Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
Cancer of breast is by far one of the most important clinical problems that concerns the surgeon. It is
the commonest form of cancer in females, when detected early and given the proper treatment can be
cured. Color Doppler imaging is modern technique that can be used in preoperative assessment of
breast lumps.
OBJECTIVE :
To asses the role of color doppler imaging in differentiating malignant from benign breast lumps in
comparison with the histopathology in AL- Najaf teaching hospital.
METHODS:
Total number of patients was 80 female of different age groups were assessed during the period from
first of February 2004 to the first of February 2006 , presented with variable palpable breast masses.
After clinical assessment, all our patients underwent , color doppler imaging and then subjected to the
excisional biopsy and histopathology for confirmation of the diagnosis.
RESULTS:
The results of color doppler imaging for all our patients were found as follow, benign lumps in 54
cases (67.5%),malignant lumps in 26 cases (32.5%),two cases diagnosed as benign by color doppler
imaging proved to be malignant by histopathology
giving ( 2.5%),false negative rate. All obtained results of sensitivity, specificity and over all
accuracy of color doppler imaging respectively as follow (92.85%),(100%),and(97.5%).
CONCLUSION:
Color doppler imaging is highly sensitive and specific method in evaluating malignant breast masses
and is painless, non-invasive and time saving procedure, so we can reduce the rate of unnecessary
surgery for histopathology.