Abstract

*Dr. A. Benani, R. Watfeh, K. Matar, Pr. M. Yousfi and Pr. S. Bargach

ABSTRACT

Our work is a retrospective study of 32 cases hospitalized for treatment of subclinical lesions detected by wire guide localization, collected department of gynecology- obstetrics canerology and high risk pregnacies unit maternity Souissi hospital ibn sina Rabat , over a period of January 2019 to December 2019. Our objective is to report the histological results of the breast lesions classified radiologically ACR4or ACR5 with the aim of estimating the radio-histological correlation and Improving the action to be taken. The average age of our patients was 49 years. Screening and breast pain are the most common reasons. Suspect opacity accounted for 56,25% of lesions detected while microcalcifications accounted for 15,62%. 87.5% of the lesions are classified BIRADS 4, while 12.5% are classified BIRADS 5. Wire localization was made for all of our patients. Histological results came back malignant in 12,5% of cases with intra ductal carcinoma 1 case, 2 cases of invasive ductal carcinoma and 1 case of Paget's disease. Our VPP of malignancy is 7.14% for ACR 4, and 50% for ACR5. Our results demonstrate that the BI-RADS classification is overestimated which requires adapting several recommendations.