Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University, Cairo, Egypt , daliaashaban@gmail.com
Abstract: (8 Views)
Background: Breast cancer stands out as a major health issue globally, being the most common type of cancer diagnosed in women around the world. Its impact in Egypt is particularly pronounced, accounting for a substantial proportion of new cancer cases. Contrast-Enhanced Spectral Mammography (CESM) has emerged as a promising diagnostic tool for breast tumors. By visualizing tumor angiogenesis, CESM offers improved accuracy compared to traditional mammography with or without ultrasound. Its ability to depict tumor neovascularity parallels that of breast magnetic resonance imaging (MRI). This study was done to assess how well CESM can accurately identify the nature of unclear breast lesions in patients who have had breast-conserving surgery (BCS). Materials and Methods: We carried out a retrospective study with 30 women who had breast-conserving surgery due to ambiguous breast lesions found by traditional mammography. Their ages varied between 32 and 77, averaging 50.07 years. Each patient received dual-energy contrast-enhanced spectral mammography. The definitive diagnosis was confirmed by examining tissue samples from surgery or biopsy through histopathology. Results: Examination of the 30 patients showed that 23 had benign lesions (69.7%) while 10 were malignant (30.3%). The diagnostic performance character of CESM was improved with the use of the malignancy potential score (MPS) in distinguishing between benign and malignant breast lesions. Conclusion: The results indicate that CESM serves as an effective supplement to traditional mammography for evaluating unclear breast lesions after breast-conserving surgery. Its enhanced sensitivity and accuracy could lead to better patient management and improved health outcomes.
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