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Mammographie - echographie et la classification birads dans la pathologie mammaire
Abstract
Objective: The objective of the survey is to list the pathologies frequently class in BIRADS with a histological interrelationship and to determine the sensitivity and the specificity of the echo -mammography.
Method of survey: It is about of a retrospective study on 464 cases of exams ultrasound and mammography realized during one year in the services of radiology of the private and public hospital of Lomé.
Results: The nods and the brest paintful represented the main symptoms with respective frequencies of 31.46% and 29.31%. The shrewd lesions represented 19.78% of the cases, dominated by the infiltrating duct carcinoma. The benign lesions were dominated by the fibroadenoma that represented 29.5% of the cases. The mammography had a sensitivity of 77.78% and a specificity of 66.67%. Its predictives positive and negative values were respectively 46.67% and 88.89%. The ultrasonography had a sensitivity of 77.78% and a specificity of 75%. The predictive positive value is of 53.85% whereas the predictive negative value is of 90%.
Conclusion: The mammography and ultrasound is the basis exam in the diagnostic of the mammary pathology, but associated with cytohistological exam.
Method of survey: It is about of a retrospective study on 464 cases of exams ultrasound and mammography realized during one year in the services of radiology of the private and public hospital of Lomé.
Results: The nods and the brest paintful represented the main symptoms with respective frequencies of 31.46% and 29.31%. The shrewd lesions represented 19.78% of the cases, dominated by the infiltrating duct carcinoma. The benign lesions were dominated by the fibroadenoma that represented 29.5% of the cases. The mammography had a sensitivity of 77.78% and a specificity of 66.67%. Its predictives positive and negative values were respectively 46.67% and 88.89%. The ultrasonography had a sensitivity of 77.78% and a specificity of 75%. The predictive positive value is of 53.85% whereas the predictive negative value is of 90%.
Conclusion: The mammography and ultrasound is the basis exam in the diagnostic of the mammary pathology, but associated with cytohistological exam.
