Breast Cancer Detection in Breast Imaging Reporting and Data System (BI-RADS) Category 4 and 5 Patients at Combination of Mammography and Ultrasonography
Article Sidebar
Main Article Content
Abstract
Background: Breast cancer is the most common cancer in Thai woman. Detection of early cancer is important, as patient prognosis is good.
Objective: To calculated the positive predictive value (PPV) for breast cancer detection after having BI-RADS category 4 and 5 at combination of both mammography and ultrasonography (US) and to evaluated mammographic and ultrasonographic findings of breast cancer.
Research design: Descriptive retrospective study.
Setting: Roi- Et hospital.
Material and methods: Total 530 women who had performed mammography combined with US during a 1-year period, between January 2010 to December 2010. Twenty nine patients with diagnosis BI-RADS category 4 and 5. Twenty three patients were pathologically proven case of breast carcinoma. The statistics: percentage and the positive predictive value (PPV) for breast cancer detection were calculated.
Results: Twenty nine patients with diagnosis BI-RADS category 4 and 5. Twenty three patients were pathologically proven case of breast carcinoma. The PPV for breast cancer was 50% (6/12) in category 4 and 100 % (17/17) in category 5. The mamographic finding with highest predicting of malignancy was spiculat- edhyperdense mass in 9(37.5%) of 23 women. Ultrasonographic features of malignancy were irregular shaped, ill-defined or spiculated border hypoechoic mass in 14(58.3%) of 24 lesions.
Conclusion: The PPV for breast cancer was 50% (6/12) in category 4 and 100 % (17/17) in category 5. Combined mammography with ultrasonography is useful for predicting the present of malignancy in female 40 years or older and biopsy was still proper procedure should be taken in BI-RADS category 4 and 5 patients.
Article Details
References
2. Attasara P, Buasom R, editors. Hospital based cancer registry 2009. สถาบันมะเร็งแห่งชาติ กรมการแพทย์ กระทรวงสาธารณสุข; 2010. p. 6.
3. Chaiwerawatana A, editor. Breast ICD 10 C50. (Cancer in Thailand; vol 4,1998-2000). [Online]. Available from: URLhttps:// www.nci.go.th/File_download/Cancer%20ln%20Thailand%20IV/C-ll-13.PDF
4. Khuhaprema T, Srivatanakul p, Attasara p, Sriplung H, Wiangnon S, Sumitsawan Y, editors. Breast cancer in different region (Cancer in Thailand; vol 5, 2001-2003) [Online], Available from: URL: https:// www.nci.go.th/File_download/Nci%20Cancer%20Registry/Book%20Cancer% 201 ท %20Thailand%202010%20for%20 Web.pdf
5. ชิตเขต โตเหมือน, editor. สถิติโรคมะเร็ง 2552 โรงพยาบาลร้อยเอ็ด Roi-et hospital based cancer registry 2009; 2010. p 44.
6. Aneesa SM, Ellen SP, Richard DD, Doherty, Neil RS, Xavier S. Missed Breast Carcinoma:pitfalls and Peals. Radiographics 2003;23:881-95
7. Frisell J, Eklund G, Hellstrom L, Somell A. Analysis of interval breast carcinomas in a randomized screening trial in Stockholm. Breast Cancer Res Treat 1987; 9:219-25.
8. Holland R, Mravunac M, Hendriks JH, Bekker BV. So-called interval cancers of the breast. Pathologic and radiologic analysis of sixty four cases. Cancer 1982; 49:2527-33.
9. Martin JE, Moskowitz M, Milbrath JR. Breast cancer missed by mammography. AJR Am J Roentgenol 1979;132:737-9.
10. Ikeda DM, Andersson I, Wattsgard C, Janzon L, Linell F. Interval carcinomas in the Malmo Mammographic Screening Trial: radiographic appearance and prognostic considerations. AJR Am J Roentgenol 1992;159:287-9.
