[Radio-histological correlation of the microcalcifications of the breast: Tunisian center experience]

ABSTRACT

Evaluation of surgical biopsy for mammary microcalcifications, in Tunisian patients according to the American College of Radiology's recommandations [ACR]. 100 patients treated in Salah Azaiez Institute from January 2005 to December 2006, who underwent surgical biopsy for breast microcalcifications. The diagnosis was based on mammography associated in 60% of the cases, to ultra-sonography. We correlated biopsies results to ACR classification. 123 surgical biopsies are related to ACR 3 lesions in 72 cases [58, 5%] ACR 4 in 39 cases [32%] and ACR 5 in 4 case [11, 5%]. The histological examination showed malignant lesions in 4 cas/72 ACR3 [5, 5%], 19/39 ACR4 [48, 7%] and 10 among the ACR5 [71, 4%]. Our preliminary study introduces a diagnostic approach of mammary microcalcifications that are usually infra-clinic lesions, in a general context of breast tumors detected with an average size of more than 3cm