Abstract :
The breast lump is the most presenting complaint that worries women and drive them to seek help. Nearly 10% of breast masses turn to be malignant. Evaluate the role of the ultrasound in the diagnosis of suspicious breast lesions classified according to BIRADS (Breast Imaging Reporting and Data System). A cross sectional study conducted in Tumor Women center Al -elweiya Maternity Teaching Hospital, the study included 222 who visited the breast cancer-screening unit, complained of apparent breast lumps and classified as BI-RADS-4 and BI-RADS-5. Ultrasound and fine needle aspiration cytology (FNAC) were performed then the results were correlated with each other and determination of concordance and discordance was done between ultrasound findings and cytological results and malignancy rates were estimated. Following imaging-cytological correlation, the concordant malignancy in BI-RADS 4 was 19.5% versus 86.3% in BI-RADS 5 and discordant benign in BI-RADS 4 noted in 63% of patients while only in 9.1% in BI-RADS 5 and borderline high-risk lesion identified in 17.7 in BI- RADS 4 and 4.5% in BI-RADS 5. In our study there was high concordance between the ultrasound diagnosis of BIRADS category and the results of FNA, higher concordance was associated with BIRADS 5.
