WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Aryam Abdulhameed A. Kareem Al-Akydi, Alhan H. Sultan and Jawad K. Al- Diwan

ABSTRACT

Background: Surgical pathology focuses on breast lesions, especially with breast cancer on the rise. Pre-surgery diagnosis accuracy is increasingly important. Imaging, clinical examination, and Fine Needle Aspiration Cytology (FNAC) / Histopathology are the best ways to assess breast abnormalities preoperatively. FNAC/tru cut results of breast lesions will be compared and correlated with suspicious and strongly suggestive of malignancy finding (BIRADS 4 & 5) on mammography/US or both to determine concordance/disconcordance of malignancy in diverse breast lesions. Method: From November 2022 to November 2023, 180 female patients who had BIRADS category 4 and 5 findings on US/mammography or both were enrolled in a cross-sectional study at the breast clinic in Al-Yarmok Teaching Hospital. Imaging BIRADS (mammogram/ultrasound), Cytology fine needle aspiration (FNA), (True cut) Histopathology, are collected from females. Results: In a study, 84.4% of patients over 40 years old presented with various breast conditions, with 46.1% diagnosed as malignant and 53.9% as benign. A significant correlation was found between malignancy diagnosis and age, especially in patients over 40, and BIRAD scores, with 100% of BIRAD 5 cases being malignant. No significant link was observed between the diagnosis and the initial presentation reason. Conclusion: A large number of breast cancer cases are identified in women over 40, according to the research. A precise diagnostic method based on patient age and BI-RADS categorization is needed to enhance breast cancer identification and care. Categories 4c and 5 accurately predict malignancy.

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