Clinical, radiological and histopathological correlation in breast lesions: 10 years of experience

Abstract

Introduction: Breast cancer remains a global public health problem. It is estimated
that its incidence will increase in the coming years. It is important to evaluate
screening studies in breast clinics through indicators in order to obtain an adequate
clinical, imaging and histopathological correlation. Objectives: To evaluate the
correlation between clinical, radiological and histopathological studies in women
who underwent breast cancer screening tests over a 10-year period. Methods: A
cross-sectional, descriptive, retrospective cohort study was conducted using the
records of a referral center from June 2013 to June 2023, of women who underwent
breast cancer screening. In those who underwent biopsy, the samples were analyzed
at our institution. Results: The records of 6 754 women who met the inclusion criteria
were analyzed, where the average age of the study population was 50.7 years. It was
recorded that 73.2% of the studies were categorized BI-RADS 2 and the majority of
the participants were asymptomatic. Of those 551 women who received a BI-RADS
>4 mammogram, 226 (41%) had a malignant result. Conclusions: Mammography
has been shown to be the only imaging tool that has managed to have an impact
on mortality. There are modalities, such as tomosynthesis, that have increased
the performance of this test. It is valid to use new technologies to maintain quality
standards in the studies.