Journal of AdvancedMedical and Dental Sciences Research

Background: Breast cancer is the leading cause of deaths among females, with over 1 million new cases in the world each year. Ultrasound is a safe, non-invasive and radiation free adjunct to mammography for the evaluation of palpable breast masses. The present study was conducted to determine role of colour Doppler ultrasound in breast lesions. Materials & Methods: The present study was conducted on 125 breast lesions of females age ranged 20-50 years. We subjected the patients to Ultrasound (USG) with Philips ultrasound machine. FNAC of the breast mass was performed to reach the final diagnosis. For each malignant mass, cytological grading was made by the pathologist using Robinson’s cytological grading. Results: Normal breast mass was seen in 23 cases, fibroadenoma in 65, fibricystic changes in 10, papilloma in 7, Phyllodes tumor in 4, invasive ductal carcinoma in 8, lobular ductal carcinoma in 3 and metastatic tumor in 5 cases. The difference was significant (P< 0.05). There were 95 benign lesions, of which 40 were vascular on color doppler and 55 were avascular on color doppler. Out of 35 malignant lesions, 15 were vascular on color doppler and 20 were avascular on color doppler. The mean RI value for benign lesions was 0.68 and for malignant lesions was 0.82. The difference was significant (P< 0.05). Under FNAC, 23 lesions were grade 1, 8 were grade 2 and 3 were grade 3. The difference was significant (P< 0.05). Conclusion: Authors found that colour doppler ultrasound is now an important diagnostic tool for the evaluation of breast lesions. Key words:- Breast, Colour doppler ultrasound, FNAC