Effectiveness of Report Mammogram BIRADS 4 and 5 in Phang-nga Hospital

Abstract

          Background: Mammogram was screening and diagnosis test of breast cancer. Report BI-RADS 4 and 5 should be confirm with pathology and proper management. That had never study effectiveness of report mammogram BIRADS 4 and 5 in Phang-nga hospital.

          Objective: This research study to evaluation effectiveness of report mammogram BIRADS 4 and 5 in Phang-nga hospital.

          Method: Collecting data in 80 suspicious breast cancer patients report mammogram BIRADS 4 and 5 and confirmation test  by use ultrasound guide core needle biopsy during January 1, 2016 to December 31, 2019.Analyzing used mean, standard deviation, median, Chi-square, odd ratio, 95% confidence.

Result: Reveal that radiographic characteristics group BIRADS 4 and 5 was mass 80.28%, 60%, pathologic CA breast 48.75%. Benign pathologic was benign breast tissue 56.10, malignant pathologic in BI-RADS 4 was  invasive ductal carcinoma 64%, BI-RADS 5  was invasive ductal carcinoma 100%,mild complication 3.75%, BI-RADS 4 was positive predictive value 37.87% , BI-RADS 5 was positive predictive value 100%. Age over 55 years was risk to CA breast 4.148 time more than age below 55 years significantly

Conclusion: BI-RADS category had effective to detect positive predictive value CA breast.