A pea-sized problem: Correlation of lump size descriptors and likelihood of breast cancer in referrals to a one-stop breast clinic

2018 ◽  
Vol 44 (6) ◽  
pp. 893
Author(s):  
Aasim Farooq ◽  
Aimee McCoubrey ◽  
Subodh Seth ◽  
Michail Winkler ◽  
Jennifer McIlhenny
Keyword(s):  
Breast Cancer ◽  
Breast Clinic ◽  
Lump Size ◽  
One Stop

Incidental breast lesions detected on diagnostic CT scans: A 3-year prospective study.

2011 ◽  
Vol 29 (27_suppl) ◽  
pp. 69-69
Author(s):  
A. R. Ismail
Keyword(s):  
Breast Cancer ◽  
Prospective Study ◽  
Cancer Patients ◽  
Ct Scans ◽  
Breast Lesions ◽  
Breast Cancers ◽  
Breast Cancer Patients ◽  
Breast Clinic ◽  
Rapid Access ◽  
One Stop

69 Background: With increasing usage of diagnostic cross sectional radiology tests, patients are presenting to rapid access one-stop breast clinic with incidental breast lesions. Methods: A prospective study over a 3-year period, collecting details of all patients shown to have breast abnormalities detected by computed tomography (CT) scans done for various reasons. These patients were assessed by clinical breast examination coupled with mammography, ultrasonography and tissue biopsy if indicated. Results: An increasing trend has been seen in the total number of thoracic CT scans with 1,939 scans in 2005 and 5,215 scans in 2010 (169% increase). 26 patients were included in this study with CT scans showing incidental breast lesions in the last three years. They were all women with age range of 50-92 (median 82.5) years. The clinical indications of CT scans included evaluation of the abnormal chest radiograph (8, 31%), preoperative evaluation of non-breast malignancy (3, 11%), infectious diseases (3, 11%), weight loss (7, 27%) and miscellaneous (5, 20%). These 13 breast cancer patients constitute 1.36% of 956 breast cancers diagnosed over this three-year period. 8 out of 13 breast cancer patients in this group (62%) had metastases at the time of diagnosis. Conclusions: A significant number of breast lesions incidentally found on CT scans are shown to be breast cancers (50%). These patients need rapid access to one-stop breast clinic for full evaluation. [Table: see text]

Mastalgia is a strong negative predictor of breast cancer in women over 50 referred urgently to a one-stop breast clinic

2018 ◽  
Vol 44 (6) ◽  
pp. 896
Author(s):  
Aasim Farooq ◽  
Aimee McCoubrey ◽  
Subodh Seth ◽  
Michail Winkler ◽  
Jennifer McIlhenny
Keyword(s):  
Breast Cancer ◽  
Breast Clinic ◽  
One Stop ◽  
Negative Predictor

scholarly journals Duct Excision is Still Necessary to Rule out Breast Cancer in Patients Presenting with Spontaneous Bloodstained Nipple Discharge

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
R. E. Foulkes ◽  
G. Heard ◽  
T. Boyce ◽  
R. Skyrme ◽  
P. A. Holland ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Malignant Disease ◽  
Nonoperative Management ◽  
Nipple Discharge ◽  
Breast Clinic ◽  
Exact Test ◽  
Malignant Lesions ◽  
Duct Excision ◽  
Symptomatic Breast ◽  
Rule Out

Introduction. Spontaneous nipple discharge is the third most common reason for presentation to a symptomatic breast clinic. Benign and malignant causes of spontaneous nipple discharge continue to be difficult to distinguish. We analyse our experience of duct excisions for spontaneous nipple discharge to try to identify features that raise suspicion of breast cancer and to identify features indicative of benign disease that would be suitable for nonoperative management.Methods. Details of one hundred and ninety-four patients who underwent duct excision for spontaneous nipple discharge between 1995 and 2005 were analysed.Results. Malignant disease was identified in 11 (5.7%) patients, 4 invasive and 7 insitu, which was 10.2% of those presenting with bloodstained discharge. All patients with malignant disease had bloodstained discharge. Discharge due to malignant disease was more likely to be bloodstained than that due to benign causes (Fisher's exact test, 2-tailedPvalue = 0.00134).Conclusion. Our findings do not support a policy of conservative management of spontaneous bloodstained nipple discharge. Cases of demonstrable spontaneous bloodstained nipple discharge should undergo duct excision to prevent malignant lesions being missed.

