Hiyam Alhaddad
The aim of this study is to determine whether the preoperative measurement of tumor size by imaging modalities deviates from the postoperative pathological measurement in breast cancer. A retrospective study was conducted at King Fahad Hospital of University over two years (2014-2015). All breast cancer patients during this period were included by reviewing ultrasound reports from two radiologists and gross size reports from five pathologists. The correlation between ultrasound measurements and pathological findings was analyzed. Results showed that 118 cases of breast carcinoma were collected from January 2014 to December 2015, with 36 patients excluded from the study. A total of 82 patients were included in the final analysis. Invasive ductal carcinoma (IDC) was found in 57 patients (69.5%), and 44 patients (53.7%) underwent breast-conserving surgeries. It was observed that 46 patients (56.1%) had tumor sizes either overestimated or underestimated by ultrasound or pathology. The study highlights the significant discrepancies in tumor size measurements, emphasizing the need for increased collaboration between radiologists and pathologists to achieve accurate measurements, which are crucial for effective management planning and positive patient outcomes.