Correlation between Sonomammography and Mammography in the Evaluation of Breast Lesions

Objectives: 1. To evaluate the role of mammography and sonomammography independently and in combination and correlating with FNAC for early diagnosis of breast lesions. 2.Benign To study the characteristics of mammography and sonomammography in detecting breast lesions and differentiating from benign and malignant lesions. Methods: 100 female patients attending Department of Radio diagnosis with breast lumps over a period of 24months were assessed using mammography, sonomammography and comparing with FNAC finding. Results: In our study of 100 symptomatic patients 54 cases (54%) were benign in nature, 40% of the lesions were noted in upper outer quadrants of the breasts. Fibroadenoma was the commonest (33%)benign solid tumor in our study.Among 28 cases of breast carcinoma, on mammography 26 were read as suspicious or malignant and 2 cases were read as normal due to denser breasts. On Sonomammography 27 cases were read as suspicious / malignant and 1 case was read as benign.Sensitivity and specificity in diagnosing a malignant lesion by Sonomammography were 96.4% and 97.5% respectively and by Mammography were 92.8% and 94% respectively.Combined Sonomammography and mammography it increased to 100 % and 94% respectively in our study. Conclusion: Combined imaging modalities of mammography and sonomammography play an important role in diagnosing palpable breast lesions.