
Nandan Vemuri

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.


Breast Care ◽  
2016 ◽  
Vol 11 (3) ◽  
pp. 188-193 ◽  
Author(s):  
Tunc Eren ◽  
Adem Aslan ◽  
Ibrahim A. Ozemir ◽  
Hakan Baysal ◽  
Julide Sagiroglu ◽  
...  

Background: Breast pain is one of the leading complaints that ends up with referral to breast surgery clinics. The purpose of the present study was to investigate the factors that cause mastalgia, and its relation with benign or malignant breast disease. Methods: The study was performed in 700 patients. Data obtained from surveys, and imaging findings were prospectively recorded, and analyzed. Results: The mean age was 45.20 ± 10.78 years. The mastalgia group included 500 cases; the asymptomatic group comprised 200 individuals. Stressful lifestyle, caffeine consumption, and smoking were associated with mastalgia (p < 0.05). Rates of women who had breast fed 3 times or more were higher in the mastalgia group (p < 0.05). Increased breast density, and breast imaging-reporting and data system (BI-RADS) 2 mammography findings were related with mastalgia (p < 0.05). Cysts and fibroadenomas were more common in the mastalgia group (p < 0.05). The incidence of a past history of malignant breast disease was significantly higher in the mastalgia group (p < 0.05). Conclusions: Stress, caffeine, smoking, lactation frequency, and benign disorders were factors detected to be related with mastalgia. Although a significant relation between mastalgia and malignant breast disease was detected in our study, more controlled studies are still required to investigate this issue further.


Author(s):  
Vandana V Ahluwalia ◽  
Prerna S Saharan ◽  
Ankita Chauhan

ABSTRACT The current cancerophobic climates surrounding breast disease affect the sequence of imaging modalities and follow-up. Neither the physician nor the patient can be sure that the palpable lump is an actual mass or an unexceptional variant and, here is the active/decisive role of a radiologist to evaluate sonomammographic appearances as per Breast Imaging Reporting and Data System Lexicon, and then assuring the patient for its benignity or asserting the necessity of further intervention. This study reviews key sonomammographic features of common and unusual benign breast disease, infections, and systemic disorders affecting breast in the female patient. How to cite this article Ahluwalia VV, Saharan PS, Chauhan A. Clinicoradiological Approach to Sonomammographic Spectrum of Breast Disorders. Donald School J Ultrasound Obstet Gynecol 2017;11(2):126-134.


2020 ◽  
Author(s):  
Zhishun Wang ◽  
Diana V. Rodriguez Moreno ◽  
Yael M. Cycowicz ◽  
Lawrence V. Amsel ◽  
Keely Cheslack-Postava ◽  
...  

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110244
Author(s):  
Yantao Cai ◽  
Chenfang Zhu ◽  
Qianqian Chen ◽  
Feng Zhao ◽  
Shanyu Guo

Objective The probability of malignancy in women who are diagnosed with a Breast Imaging Reporting and Data System (BI-RADS) 4A score is low. Application of a second opinion ultrasound (SOUS), which is low in cost and minimally invasive, may lower the biopsy rate for patients who fall into this category. This study aimed to apply SOUS to patients with a BI-RADS score of 4A and predict the pathological results of a biopsy. Methods One hundred seventy-eight patients were analyzed. Univariate and multivariate analyses were performed to screen for predictive factors that are associated with malignancy. Categorical alteration of downgraded, unchanged, or upgraded was made after SOUS results. Changes in category were compared with biopsies to determine their predictive value of benignancy or malignancy. Results Independent factors associated with malignancy were age (>50 years), tumor size (≥20 mm), margin (not circumscribed), orientation (not parallel), and peripheral location, and an upgraded categorical alteration from SOUS. Downgraded categorical alterations were associated with benignancy. Conclusions In BI-RADS 4A cases, a biopsy is recommended when independent factors are associated with malignancy. A downgraded result from an SOUS examination is a protective factor, supporting the likelihood of benignancy in these patients.


2013 ◽  
Vol 26 (1) ◽  
pp. 18-24
Author(s):  
María Martínez Gálvez ◽  
José Aguilar Jiménez ◽  
Jose Ignacio Gil Izquierdo
Keyword(s):  

2016 ◽  
Vol 32 (2) ◽  
pp. 126-131 ◽  
Author(s):  
Su Yeon Ko ◽  
Eun-Kyung Kim ◽  
Hee Jung Moon ◽  
Jung Hyun Yoon ◽  
Ha Yan Kim ◽  
...  

Author(s):  
Katie N Hunt

Abstract Molecular breast imaging (MBI) is a nuclear medicine technique that has evolved considerably over the past two decades. Technical advances have allowed reductions in administered doses to the point that they are now acceptable for screening. The most common radiotracer used in MBI, 99mTc-sestamibi, has a long history of safe use. Biopsy capability has become available in recent years, with early clinical experience demonstrating technically successful biopsies of MBI-detected lesions. MBI has been shown to be an effective supplemental screening tool in women with dense breasts and is also utilized for breast cancer staging, assessment of response to neoadjuvant chemotherapy, problem solving, and as an alternative to breast MRI in women who have a contraindication to MRI. The degree of background parenchymal uptake on MBI shows promise as a tool for breast cancer risk stratification. Radiologist interpretation is guided by a validated MBI lexicon that mirrors the BI-RADS lexicon. With short interpretation times, a fast learning curve for radiologists, and a substantially lower cost than breast MRI, MBI provides many benefits in the practices in which it is utilized. This review will discuss the current state of MBI technology, clinical applications of MBI, MBI interpretation, radiation dose associated with MBI, and the future of MBI.


Sign in / Sign up

Export Citation Format

Share Document