The role of digital mammography in the evaluation of asymmetric breast findings: in correlation with ultrasound | ||||
Minia Journal of Medical Research | ||||
Article 58, Volume 30, Issue 3, July 2019, Page 277-283 PDF (1010.7 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.221961 | ||||
View on SCiNiTO | ||||
Authors | ||||
Manal F. Abousamra; Nashwa M. Adel; Mary M. Naoum Hanna | ||||
Department of Radiology, diagnostic radiology, Faculty of Medicine, Minia University, Egypt | ||||
Abstract | ||||
Both breasts are relatively symmetric structures in both size and tissue pattern on mammography. Finding asymmetry is relatively common and can be due to normal physiological and many pathological changes, in most cases of benign nature. However, it may indicate underlying malignancy. Objective: the aim of this study was to evaluate the role of digital mammography in asymmetric breast findings in correlation with ultrasound. Patients and methods: Thirty women underwent breast ultrasonography after finding asymmetry at mammography. Mammograms and sonograms were evaluated for site and type of asymmetry, associated calcifications, architectural distortion and change from the previous examination when available. Biopsy and histopathology was done for cases suspicious of malignancy. Results: 66.7% of cases had focal asymmetry and 33.3% had global asymmetry. Asymmetry mostly (76.7% of the cases) represented a normal variation of breast tissue distribution, post-operative changes, or other benign conditions such as fibrocystic changes, ductectasia, and inflammation. On the other hand, 23.3% of cases are proved to have malignancy. Conclusion: Asymmetric breast findings are mostly due to benign etiologies, however, the possibility of underlying malignant cause is also present in lower percentage especially when accompanied by other clinical and radiological suspicious findings. | ||||
Keywords | ||||
mammography; asymmetric breast; ultrasound | ||||
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