Clinical correlation with ultrasound finding in patient in non-cancerous breast condition, single centre experience

Ruba A Mahmood; Jazaaer Jasim Mohammed; Nagham Ghanim Mahmood

Clinical correlation with ultrasound finding in patient in non-cancerous breast condition, single centre experience

Authors
Ruba A Mahmood, Jazaaer Jasim Mohammed, Nagham Ghanim Mahmood

Abstract
Background: The breast is an organ that composed of glandular (milk producing) in female and fatty tissue drained by five groups of lymph nodes to the axilla which are important in case of cancer of breast. The glands empty though a duct system end to the nipple. Many diseases affecting this organ diagnosed by triple assessment, one of important screening tool is ultrasound examination in guiding interventional and bioptical procedures in the diagnosis of benign and malignant lesion is an additional examination in identifying the nature and the abnormalities detected though the glands or the duct system and surrounding tissue through BI-RAD classification.

Objective: To study the correlation of ultrasound finding in clinically examined patients with benign diseases attending breast clinic in Al-Jumhoori teaching hospital.

Patients and Method: A prospective randomized study (case series) include 100 patient of different age groups from 15 -65 yr.s old consulting a single breast center in al-Jumhoori teaching hospital during the period from January 2019 to November 2019. these patients came either just for checking of breasts or complain from pain in the breast or from discharge from the nipple either unilateral or bilateral or complain from mass in one or both breast. All those patients under gone clinical examination followed by ultrasound examination excluding suspicious cases of malignancy to show the correlation of this tool in symptomatic and asymptomatic patients finding.

Results: The study analyses the record of 100 patients whom came for regular checking or complain from mastalgia or nipple discharge uni or bilateral or there complains were masses in the breast. 7 patient are single females 3 of them are asymptomatic while 4 single patient are symptomatic. The remaining 93 married patients had symptoms. The mean age group of patients were 37.5 that’s most of patients in this age group (44) patients. The common complaint were pain (mastalgia) 43 patients, nipple discharge 32 patients, breast mass 22, the remaining 3 patients had mastitis. Ultrasound examination results of breast complain was significant in case of breast mass and discharge while less significant in case of mastalgia. 64 patients with unilateral breast complaint consult the clinic. 10 patient feel amass, 24 patient had nipple discharge and the remaining 30 patient had mastalgia, ultrasound finding for them show in case of breast mass 3 patient had interstitial mass(fibroadenomas), 2 were intraduclal papilloma and the remaining 5 cases show breast cysts. Regarding the nipple discharge u/s finding 16 patient having dilated ducts the remaining 8 patients had duct debris. The u/s finding in 30 patients with mastalgia show 16 patients normal picture of breast screen, 8 patients with dilated ducts, the remaining 6 patient show signs of inflammation. 36 patient having bilateral breast complain u/s finding for them show 11 patients with mass feeling in breast. 9 patients of them diagnosed by u/s as breasts cysts, 2 patients with bilateral interstitial masses(fibroadenomas). While the discharge in12 patients u/s show dilated ducts in 8 patient and duct debris in 4 patient. Regarding the last 13 patients with bilateral breast pain show normal ultrasound finding.

Conclusion: Clinical examination with ultrasound evaluation has good correlation in examination of duct system in patients with discharge and of great importance in patients with benign breast masses (unilateral or bilateral). but in case of bilateral or unilateral mastalgia the ultrasound has no significant rule just in some cases of focal breast pain.

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