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Clinical value of mammography in diagnosis and identification of breast mass

View Article: PubMed Central - PubMed

ABSTRACT

Objective:: To study the effect and clinical value of mammography in the diagnosis of breast lump so as to improve the diagnosis level of breast cancer.

Methods:: A retrospective analysis was carried out on clinical data of 110 patients with mammary lump confirmed by pathology to study the compliance of mammography diagnosis and Pathology diagnosis in breast lump, and the detection of microcalcifications, phyllode, and observe the image performance of mammography. Taking infitrating ductal carcinoma (IDC) as an example, the correlation of image performance and clinical pathological features of different types was studied so as to predict if mammography performance was effective in the treatment and prognosis in breast cancer.

Results:: Taking Breast Imaging Reporting and Data System (BI-RADS) grade 4A as the critical point, the sensitivity, specificity and accuracy of mammography was 90.80% (109/120), 84.60% (126/149) and 87.40% (235/269); taking BI-RADS grade 4B as the critical point, the sensitivity, specificity and accuracy of mammography was 85.00% (102/120), 93.30% (139/149) and 89.60% (241/269); the correlation analysis suggested that, there was some kind of correlation between the mammography performance and clinical features of breast cancer.

Conclusion:: Mammography is worth being promoted in clinic for its significant clinical value in diagnosing and identifying breast lump.

No MeSH data available.


Related in: MedlinePlus

Mammogram shows clustered microcalcifications.
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Figure 3: Mammogram shows clustered microcalcifications.

Mentions: One hundred forty nine cases were diagnosed as benign lesion, including 75 cases of adenoma, 48 cases of adenoma fibrosum (Fig.1), 14 cases of intraductal papilloma, three cases of mammitis, two cases of lipomyoma, two cases of phyllodes tumors, two cases of cyst (Fig.2), one case of granulomatous inflammation, 1 case of hyperplasia of mammary glands and 1 case of abscess. Of 120 cases that were diagnosed as malignant lesions, 86 cases were invasive ductal carcinoma, 17 cases were invasive lobular carcinoma, 4 cases were intraductal carcinoma, 3 cases were papillocarcinoma, 2 cases were low-malignant phyllodes tumor, 1 case was paget disease accompanied with intraductal carcinoma and 7 cases were invasive ductal carcinoma accompanied with lobular carcinoma. Mammography imaging characteristics differed among breast cancer in different pathological types; the specific performance included irregular boundary of lump, microcalcification, local compact infiltration, structural distortion, nipple retraction, thickening or retraction of local skin (Fig. 3 and 4), or clear breast anatomical structure, regular form, even density and thick calcification (Fig. 5 and 6). Table-I.


Clinical value of mammography in diagnosis and identification of breast mass
Mammogram shows clustered microcalcifications.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5017071&req=5

Figure 3: Mammogram shows clustered microcalcifications.
Mentions: One hundred forty nine cases were diagnosed as benign lesion, including 75 cases of adenoma, 48 cases of adenoma fibrosum (Fig.1), 14 cases of intraductal papilloma, three cases of mammitis, two cases of lipomyoma, two cases of phyllodes tumors, two cases of cyst (Fig.2), one case of granulomatous inflammation, 1 case of hyperplasia of mammary glands and 1 case of abscess. Of 120 cases that were diagnosed as malignant lesions, 86 cases were invasive ductal carcinoma, 17 cases were invasive lobular carcinoma, 4 cases were intraductal carcinoma, 3 cases were papillocarcinoma, 2 cases were low-malignant phyllodes tumor, 1 case was paget disease accompanied with intraductal carcinoma and 7 cases were invasive ductal carcinoma accompanied with lobular carcinoma. Mammography imaging characteristics differed among breast cancer in different pathological types; the specific performance included irregular boundary of lump, microcalcification, local compact infiltration, structural distortion, nipple retraction, thickening or retraction of local skin (Fig. 3 and 4), or clear breast anatomical structure, regular form, even density and thick calcification (Fig. 5 and 6). Table-I.

View Article: PubMed Central - PubMed

ABSTRACT

Objective:: To study the effect and clinical value of mammography in the diagnosis of breast lump so as to improve the diagnosis level of breast cancer.

Methods:: A retrospective analysis was carried out on clinical data of 110 patients with mammary lump confirmed by pathology to study the compliance of mammography diagnosis and Pathology diagnosis in breast lump, and the detection of microcalcifications, phyllode, and observe the image performance of mammography. Taking infitrating ductal carcinoma (IDC) as an example, the correlation of image performance and clinical pathological features of different types was studied so as to predict if mammography performance was effective in the treatment and prognosis in breast cancer.

Results:: Taking Breast Imaging Reporting and Data System (BI-RADS) grade 4A as the critical point, the sensitivity, specificity and accuracy of mammography was 90.80% (109/120), 84.60% (126/149) and 87.40% (235/269); taking BI-RADS grade 4B as the critical point, the sensitivity, specificity and accuracy of mammography was 85.00% (102/120), 93.30% (139/149) and 89.60% (241/269); the correlation analysis suggested that, there was some kind of correlation between the mammography performance and clinical features of breast cancer.

Conclusion:: Mammography is worth being promoted in clinic for its significant clinical value in diagnosing and identifying breast lump.

No MeSH data available.


Related in: MedlinePlus