¿Se debe indicar biopsia para el BI-RADS 3 mamográfico?

Background: Worldwide, mammography is the imaging method most commonly used for early detection of breast cancer, decisive for prior to the onset of symptoms diagnosed. The malignancy that is recorded more frequently in women is breast cancer, regarded worldwide as a major public health problem. By implementing the BI-RADS manual seeks to standardize mammographic report. Objective: To determine the radiographic and anatomic-pathologic concordance of mammographic findings in women of thirty years and more, who consulted in the Hospital Central del Instituto de Prevision Social- Paraguay, during the first semester of 2015. Materials and Methods: We performed a cross-sectional, retrospective study. The variables age, reasons for seeing a doctor, mammographic findings, histopathological diagnoses obtained from breast biopsy and reporting BI-RADS were studied. Results : The sample consisted of 138 women. The age range of the patients was 30 to 89 years, with an average of 55 years. The annual routine check represented the most frequent reason for consultation (52.0%). 71.0% of the findings corresponded to dense nodules, and they were 75.0% malignancies. Conclusion: The agreement was moderate with Kappa index. In patients with BI-RADS 3, there were found 30.62% malignancies, so it is suggested to consider from this level for pathological study.