Subtle signs of breast cancer as an important pitfall in mammographic interpretation. Establishing an accurate diagnosis in an equivocal case

2021 ◽  
pp. 1-6
Author(s):  
Nikolaos S. Salemis ◽  
Eleni Mourtzoukou ◽  
Michail Angelopoulos
Keyword(s):  
Breast Cancer ◽  
Imaging Modality ◽  
Benign Lesion ◽  
Imaging Features ◽  
Breast Cancers ◽  
Breast Clinic ◽  
Delay In Diagnosis ◽  
Delay Of Treatment ◽  
Equivocal Case ◽  
Related Mortality

Mammogram is the standard imaging modality for the early detection of breast cancer, and it has been shown to reduce disease-related mortality by up to 30%. Mammogram, however, has its limitations. It is reported that 10–30% of breast cancers may be missed on a mammogram. Delay in the diagnosis and treatment may adversely affect the prognosis of patients with breast cancer. We present a case of multifocal invasive early breast carcinoma, which was misinterpreted twice as intramammary lymph nodes, thus resulting in a delay in diagnosis for eighteen months. The tumors were detected incidentally after the patient presented to our Breast clinic for symptoms related to a concomitant benign lesion involving the same breast. We describe the tumors’ imaging features and discuss the possible reasons that likely led to repeated misinterpretation. Awareness of possible causes for missed breast cancer is necessary to avoid delay of treatment initiation that may adversely affect prognosis.

scholarly journals Commentary on: Incidental Breast Cancers Identified in a One-Stop Symptomatic Breast Clinic

2011 ◽  
Vol 14 (2) ◽  
pp. 165
Author(s):  
Jeong Eon Lee ◽  
Jung-Hyun Yang ◽  
Seok Jin Nam
Keyword(s):  
Breast Cancers ◽  
Breast Clinic ◽  
One Stop ◽  
Symptomatic Breast

Received and perceived support subscales of the Berlin Social Support Scales in women diagnosed with breast cancer attending the breast clinic at Tygerberg hospital: structure and correlates

2019 ◽  
Vol 50 (1) ◽  
pp. 54-66
Author(s):  
Rizwana Roomaney ◽  
Ashraf Kagee ◽  
Nina Knoll
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
South Africa ◽  
Cancer Patients ◽  
Care Facility ◽  
Public Health Care ◽  
Perceived Support ◽  
Breast Cancer Patients ◽  
Validity And Reliability ◽  
Breast Clinic

Research in the field of psycho-oncology in South Africa is increasing, and there is a need for validated measures that assess factors associated with cancer, such as social support. The Berlin Social Support Scales are a battery of instruments that measure various types and functions of social support. The measure was originally developed for use among adult cancer patients, and their partners but has also been used among other clinical populations and healthy adults. We investigated the psychometric properties of the English version of the perceived and received sub-scales, Berlin Social Support Scales. Our sample included South African women ( N = 201) who were diagnosed with breast cancer and receiving treatment at a public health care facility. We administered several measures, including a demographic questionnaire, the Berlin Social Support subscales, the Duke-UNC Functional Social Support Questionnaire, and The Functional Assessment of Cancer Therapy to participants. Validity and reliability analyses were conducted. Factor analysis resulted in the retention of 17 items that clustered on two factors, namely received support and perceived support. The 17-item version of the Berlin Social Support Scale demonstrated strong reliability and validity in the sample. The two subscales are quick to administer, easy to interpret, and are a reliable measure of social support among breast cancer patients in South Africa.

