Author(s)

Ilias Guindo^1,2*, Souleymane Sanogo³, Mamadou N’diaye⁴, Mody Abdoulaye Camara⁵, Adama Dao⁶, Youssouf Goita¹, Amadou Sow⁶, Mohamed Malinke⁶, Salia Coulibaly¹, Mahamadou Diallo²

¹Medical Imaging Department, CHU Pr BSS of Kati, Kati, Mali.
²Medical Imaging Department, CHU Gabriel Touré, Bamako, Mali.
³Medical Imaging Department, Luxembourg Mother-Child Hospital, Bamako, Mali.
⁴Imaging Service, Bamako Infirmary, Central Directorate of Armed Forces Health Services (DCSSA), Bamako, Mali.
⁵Medical Imaging Department, Mali Hospital, Bamako, Mali.
⁶TERIYA Diagnostic Imaging Center, Bamako, Mali.

Breast pathology is varied, bringing together tumor and non-tumor lesions. Objective: To study the contribution of the ultrasound-mammography pair in the diagnosis of breast pathologies. Materials and Method: This was a retrospective descriptive study, carried out over a period of 3 years (from January 2018 to December 2020) at the Diagnostic Imaging Center (C.I.D) “TERIYA” in BAMAKO. It concerned all patients who came for a mammogram/ultrasound examination of the breast. All women admitted for mammogram or breast ultrasound who were diagnosed with a breast injury during the study period were included. Incomplete records and radiological checks were not included. The variables analyzed were age, sex, clinical data, and ultrasound and mammography aspects. The devices used are: a Voluson 730 PRO ultrasound machine and a G 600T type mammography machine. Results: At the end of our study, we collected 254 breast pathologies on a number of 382 women, i.e. a frequency of 66.49%. The average age of our patients was 41 years old. The dominant clinical data were mastodynia (41.88%) and mammary nodule (21.70%). On imaging (mammo-ultrasound) the lesions predominated on the left in 36% of cases, bilateral in 28% of cases and in the upper-outer quadrants in 31.5% of cases. Tumor pathologies represented 66.54% of which 45.27% were benign mainly composed of fibro-adenoma (20.88%) and cyst (18.50%), 11.8% of suspected cases and 9.45% of cancers. Non-tumor pathologies represented 33.46%, mainly mastitis (16.14%), galactophoric dilations (11.02%) and abscesses (5.51%). These pathologies were classified in 50.3% in ACR2, 17.75% in ACR3 and 4, and in 14.20% in ACR5. Lymphadenopathy was present in 73.21% of cases.

Breast Pathologies, Ultrasound-Mammography Pair, Diagnostic Imaging Center, Bamako

Guindo, I. , Sanogo, S. , N’diaye, M. , Camara, M. , Dao, A. , Goita, Y. , Sow, A. , Malinke, M. , Coulibaly, S. and Diallo, M. (2023) The Epidemiological, Clinical and Radiological (Echography, Mammography) Characteristics of Breast Pathologies at the Diagnostic Imaging Center (C.I.D) “Teriya” in Bamako. Open Journal of Medical Imaging, 13, 30-39. doi: 10.4236/ojmi.2023.131003.