skip to main content

Ultrasonography (USG) Accuracy in Diagnosing Breast Cancer; a Cross-sectional Study at Prima Medika General Hospital Denpasar

*Putu Dewi Ari Wulandari  -  Rumah Sakit Prima Medika Denpasar, Indonesia
I Bagus Gede Dharmawan  -  Rumah Sakit Prima Medika Denpasar, Indonesia

Citation Format:
Abstract

Background: Ultrasonography (USG) radiological examination can be an early detection of breast tumors before they develop into malignancy. The aim of our study was to determine the accuracy of USG examination in diagnosing breast cancer at Prima Medika Hospital.

Methods: We conducted a cross-sectional study from January to December 2021 at Prima Medika Hospital Denpasar in patients who had symptoms of breast cancer had breast USG examinations and biopsy examinations of 51 samples. We collected data by tracing medical records and in descriptive analysis and cross-tabulation analysis to determine the sensitivity, specificity, positive predictive values and negative predictive values.

Results: 72.5% of 51 patients were over 36 years old, 47.1% symptoms of a lump in their left breast. USG examination in detecting breast cancer has a sensitivity of 90.9%, a specificity of 93.1% then a positive predictive value of 92.9% and a negative predictive value of 90.1%.

Conclusion: USG examination has a high accuracy in diagnosing breast cancer. Radiology specialists are expected to use USG examination as an early detection tool before conducting a histopathological gold standard examination.

Fulltext View|Download
Keywords: Breast cancer; ultrasonography; accuracy.

Article Metrics:

  1. Republic of Indonesia Ministry of Health. 2022. Most breast cancer in Indonesia, Ministry of Health targets equitable health services. Accessed January 11, 2023. https://www.kemkes.go.id/article/view/22020400002/kanker-payudara-paling-LOT-di-indonesia-kemenkes-targetkan-peerataan-layanan-kesehatan.html
  2. Globocan. 2020. Cancer incident in Indonesia. Vol 858. https://gco.iarc.fr/today/data/factsheets/populations/360-indonesia-fact-sheets.pdf
  3. Republic of Indonesia Ministry of Health. Published 2020. Indonesia health profile 2019. Accessed January 11, 2023. https://www.kemkes.go.id/folder/view/01/structure-publikasi-pusdatin-profil-kesehatan.html
  4. Beyer T, Moonka R. 2003. Normal mammography and ultrasonography in the setting of palpable breast cancer. Am J Surg.185(5):416-419. https://pubmed.ncbi.nlm.nih.gov/12727559/
  5. Baruna CAA, Manuaba IBTW. 2023. Published 2019. The accuracy of ultrasound and mammography in diagnosing women with breast cancer at Sanglah General Hospital, Denpasar. Digest of Medical Science. Accessed January 11, 2023. https://udayananetworking.unud.ac.id/professor/publication/1923-ida-bagus-tjakra-wibawa-manuaba/ketepatan-ultrasonography-dan-mammography-dalam-mendiagnosis-woman -with-breast-cancer-in-rsup-sanglah-denpasar-15324
  6. Ardiana, Negara HW, Sutisna M. 2013. Analysis of reproductive risk factors associated with the incidence of breast cancer in women. Padjadjaran University
  7. Nigam M, Nigam B. 2013. Triple assessment of breast – gold standard in mass screening for breast cancer diagnosis. IOSR J Dent Med Sci. 7(3):1-7. doi: 10.9790/0853-0730107
  8. Nur IM. 2014. Mammography screening in breast cancer using generalized structured component analysis. Statistics. 2(1):26-33
  9. Hasbie NF, Mandala Z, Wiratmoko W, Husain BMA. 2020. Comparison of the validity level of mammography and ultrasound examination for diagnosing mammary neoplasms at Dr. Abdul Moeloek Year 2017-2018. J Medicine and Health Sciences. 7(2):464-470
  10. Aviana R, Astuti L, Wijaya IGAGM. 2019. Ultrasound Accuracy in diagnosing breast cancer at Sanglah General Hospital, Denpasar. J Med Udayana. 9 (9):1-6
  11. Ramadhania DA. 2017. Radiological Examination for detection of breast cancer. Accessed January 11, 2023. https://www.semanticscholar.org/paper/Pemeriksaan-Radiologi-untuk-Deteksi-Kanker-Payudara-Ramadhania/6c588816e089eaf670d62eb4fb0ee9440a411b29
  12. Gunawan A. 2021. Selection of Imaging Tests for screening for mammary carcinoma. The Mirror of the World of Medic. 48(6):347. doi: 10.55175/cdk.v48i6.1438
  13. Kintan M. 2020. Dianostic accuracy test of mammary ultrasound examination against histopathological examination in assessing the degree of malignancy of breast tumors at RSUP DR. Wahidin Sudirohusodo Makassar in 2018. Hasanuddin University. Accessed January 11, 2023. http://repository.unhas.ac.id/id/eprint/1734/
  14. Pelu RH, Beru AA, Surdam Z, Dahlia, Nulanda M. 2022. Comparison of accuracy of ultrasound and fnab examination results against histopathological examination results for detection of breast tumors. Fakumi Med J. 2(5):359-367
  15. Himawan S, Heru G. 2022. The use of ultrasound in palpable breast solid tumors for diagnosing breast cancer in women over 35 years of age. Airlangga University

Last update:

No citation recorded.

Last update:

No citation recorded.