Approach to the Patient with a Breast Mass

2019 ◽  
Author(s):  
George Plitas ◽  
Monica Morrow ◽  
Brandon R Bruns
Keyword(s):  
Breast Cancer ◽  
Differential Diagnosis ◽  
Diagnostic Procedures ◽  
Needle Aspiration ◽  
Breast Mass ◽  
Breast Lesions ◽  
Breast Clinic ◽  
Breast Masses ◽  
Diagnosis And Management ◽  
Benign Breast Lesions

A breast mass is the most common presenting symptom among patients in a breast clinic. The presence of a breast mass can cause a great deal of anxiety in women, as well as their physicians. The differential diagnosis of a palpable breast abnormality is broad, although the majority of breast masses are benign. The responsibility of the physician who is evaluating a breast mass is to exclude the presence of malignancy. Once cancer is ruled out, the physician should then attempt to provide an accurate diagnosis, appropriate treatment, and reassurance to the patient. This chapter discusses the assessment of normal breast physiology, identification of a breast mass, evaluation of the various classifications of breast mass (e.g., dominant mass with clinically benign features and dominant mass with suspicious features), differential diagnosis and management of common benign breast masses (e.g., cysts, fibroadenomas, phyllodes tumors, hamartomas, fat necrosis), and the risk of breast cancer associated with benign breast lesions. The chapter also discusses the diagnosis and management of a breast mass in male patients. Tables outline breast lesions that may present as a palpable abnormality, factors used for the assessment of breast cancer risk, physical characteristics of benign and malignant breast masses, the accuracy of fine-needle aspiration, and benign breast lesions by category. Figures illustrate diagnostic procedures, the anatomy of the human breast, visual inspection of the breasts, physical examination of the breasts, breast palpation technique, the evaluation and management of a new breast mass, and the identification of cysts. This review contains 10 figures, 14 tables, and 64 references. Keywords: breast mass, lobuloalveolar development, subareolar nodularity, parenchyma (glandular elements), stromal tissue, ovarian graafian follicles

Development, Validation, and Implementation of a Short Breast Health Questionnaire

2021 ◽  
Author(s):  
Sadaf Alipour ◽  
Hadi Rashidi ◽  
Khadije Maajani ◽  
Marzieh Orouji ◽  
Yas Eskandari
Keyword(s):  
Breast Cancer ◽  
Content Validity ◽  
Intraclass Correlation ◽  
Breast Health ◽  
Breast Clinic ◽  
Validity Index ◽  
Internal Reliability ◽  
Content Validity Index ◽  
Women's Lives ◽  
History Of

Abstract Background Health status and perception can be assessed by general or disease-specific questionnaires, the latter are more sensitive. Considering the importance of breast health in women’s lives and the lack of any pertinent questionnaire, we performed this study to develop a valid and reliable short BH questionnaire (BHQ); and then use it for the assessment of participants. Methods We first designed and developed the instrument, followed by measurement of inter-rater agreement IRA, content validity including content validity index (I-CVI) and scale content validity index (S-CVI), and reliability (through internal consistency and test-retest). We then included eligible women with normal breasts and benign breast disorders who attended our breast clinic. Results The IRA index (78.6%) showed optimal relevance and clarity of the questionnaire. The content validity was acceptable; with an S-CVI of 87.35 and 84.42 for clarity and relevance, respectively. One question was eliminated (I-CVI < 70%). The internal reliability was high (Cronbach’s alpha = 0.93). For external consistency, three questions were eliminated (intraclass correlation coefficient < 0.7), the rest of the questions showed good and excellent reliability. In the next step, BH in the 350 eligible participants showed an overall score of 55.86 ± 11.57. Among different variables, age was the only one that showed a significant direct relationship with BH. A history of breast surgery for benign lesions and a family history of breast cancer did not affect BH. Conclusion This study introduces a valid reliable 11-item BHQ. We propose its use in various conditions throughout breast cancer screening, diagnosis, and treatment; and in the assessment of BH in various physiologic and reproductive situations.

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