scholarly journals Evaluation of Role of Tru-Cut Biopsy in the Diagnosis of Clinically Palpable Breast Lumps

2020 ◽  
Vol 9 (15) ◽  
pp. 1281-1285
Author(s):  
Manoj Krishna C ◽  
Narendra M. C. ◽  
Mutheeswaraiah Y ◽  
Venkata Prakash G ◽  
Nagamuneiah S ◽  
...  
Keyword(s):  
2020 ◽  
Vol 7 (5) ◽  
pp. 1452
Author(s):  
Sumedha Laul ◽  
Divish Saxena ◽  
Nitin Wasnik

Background: A palpable lump in a woman’s breast could be benign or malignant and it requires prompt evaluation to confirm or exclude cancer. This study aims to establish the correlation between clinical and radiological parameters for provisional diagnosis of breast lumps and the role of histopathology for final diagnosis of these breast lumps.Methods: Total 275 female patients with palpable breast lumps were included in the study, where a detailed history was recorded and clinical examination was done. All patients underwent ultrasonography of the breast along with fine needle aspiration cytology or histopathology, wherever indicated.Results: Benign breast lumps were found more commonly in 18-30 years of age group whereas malignant breast lumps were seen more commonly in the 41-60 years age group and the incidence increased with age. Fixity to skin was present in 5.1% and fixity to chest wall was present in 5.8% respectively, and all of these cases turned out to be malignant.Conclusions: Attributing factors for suspicion of malignant lumps are advanced age, fixity to surrounding structures, presence of ulceration and peau’d orange breast skin appearance. Although for confirmation of malignancy from a suspected breast lump requires either cytology or histopathology of the excised specimen.


2016 ◽  
Vol 18 (3) ◽  
pp. 57
Author(s):  
AS Thapa ◽  
R Ghimire ◽  
R Joshi ◽  
UMS Dongol ◽  
DR Singh

Introduction and Objective: The aim of the study is to correlate the sonographic findings of breast ultrasound done by clinicians/surgery residents with radiologists and also to correlate the sonographic findings of breast ultrasound with cytopathological or histopathological findings.Materials and Methods: A prospective observational study conducted at KMCTH from March 2014 to March 2015. All consecutive patients presenting with clinically palpable breast lumps were included in the study. A sample size of 30 patients was taken. All patients with clinically palpable solid breast lumps were subjected to ultrasound by a clinician/surgical resident. Ethical clearance was taken from the institutional review board and informed consent was taken from the individual patients.Results: We found that the sonography done by clinicians/surgery residents had 100% sensitivity, 84.6% specificity and PPV of 50%. There was significant correlation between the findings of the surgery residents and radiologists and the cytopathology/histopathology as well.Conclusion: Breast Sonography performed by clinicians/surgery residents is comparable to radiologists in the diagnosis of clinically palpable breast lumps. It has good correlation with cytopathological and histopathological findings.


2020 ◽  
Vol 26 (7) ◽  
pp. 1289-1295
Author(s):  
Ceren Yalniz ◽  
Danea Campbell ◽  
Carisa Le‐Petross ◽  
Kyungmin Shin ◽  
Therese B. Bevers ◽  
...  

KYAMC Journal ◽  
2017 ◽  
Vol 7 (2) ◽  
pp. 780-786
Author(s):  
Shaheen Akter ◽  
Md Jahidul Islam ◽  
Md Shariful Haque

Background: With the advent of fine needle aspiration cytology (FNAC), the approach to diagnosis and management of breast lumps has been revolutionized and it has high sensitivity and specificity.Aim: In this study we analyze the spectrum of FNAC diagnoses in breast lumps and compare the diagnostic accuracy of fine FNAC in differentiating the benign and malignant lesions of breast lumps with histopathological correlation.Materials & Methods: Two years prospective study was conducted in our institution and in that 490 aspirations, including 6 bilateral were performed. Suppurative and inflammatory lesions were excluded from the total aspirates. The cytological diagnosis was classified into 3 groups benign, suspicious and malignant. After this reporting all the available 94 cases were later subjected to mastectomy or open/excision biopsy and followed-up by histopathological confirmation. Later diagnostic accuracy of cytology reporting was compared with that of histopathology.Results: A total of 490 FNAC cases were reported including 373 as benign, 4 as suspicious for carcinoma and 113 as carcinoma. Majorities were premenopausal females and commonest age group was 31-40 years. Among them only 94 cases were followed-up by histopathologic confirmation. In histopathological correlation study, we had accuracy rate of 100% for benign lesion and 92.10% for malignant lesion with false negative rate of 7.90% and false positive rate of zero with fine needle aspiration cytology in the diagnosis of palpable breast lump. The overall sensitivity of fine needle aspiration in diagnosing the palpable breast lump is 92.10%, specificity is 100%, positive predictive value is 100% and negative predictive value is 94.91%.Conclusion: FNAC in experienced hands is a very useful tool with very high specificity and rare false positive result. Sensitivity can be further improved with clinical and imaging correlation.KYAMC Journal Vol. 7, No.-2, Jan 2017, Page 780-786


2018 ◽  
Vol 4 (1) ◽  
pp. 16
Author(s):  
Shiva Pathak ◽  
Amit Kumar Saxena ◽  
Saba Khan ◽  
Jay Kant Jha
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