Correlation between histopathological results and BI-RADS classification in breast masses

Abstract

Aim: The aim of this study was to determine the reliability of BI-RADS Classification by evaluating the correlation between BI-RADSClassification System and pathology results of patients admitted to the general surgery outpatient clinic of our hospital with thecomplaints of breast lump, breast pain and nipple discharge.Material and Methods: This retrospective study was conducted between 2009 and 2011. The study included a total of 150 femalepatients, who applied to the Research and Training Hospital General Surgery Polyclinics with the complaints of breast lump, painand discharge which were classified as BIRADS-3, BIRADS-4 (4a, 4b, 4c) subcategories and BIRADS-5 category, and were evaluatedusing the epicrisis forms, test results (radiological imaging and tumor markers) and pathology reports.Results: The study included a total of 150 patients; 21 of which were classified as BI-RADS 3, 44 as BI-RADS 4a, 35 as BI-RADS 4b,22 as BI-RADS 4c and 28 as BI-RADS 5. Of the masses determined to be benign, 21 cases (100%) were classified as BI-RADS 3, 43cases (97.72%) as BI-RADS 4a, 34 cases (97.14%) as BI-RADS 4b, 8 cases (36.36%) as BI-RADS 4 and 1 case as BI-RADS 5 (3.57%).Of the malignant masses, 1 case (2.28%) was classified as BI-RADS 4a, 1 (2.86%) as BI-RADS 4b, 14 cases (63.64%) as BI-RADS 4cand 27 cases (96.43%) as BI-RADS 5.Conclusion: In the light of these data, we believe that the division of BI-RADS category 4 into sub-categories play an important rolein management of breast masses.