Correlation between histopathological results and BI-RADS classification in breast masses
Correlation between histopathological results and BI-RADS classification in breast masses
Aim: The aim of this study was to determine the reliability of BI-RADS Classification by evaluating the correlation between BI-RADSClassification System and pathology results of patients admitted to the general surgery outpatient clinic of our hospital with thecomplaints of breast lump, breast pain and nipple discharge.Material and Methods: This retrospective study was conducted between 2009 and 2011. The study included a total of 150 femalepatients, who applied to the Research and Training Hospital General Surgery Polyclinics with the complaints of breast lump, painand discharge which were classified as BIRADS-3, BIRADS-4 (4a, 4b, 4c) subcategories and BIRADS-5 category, and were evaluatedusing the epicrisis forms, test results (radiological imaging and tumor markers) and pathology reports.Results: The study included a total of 150 patients; 21 of which were classified as BI-RADS 3, 44 as BI-RADS 4a, 35 as BI-RADS 4b,22 as BI-RADS 4c and 28 as BI-RADS 5. Of the masses determined to be benign, 21 cases (100%) were classified as BI-RADS 3, 43cases (97.72%) as BI-RADS 4a, 34 cases (97.14%) as BI-RADS 4b, 8 cases (36.36%) as BI-RADS 4 and 1 case as BI-RADS 5 (3.57%).Of the malignant masses, 1 case (2.28%) was classified as BI-RADS 4a, 1 (2.86%) as BI-RADS 4b, 14 cases (63.64%) as BI-RADS 4cand 27 cases (96.43%) as BI-RADS 5.Conclusion: In the light of these data, we believe that the division of BI-RADS category 4 into sub-categories play an important rolein management of breast masses.
___
- 1. Smith RA, Duffy SW, Tabár L. Breast cancer screening: the evolving evidence. Oncology (Williston Park)2012;26:471-5, 479- 81, 485-6.
- 2. Bock K, Borisch B, Cawson J, et. al. Effect of populationbased screening on breast cancer mortality. Lancet 2011;378:1775-6.
- 3. Tabár L, Vitak B, Chen TH, et. al. Swedish twocounty trial: impact of mammographic screening on breast cancer mortality during 3 decades. Radiology. 2011;260:658-63.
- 4. Hellquist BN, Duffy SW, Abdsaleh S, et. al. Effectiveness of population-based service screening with mammography for women ages 40 to 49 years: evaluation of the Swedish Mammography Screening in Young Women (SCRY) cohort. Cancer 2011;117:714- 22.
- 5. McKinley AG. Hereditary breast cancer and linkage analysis to BRCA_. Br J Surg 1995;82:1086-8.
- 6. Lacquement MA, Mitchell D, Hollingsworth AB. Positive predictive value of the breast imaging reporting and data system. J Am Coll Surg 1990;189:34-40.
- 7. Shapiro S, Venet W, Starx P. Periodic screening for breast cancer 1963-1986. Baltimore, Johns Hopkins University Pres 1988.
- 8. Levy L, Suissa M, Teman G, et al. BIRADS Ulrasonography. EJ of Radiology 2007;61:202-11.
- 9. Lacquement MA, Mitchell D, Hollingsworth AB. Positive predictive value of the breast imaging reporting and data system. J Am Coll Surg 1990;189:34-40.
- 10. Orel SG, Kay N, Reynolds C, et al. BIRADS categorization as a predictor of malignancy. Radiology 1999;211:845- 50.
- 11. Bilgin MG, Sarı O, Balkan M, et al. Meme işaretleme yöntemiyle şüpheli lezyonların irdelenmesi. Meme Sağlığı Dergisi 2007;3:140-2.
- 12. Masroor I. Effectiveness of assigning BIRADS category 3 to breast lesion with respect to follow-up. J Coll Physicians Surg Pak. 2008;18:209-12.
- 13. Smith SA, Saslow D, Sawyer D, et al. American Cancer Society guidelines for breast cancer screening update 2003. CA Cancer J Clin 2003;53:141-69.