Original Article

Diagnostic Accuracy of Mammography, Ultrasound, and Fine-Needle Aspiration in Detecting Breast Cancer in Patients with Painful Breast Masses:A Medical Record-Base Study

Abstract

Background. Breast cancer is a prevalent malignant tumor, and early detection is critical for successful treatment. Diagnostic methods include physical examination, mammography, ultrasound, magnetic resonance imaging (MRI), and fine-needle aspiration (FNA). However, FNA has limitations due to its invasive nature and the need for a professional cytopathologist to interpret breast cytology results, which can pose significant challenges.

Methods. This cross-sectional study examined 150 patients who presented with breast pain within the last six months. Of these patients, 66 were diagnosed with breast cancer, and their medical records were used for analysis. The study population consisted of 66 patients, with a mean age of 53.72 ± 18.26 years and an age range of 33 to 98 years. Among them, six were single and 60 were married. The results of diagnostic tests were compared with pathological findings and the final diagnosis was determined using the chi-square test.

Results: the mean age of participants was 53.72 ± 18.26 years. Of the 66 patients with breast cancer, 40 had tumors in the left breast, and 26 had tumors in the right breast. Based on the grading system, 59 participants had grade II tumors, six had grade I tumors, and one had a grade III tumor. The sensitivity of individual diagnostic tests was compared, and the results showed that sonography had a sensitivity of 57.6%, while mammography had a sensitivity of 87.9%, compared to fine-needle aspiration.

Conclusions: The findings of our study suggest that a combination of diagnostic methods may lead to higher sensitivity in breast lesion diagnosis compared to using any individual method alone. This is particularly important in the early stages of cancer when timely and accurate diagnosis is crucial for effective treatment. By using a combination of diagnostic tools, healthcare providers can improve their ability to detect breast cancer at an earlier stage, leading to better outcomes for patients.

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IssueVol 12 No 1 (2025) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/fbt.v12i1.17738
Keywords
Breast Cancer Mammography Ultrasound Pathology Fine Needle Aspiration
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How to Cite
1.
Vafapour H, Borzoueisileh S, Vafapour F, Masoumi Moghaddam Z, Nikeghbali F, Barfar Y, Hekmatifar A. Diagnostic Accuracy of Mammography, Ultrasound, and Fine-Needle Aspiration in Detecting Breast Cancer in Patients with Painful Breast Masses:A Medical Record-Base Study. Frontiers Biomed Technol. 2025;12(1):101-107.