ULTRASOUND ASSESSMENT OF FIBROADENOMA IN RELATION TO BODY MASS INDEX (BMI) IN YOUNG ADULTS

Abstract

Background: Fibroadenoma is one of the most common benign breast lesions in young females. Ultrasound is the preferred imaging modality for its evaluation due to its safety and effectiveness. Body Mass Index (BMI) may influence breast tissue composition and could potentially affect the sonographic characteristics of fibroadenomas.

Objective: To assess the ultrasound features of fibroadenoma and determine their association with Body Mass Index (BMI) in young adult females.

Methods: A cross-sectional study was conducted on young adult females diagnosed with fibroadenoma. Ultrasound examinations were performed to evaluate lesion characteristics, including size, shape, margins, echogenicity, and vascularity. Lesions were categorized using the BI-RADS classification system. BMI was calculated and categorized according to standard guidelines. Statistical analysis was performed to assess associations between BMI categories and ultrasound features.

Results: The majority of fibroadenomas presented as well-defined, oval, hypoechoic lesions with minimal internal vascularity. A significant association was observed between BMI and certain sonographic features, including lesion size, echogenicity, margins, and BI-RADS classification (p < 0.05). Higher BMI was associated with relatively larger lesion sizes and more complex imaging features. However, the obese group had a limited sample size, which may affect the generalizability of these findings.

Conclusion: Ultrasound effectively characterizes fibroadenomas in young adults. BMI appears to influence specific sonographic features, potentially impacting diagnostic interpretation. Further large-scale studies are recommended to validate these findings.