Aims and objectives
Breast cancer has become the most common of all cancers and is the leading cause of cancer deaths in women worldwide,
accounting for >1.6% of deaths.
breast cancer is set to overtake cervical cancer as the most common cancer among women by 2020. For successful management of breast cancer,
earlyand accuratedetection is very important.
Mammography and conventional ultrasound (US) are the main imaging modalities which have shown the highest sensitivity in detecting breast cancer....
Methods and materials
This study was carried out at a tertiary cancer care center in SouthIndia between July 2013 to June 2014 after approval by the Institutional Review Board and Ethics committee. Patients: Inclusion criteria: Consecutive patients with solid/solid-cystic breast masses Size>5mm BIRADS 3 or 4 lesions,
which were biopsied after ARFI elastography Exclusion criteria: Simple cyst BIRADS 1,
2 or 5 lesions Calcified lesions with non-calcified area <1cm Prior biopsy/FNAC/Surgery/radiation on the same...
148 breastmasses were included from 113 patients with mean age of 45 years (age range 15-80 years).
Distribution of benign and malignant breast lesions in various age groups are presented in fig.2 & 3. Mean age for malignant lesions in the studypopulation was 49 years and for benign lesions,
it was 40 years (fig 4). Of all the benign lesions (74),
fibroadenoma was the commonest (50 lesions,
Others were fibrocystic changes (7),
In this study,
we found thatshear waveelastography improves the specificificity of breast US as the shear wave velocity of malignant breast lesionwas significantly higher than the benign lesion.
By adding consideration of mass softness,
as detrmined by quantitative value ofSW elastographycould reduce unnecessary biopsies of low-suspicion BI-RADS category 4 masses.
Stiffness on SW elastographic images also helped in identifying the new malignancies among BI-RADS category 3 lesions which would...
Rashmi Sudhir Consultant Radiologist Basvatarkam Indo-American Cancer Institute & Research Center Hyd,
Kamala Sannapareddy Consultant Radiologist Basvatarkam Indo-American Cancer Institute & Research Center Hyd,
India faces growing breast cancer epidemic,Volume 379,
992 - 993: The Lancet, March,2012. StavrosAT,
SisneyGA.Solid breast nodules: use of sonography to distinguish between benign and malignant lesions.
et al..Data SysBreast Imaging Reporting and tem,
BI-RADS: mammography.4th ed.Reston,
Va:American College of Radiology,2003. Regner DM,