Breast cancer is the second most commo world. A report of the American Cancer. Paper ID: ART

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1 Cancer of various types effect millions of leads to loss of lives. According to the through our comprehensive nationwide regi incidence, prevalence and mortality in Ind cancers of lung, mouth, esophagus and stom sites of cancer and among females cancer are leading sites. Literature on management various cancers in west is widely available b context is sparse. Cancer of gallbladder followed by cancer of breast marks as leadi Eastern states. Therefore, cancer research a practices become one of the crucial tasks o effective management and clinical care fo country. Hence, the need to develop a nation for clinical management and treatment for was felt [1]. Breast cancer is the second most commo world. A report of the American Cancer

2 general, it s not such good news for our brea biggest risk factor for breast cancer. The lon more we have to weather the wear and t living [19]. Our genes are more likely to deve mutations and we are less able to repair the [20]. Pregnancy rates have been declining since 1990, the average number of pregnanc each year by about (1%) [21]. A woman pregnancy protects against breast cancer breast cells mature. Mature breast cells are grow normally and are less likely to becom give rise to cancer [22]. Obesity is an epidem and an established breast cancer risk factor use by women has increased [25]. Alcohol ca with the breakdown of estrogen and increas of estrogen [26].It can also make the estrogen breast cells more sensitive to estrogen. Lon alcohol use in women produces more leading to a higher risk of breast cancer [27

3 Third partcontain: Histopathology results. U/S technique and color Doppler protocol Breast U/S requires a high frequency transdu.ideally a wide footprint probe. A lo transducer may be required for the larger att inflammatory masses and the axilla. The u may be required for nipple, superficial/or sk PRF color and spectral Doppler capabiliti vascularity of lesions [42]. Patient Preparation: Patient will be asked to undress from the wear a gown during the examination, lie on examining table and asked to raise the arm After he positioned on the examination table (a physician specifically trained to supervi radiology examinations) or sonographer wi

4 Statistical analysis: Data coded, entered an SPSS version 20. Descriptive statistical anal determine frequency distribution to obtain variables in tables and graphs. Ethical considerations: Formal approv committee in (KAASH) was obtained prior study.there is no risk for study subjects du of research. Ethical committee in (KAASH) the data of this research will not be reused permission. No personal information of any published. 4. Results Following are the results of the study differential diagnosis of breast masses using

5 U/S features of breast masses According to the nature of all breast mass ultrasound in the study, there were 10 solid, were found to be complex breast masses, as

6 Fibrocystic changes Fibroadenomas Granulmatis inflammatio Fibrosis Invasive ductal carcinoma Malignant Ductal hyperp Tubular carcinoma Sclerosis adenoma Chronic mastitis Total Figure 7: Distribution Table 7: Hist Histo Histopathology

7 largest number of patients in our study were of years (56.67%) followed by (40-4 Khanna et al [52], reported it was (39.8%) in (21-30) years. Monu Sareen et al [53]., repor group of years followed by (40-49 while in other study (100%) of the stud married and all of them were more than 35 y Regarding side involved in this study represented (48.4%) also malignant masses percentage in (Lt) side also, while bot represented (11.3%) as in fig (2).One that(54%) of the masses were present in quadrant of the breast. Both breasts were i of the casesin their study [51]. Regarding symptoms among study sampl from 62 cases there were (40.3%) have had nodes and (21%) have had palpable bre

8 patients with the tumor size of cm did not show any vascularity. In compa vessels were found in 10 of 73 benign mas with the median of 1.4 cm). In patients mastitis, abscess, phylloides tumor, and vascularization was extremely high. Benign breast lesions have significantly differen features. There is a remarkable overlap of benign tumor in peak flow velocity [60]. T smaller blood vessels, especially for poo masses, could be improved using a high-freq resolution system. Furthermore, color Dopp able to reduce the number of biopsy a evaluations for patients with suspicious [63].The discrepancies between reported s related to the U/S system and the scan [64].This diagnostic accuracy was better a Kopans et al [65] (52.6%), Mansoor et al [60] Sareen et al [53] reported it to be (84.61%).Of

9 [17] Milne, R.L. and A.C. Antoniou.Gene cancer risk for BRCA1 and BRCA2 m Ann Oncol ; 22 Sup,1: [18] Shrestha, L.B., Life Expectancy in the Congressional Research Service Report CRS Report for Congress. Congress Service, The Library of Congress [19] Hoeijmakers, J.H. DNA damage, aging Engl J Med. 2001; 361: [20] Cabelof, D.C., Y. I keno, A. Nyska, R Anyang we, et al. Haplo insuffici polymerase beta increases cancer risk alters mortality rate. Cancer Res ; [21] entura, S.J., J.C. Abma, W.D. Mosher haw, Estimated pregnancy rates for th : An update, in National Reports [22] Russo, J., G.A. Balogh, and I.H. R pregnancy induces a specific genomic

10 axillary lymph node metastases in b systematic review. AJR.2006; 186, 134 [52] Khanna S, Arya NC and Khanna N benign breast diseases. Ind J Surgery 19 [53] Monu Sareen, Pawan Tiwari, Madhu Ti of Breast Lumps by Ultrasonography: A Teaching Institution. Journal of Evolu and Dental Sciences 2014; ol. 3, 07: [54] Rahbar G, Sie AC, Hansen GC et al malignant solid breast masses: US Radiology 1999; 213: [55] W. P. Evans, Breast Masses, Appropri RCNA, ol. 33, No. 6, 1995 : [56] Sunil Kumar. Study of Evaluation of Lump by Ultrasonography at a Tertiary Hospital. Int J Med Res Prof. 2016, 2(1) [57] Fleishcher AC, Muleteer CA, Reyno Palpable breast masses: evaluation by