11. Patel MR, Whitman GJ. Negative mam- mogramsin symptomatic patients with breast cancer. AcadRadiol 1998; 5:26-33.
12. การตรวจวินิจฉัย มูลนิธิถันยรักษ์ ในพระราชูปถัมภ์สมเด็จพระศรีนครินทราบรมราชชนนี. [Online], Available from: URL: https:// www.thanyarak.or.th/th/center/ diagnosis.php
13. การตรวจคัดกรองมะเร็งเต้านม. ศูนย์ข้อมูลมะเร็ง รพ.จุฬาลงกรณ์. [Online]. Available from: URL: https://www.chulacancer.net/newpage/screening/breast.html
14. Kolb TM, Jacob L, Lichy J, Newhouse JH. Comparison of the Performance of Screening Mammography, Physical Examination, and Breast us and Evaluation of Factors that influence Them; An Analysis of 27,825 Patient Evaluation. Radiology 2002;225:165-75.
15. Belg WA, Gutierrez L, NessaAiver MS, Carter WB. Bhargavan M, Lewis RS, et al. Diagnositic Accuracy of Mammography, Clinical Examination, us and MR Imaging in Preoperative Assessment of Breast Cancer. Radiology 2004;233;830-49.
16. Kopans DB. standardized mammographic reporting. RadiolClin North Am 1992;30:257-61.
17. D’Orsi CJ, Kopans DB. Mammographic feature analysis. SeminRoentgenol 1993; 28:204-30.
18. American College of Radiology. BI-RADS: mammography. In: Breast imaging reporting and data system:BI-RADS atlas, 4th ed. Reston, VA:American College of Radiology, 2003.
19. American College of Radiology. BI-RADS: ultrasound, 1st ed. In: Breast imaging reporting and data system: BI-RADS atlas, 4th ed. Reston, VA:American College of Radiology, 2003.
20. Perry N, Breeders M, deWolf C, Tornberg S. European guidelines for quality assurance in mammography screening. Luxembourg Grand Duchy: Office for Official Publications of the European Communities, 2001.
21. American College of Radiology. BI-RADS: mammography. In: Breast imaging reporting and data system:BI-RADS atlas, 4th ed. Reston, VA:American College of Radiology, 2003. p. 77-8.
22. American College of Radiology. BI-RADS: mammography. In: Breast imaging reporting and data system:BI-RADS atlas, 4th ed. Reston, VA:American College of Radiology, 2003. p. 229-35.
23. มะเร็งเต้านม. สถาบันมะเร็งแห่งชาติ. [Online]. Available from: URL: https://www.thaila- bonline.com/sec7cabreast.htm
24. Laura L, Andrea FA, Fredric BS, Jill RG, Elizabeth AM, David D. The Breast Imaging Reporting and Data System; Positive Predictive Value of Mammo- graphic Features and Final Assesment Categories. AJR 1998;171:35-40.
25. Rahbar G, Sie AC, Hansen GC, Prince JS, Melany ML, Reynolds FIE et al. Benign versus Malignant Solid Breast Masses: US Differentiation. Radiology 1999;213: 889-94.
26. Stavros AT, Thickman D, Rapp C, Dennis M, Parker S, Sisney G. Solid breast nodues: use of sonography to distinguish between benign and malignancy. Radiology 1995; 196:123-34.
27. นายแพทย์อภิชาต พานิชซีวลักษณ์. เอกสารประกอบการสอนมะเร็งเต้านม Breast Cancer. [Online], Available from: URL: https:// vvww.med.cmu.ac.th/dept/.../cur/มะเร็งเต้านม0/o20นพ.อภิชาติ.doc
28. Nagwa D, Lawrence MD. Mammography in Breast Cancer. [Online]. Available from: URL: https://emedicine.medscape. com/article/346529-overview
29. Breast Cancer. [Online]. Available from: URL: https://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast- cancer-what-is-breast...
30. แนวทางการตรวจคัดกรองมะเร็งเต้านมที่ เหมาะสมสำหรับประเทศไทย ราชวิทยาลัยรังสี แพทย์แห่งประเทศไทย. [Online], Available from: URL: https://www.nci.go.th/cpg/download/3.pdf
