Role of Ultrasound Findings and Histopathological Data From Ultrasound Guided Trucut Biopsy in Diagnosis of Suspicious Breast Masses

Abstract

Background: Breast ultrasound being the first tool in diagnosis of suspicious breast masses especially in combination with mammographic study.Objective: To assess the diagnostic value of the ultrasound of suspicious breast masses by correlation of the ultrasound findings with those obtained from the histopathological data resulting from U/S guided Tru Cut biopsy. Patients and methods:The study was carried out at the Department of Radio diagnosis, Al-Hussien University Hospital -Cairo. The study was carried out during the period between December 2020 and June 2021. A total of 40 cases in which US revealed suspicious breast masses, all of those patients agreed to undergo tru-cut biopsy after ultrasound examination. The samples were sent for histopathological assessment to confirm the results of the ultrasound. Results:Our results yielded a high sensitivity of 100% with 60% specificity, and a PPV and NPV, of 94.6%, 100% respectively with 95% accuracy. Conclusion:Our study revealed that Tru-cut biopsy was an accurate diagnostic tool of suspicious breast masses with a high diagnostic accuracy of 95 % as it supplied enough tissue for pathologists to establish a correct histological assessment. So, it is a preferable procedure for the diagnosis of breast lesions prior to operation rendering to its low cost, high accuracy, minimal complications, safe and short time procedure.