Ultrasound in the assessment of the palpable breast mass

H. Hasni, F. A. Meah, Norlia Abdullah, N. A. Sharifah, Annuar Zulfiqar

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The aim of the study was: to obtain the profile of patients (with regards to age and family history of breast cancer) with a palpable breast mass. To determine the validity of ultrasound in the assessment of the palpable breast mass by determining the sensitivity, specificity, positive predictive value, negative predictive value and accuracy of ultrasound in distinguishing a malignant mass. To determine the most discriminating ultrasound characteristics for differentiating benign and malignant masses. Seventy patients who had fine needle aspiration cytology of a palpable breast mass were subjected to an ultrasound assessment of the mass. The ultrasound findings were classified as benign, indeterminate or malignant. These findings were then compared with either the cytology or histology results in cases that eventually had surgical excision. The age of the patients ranged from 15 to 66 years old The majority was in the third and fourth decades with an average age of 25 years. The 8 patients with a proven malignant breast mass were aged between 39 and 66 years old. They did not have any family history of breast cancer. Only 4 patients had a family history of breast carcinoma and all proved to have a benign breast lesion. Ultrasound had a sensitivity of 100%, specificity of 85.7%, positive predictive value of 50%, negative predictive value of 100% and accuracy of 87.5% for distinguishing a malignant mass. For benign masses: 93.7% had well-defined margins, 81.3% had homogenous internal echoes, 91.7% had depth-width ratio of less than 1.0 and 89% were compressible. For malignant masses: 87.5% had either ill-defined or irregular margins, 87.5% had inhomogenous internal echoes and mixed posterior echoes, and 100% were incompressible. The majority of patients with a palpable breast mass were aged below 40 years old. Most of the patients with a malignant breast mass were aged 40 years and older. Neither a positive nor a negative family history of breast cancer had any significance on outcome. Ultrasound had high sensitivity, specificity and accuracy in distinguishing a malignant mass. The most discriminating benign ultrasound characteristic was compressibility. The most discriminating malignant ultrasound characteristic was ill-defined and irregular margins.

Original languageEnglish
Pages (from-to)486-494
Number of pages9
JournalMedical Journal of Malaysia
Volume59
Issue number4
Publication statusPublished - Oct 2004

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Breast
Breast Neoplasms
Sensitivity and Specificity
Cell Biology
Fine Needle Biopsy
Histology

Keywords

  • Breast mass
  • Malignant
  • Ultrasound

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hasni, H., Meah, F. A., Abdullah, N., Sharifah, N. A., & Zulfiqar, A. (2004). Ultrasound in the assessment of the palpable breast mass. Medical Journal of Malaysia, 59(4), 486-494.

Ultrasound in the assessment of the palpable breast mass. / Hasni, H.; Meah, F. A.; Abdullah, Norlia; Sharifah, N. A.; Zulfiqar, Annuar.

In: Medical Journal of Malaysia, Vol. 59, No. 4, 10.2004, p. 486-494.

Research output: Contribution to journalArticle

Hasni, H, Meah, FA, Abdullah, N, Sharifah, NA & Zulfiqar, A 2004, 'Ultrasound in the assessment of the palpable breast mass', Medical Journal of Malaysia, vol. 59, no. 4, pp. 486-494.
Hasni H, Meah FA, Abdullah N, Sharifah NA, Zulfiqar A. Ultrasound in the assessment of the palpable breast mass. Medical Journal of Malaysia. 2004 Oct;59(4):486-494.
Hasni, H. ; Meah, F. A. ; Abdullah, Norlia ; Sharifah, N. A. ; Zulfiqar, Annuar. / Ultrasound in the assessment of the palpable breast mass. In: Medical Journal of Malaysia. 2004 ; Vol. 59, No. 4. pp. 486-494.
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