Research
Evaluation and correlation of mammographically suspicious lesions with histopathology at Addington Hospital, Durban
Abstract
Objective. To assess the PPV of SCNB in Addington Hospital, and to compare it with that of BIRADS.
Material and methods. Mammographically detected lesions were assigned to 3 categories: benign, indeterminate and suspicious. A retrospective review of 67 SCNBs was performed for lesions falling within the suspicious category, and the PPV and rates of ductal carcinoma in situ (DCIS) were determined.
Results. Our study demonstrated a PPV of 20.9%. This correlated well with international studies for BIRADS 4 and 5 lesions. DCIS accounted for 21.4% of detected malignancies, which is in keeping with current literature.
Conclusion. Despite resource limitations, local outcomes were comparable to those of BIRADS. Given our fairly general categorisation of lesions, however, it should be emphasised that BIRADS allows better organisation, consistency and clarity in breast imaging reporting, as well as accurate data comparison between centres facing limitations similar to our own.
Authors' affiliations
B D Cupido, Department of Radiology, Addington Hospital, Durban
F Vawda, Department of Radiology, School of Surgical Disciplines, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban
A Sabri, Cypress Health Region Hospital, Department of Radiology, Saskatchewan
C T Sikwila, Private practice, Glenwood, Durban
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Article History
Date published: 2013-03-04
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