COMPARATIVE ANALYSIS OF ELASTO-GRAPHY AND HISTOPATHOLOGY FINDINGS OF MAMMARY LUMP AT A MEDICAL COLLEGE IN CENTRAL INDIA

Abstract

Background: Mammary carcinoma has become the commonest type of carcinoma in India's urban population. Mammary sonoelasto-graphy is a non-invasive imaging technology that can reveal the location of lesions in the mammary.

Aims & objectives:  We examined elasto-graphy and histopathological results of mammary lumps, as well as the diagnostic accuracy of elasto-graphy, in this study.

Material and Methods: The current investigation was a prospective observational analysis in female patients with sonographically apparent solid mammary lesions that were smaller than 3 cm in diameter and were classed as BIRADS 3 and 4.

Results: During the study period, 252 female patients had USG elasto-graphy, then biopsy/surgery, with histopathology reports available. According to histology, 42% of the tumours were benign, while the balance (58%) were malignant. In malignant instances, age, BIRADS, Elasto-graphy Score, and Strain ratio were much greater than in benign cases, and the difference was statistically noteworthy (p0.001). According to histopathological diagnosis, the commonest benign lesions were fibroadenoma (77%) and fibrocystic disease (9%), benign fibroepithelial lesion (7%), abscess (5%), and sclerosing adenosis (3%). (1 percent ). Invasive ductal carcinoma accounted for the bulk of malignant cases (67%) followed by invasive mucinous carcinoma (13%), invasive poorly differentiated carcinoma (8%), ILC (6%), medullary ca (2%), papillary ca (2%), and phylloids (1%). (2 percent ), The combination of Ultrasound Score + Elasto-graphy Score + Strain Ratio yielded excellent results.

Conclusion: In discriminating benign and malignant mammary masses, ultrasound elasto-graphy combined with strain elasto-graphy and ultrasound score has a high sensitivity, specificity, and diagnostic accuracy.

Keywords: mammary lump, mammary malignancy, elasto-graphy, histopathology