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Conference Paper: Correlation between mammography-detected lesion and its pathology among Chinese population - a 5 year retrospective analysis

TitleCorrelation between mammography-detected lesion and its pathology among Chinese population - a 5 year retrospective analysis
Authors
Issue Date2021
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1744-1633
Citation
The Royal College of Surgeons of Edinburgh and The College of Surgeons of Hong Kong (RCSEd/CSHK) Conjoint Virtual Scientific Congress 2021: Emerging Technology for Surgery, Hong Kong, 11-12 September 2021. In Surgical Practice, 2021, v. 25 n. Suppl. 1, p. 4, abstract no. FP3 How to Cite?
AbstractAim: In this study, we correlated the mammography BI-RADS categories with pathologic diagnoses, aiming to evaluate the performance of mammography in breast cancer detection in the Chinese population and assess any risk factors for discordance. Method: Chinese female patients who had a mammography-detected lesion between 1 January 2016 and 31 December 2020 followed by a surgical pathology report was examined. Patients with lesions visualised by ultrasound were excluded from the study. Results: A total of 327 female patients contributed to 361 episodes with breast mammography and a subsequent breast. There were 40 patients (11.1%) with a negative or probably benign mammography (BIRADS 1, 2 and 3), and three in the BIRADS 3 group had a malignant pathological diagnosis (9.7%, 3/31). They presented with either a strong family or personal history of breast malignancy. All of their mammograms showed a background of dense breast tissue. One hundred twenty-eight patients underwent subsequent removal of lesions, and 21 of them (16.4%) experienced an upgrade in the final pathology. Tomographic guided biopsy has significantly less pathological upgrade post-surgery than stereotactic-guided core biopsy (10.3% vs. 23.3%, p = .05). Patients with denser breasts also experienced a higher likelihood of pathological upgrade (20.2% vs. 7.7%, p = .06). Conclusion: In conclusion, our study indicated that the performance of mammography is inferior for breast cancer detection among the Chinese population compared to the Western data in patients with BIRADS 3, which might be contributed by dense breast tissue leading to a reduction in sensitivity. Tomographic guided biopsy is superior to stereotactic-guided biopsy in our cohort.
DescriptionOral Presentation - Free Paper - no. FP3
Persistent Identifierhttp://hdl.handle.net/10722/304810
ISSN
2023 Impact Factor: 0.3
2023 SCImago Journal Rankings: 0.152

 

DC FieldValueLanguage
dc.contributor.authorCheung, HH-
dc.contributor.authorLee, LS-
dc.contributor.authorChin, L-
dc.contributor.authorSit, EYK-
dc.contributor.authorMan, CMV-
dc.contributor.authorHo, G-
dc.contributor.authorCo, THM-
dc.contributor.authorChang, YKR-
dc.contributor.authorKwong, A-
dc.contributor.authorLam, PWT-
dc.date.accessioned2021-10-05T02:35:31Z-
dc.date.available2021-10-05T02:35:31Z-
dc.date.issued2021-
dc.identifier.citationThe Royal College of Surgeons of Edinburgh and The College of Surgeons of Hong Kong (RCSEd/CSHK) Conjoint Virtual Scientific Congress 2021: Emerging Technology for Surgery, Hong Kong, 11-12 September 2021. In Surgical Practice, 2021, v. 25 n. Suppl. 1, p. 4, abstract no. FP3-
dc.identifier.issn1744-1625-
dc.identifier.urihttp://hdl.handle.net/10722/304810-
dc.descriptionOral Presentation - Free Paper - no. FP3-
dc.description.abstractAim: In this study, we correlated the mammography BI-RADS categories with pathologic diagnoses, aiming to evaluate the performance of mammography in breast cancer detection in the Chinese population and assess any risk factors for discordance. Method: Chinese female patients who had a mammography-detected lesion between 1 January 2016 and 31 December 2020 followed by a surgical pathology report was examined. Patients with lesions visualised by ultrasound were excluded from the study. Results: A total of 327 female patients contributed to 361 episodes with breast mammography and a subsequent breast. There were 40 patients (11.1%) with a negative or probably benign mammography (BIRADS 1, 2 and 3), and three in the BIRADS 3 group had a malignant pathological diagnosis (9.7%, 3/31). They presented with either a strong family or personal history of breast malignancy. All of their mammograms showed a background of dense breast tissue. One hundred twenty-eight patients underwent subsequent removal of lesions, and 21 of them (16.4%) experienced an upgrade in the final pathology. Tomographic guided biopsy has significantly less pathological upgrade post-surgery than stereotactic-guided core biopsy (10.3% vs. 23.3%, p = .05). Patients with denser breasts also experienced a higher likelihood of pathological upgrade (20.2% vs. 7.7%, p = .06). Conclusion: In conclusion, our study indicated that the performance of mammography is inferior for breast cancer detection among the Chinese population compared to the Western data in patients with BIRADS 3, which might be contributed by dense breast tissue leading to a reduction in sensitivity. Tomographic guided biopsy is superior to stereotactic-guided biopsy in our cohort.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1744-1633-
dc.relation.ispartofSurgical Practice-
dc.relation.ispartofThe Royal College of Surgeons of Edinburgh & The College of Surgeons of Hong Kong (RCSEd/CSHK ) Conjoint Scientific Congress 2021-
dc.titleCorrelation between mammography-detected lesion and its pathology among Chinese population - a 5 year retrospective analysis-
dc.typeConference_Paper-
dc.identifier.emailCo, THM: mcth@hku.hk-
dc.identifier.emailKwong, A: avakwong@hku.hk-
dc.identifier.authorityCo, THM=rp02101-
dc.identifier.authorityKwong, A=rp01734-
dc.description.natureabstract-
dc.identifier.hkuros326094-
dc.identifier.volume25-
dc.identifier.issueSuppl. 1-
dc.identifier.spage4, abstract no. FP3-
dc.identifier.epage4, abstract no. FP3-
dc.publisher.placeAustralia-
dc.identifier.partofdoi10.1111/1744-1633.12518-

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