Diagnostic Accuracy of Mammography in Patients with Palpable Breast Lump Using BI-RADS Score (Code-T0259)

Introduction: Breast cancer remains one of the leading causes of cancer-related deaths in women, emphasizing the importance of early detection. Mammography, combined with the Breast Imaging Reporting and Data System (BI-RADS) score, plays a crucial role in the diagnosis of breast abnormalities, especially in patients with palpable breast lumps. The BI-RADS system helps categorize mammographic findings based on the likelihood of malignancy, improving diagnostic accuracy.

Aims and Objectives:

1) For evaluating the precision of mammography in palpable breast lump using BIRADS score

2)  To determine  the factors affecting the accuracy of mammography

Methods: This cross-sectional study included 150 female patients, aged 30 to 70, with palpable breast lumps. All patients underwent mammography, and the findings were classified using the BI-RADS scoring system. The results were then compared with histopathological diagnoses obtained through biopsy or surgical excision. Statistical analysis was used to determine the diagnostic accuracy of mammography based on BI-RADS categories.

Results: The study revealed a sensitivity of 83%, specificity of 88%, and a positive predictive value of 86%. Higher BI-RADS scores were significantly associated with malignancy, with BI-RADS 4 and 5 categories showing the highest likelihood of cancer.

Conclusion: Mammography, coupled with the BI-RADS scoring system, is an effective tool for diagnosing breast cancer in patients with palpable lumps. It provides high diagnostic accuracy, aiding in early detection and treatment planning.

Keywords: Mammography, BI-RADS score, Palpable breast lump, Diagnostic accuracy, Breast cancer, Sensitivity and specificity.