|
KMID : 1114620100070020114
|
|
Journal of the Korean Society for Breast Screening
2010 Volume.7 No. 2 p.114 ~ p.119
|
|
|
Usefulness of Mammography in the Evaluation of Male Bbreast Disease
|
|
Sung Jin-Kyeong
Kang Bong-Joo
An Yeong-Yi
Yoon Soo-Kyung
Kim Sung-Hun
|
|
|
Abstract
|
|
|
Purpose: The usefulness of mammography in the evaluation of male breast diseases was assessed.
Materials and Methods: This study was conducted on the male patients who underwent mammography from August, 2005 to October, 2010. Clinical symptoms were checked in the patients who underwent mammography. Images of mammography that was actually conducted were counted, and the report prepared based on Breast Imaging Reporting and Data System (BI-RADS) of American College of Radiology (ACR) was retrospectively reviewed. In addition, by setting the results of biopsy or surgery as a gold standard in the patients who underwent biopsy or surgery, and by setting the results of sonography or at least twoyear follow-up as a gold standard in the patients who did not undergo the biopsy, the sensitivity, specificity, positive predictive value, and negative predictive value of mammography diagnosing breast cancer were assessed.
Results: 161 mammography sets were conducted on 154 patients. All 154 patients underwent mammography due to palpable lesion or pain. Of the 161 cases, a total of four images were taken at a time in 31 cases (19%); two images in 67 cases (22%); and one image in 63 cases (59%). The mammography results corresponding to BI-RADS category 1 were found in 12 cases. The mammography results corresponding to BIRADS category 2 were found in 133 cases, of which gynecomastia and pseudogynecomastia was identified in 125 cases, and in 8 cases, respectively. The mammography results corresponding to BI-RADS category 0, 4, or 5 were found in 16 cases. Based on the biopsy results and the follow up image evaluation, the results of mammography diagnosing breast cancer among male breast diseases showed the sensitivity 100%, the specificity 92%, the positive predictive value 20%, and the negative predictive value 100%.
Conclusion: Mammography in the evaluation of male breast diseases is very useful. It is not only essential for diagnosing gynecomastia and pseudogynecomastia, but also relatively effective in diagnosing of breast cancer.
|
|
|
KEYWORD
|
|
|
Mammography, Male, Breast neoplasm, Gynecomastia
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|