scholarly journals Clinical study of breast lump-triple assessment does help in diagnosing it better

2018 ◽  
Vol 5 (4) ◽  
pp. 1246
Author(s):  
Priti Prasad Shah ◽  
Shama Shaikh ◽  
Sunil Panchbhai ◽  
Bahul Vakhariya
Keyword(s):  
Clinical Study ◽  
Physical Examination ◽  
Clinical Examination ◽  
Early Stage ◽  
Prospective Clinical Study ◽  
Histopathological Diagnosis ◽  
Breast Lump ◽  
Triple Assessment ◽  
Breast Lumps ◽  
Mammographic Examination

Background: Breast cancer is most frequently diagnosed cancer among women and also most common cause of cancer death among women. Early stage detection is still low and is the major reason for poor treatment outcomes in our country. Most of the breast lumps are benign. However, it is important to rule out malignancy. This prospective clinical study is done to evaluate role of triple assessment (clinical examination, mammography and histopathology) in diagnosing breast lump.Methods: All women admitted with the symptoms and signs of breast lump at our hospital were studied in the period of 2 years from July 2014 to June 2016. The findings of physical examination and mammographic examination with histopathological diagnosis were noted n compared.Results: Physical examination of breast lumps is overall less accurate as compared to mammography. There is a tendency to over diagnose malignancy on physical examination. Mammography is more sensitive and specific in the diagnosis of palpable breast lumps as compared to physical examination. Histopathology confirms the diagnosis.Conclusions: It is better to do all three that is clinical examination, mammography and histopathology for all breast lumps diagnosis.

scholarly journals Modified triple assessment in the diagnosis of breast lump in Saurashtra region of Gujarat

2020 ◽  
Vol 7 (10) ◽  
pp. 3289
Author(s):  
Pradipkumar V. Solanki ◽  
Iliyas A. Juneja ◽  
Nileshbhai D. Chaudhari
Keyword(s):  
Clinical Examination ◽  
Diagnostic Tool ◽  
Predictive Value ◽  
Definitive Treatment ◽  
Diagnostic Tools ◽  
P Value ◽  
Radiological Imaging ◽  
Breast Lump ◽  
Triple Assessment ◽  
Breast Lumps

Background: Breast lump is a common complaint of women presenting to surgeons. Most of them are benign, careful evaluation, exact diagnosis and definitive treatment is mandatory to rule out cancer. The diagnosis of breast cancer is suggested on clinical examination. Currently a combination of three tests, i.e. clinical examination, radiological imaging (mammography, ultrasonography) and pathology called as triple assessment test is used to accurately diagnose all palpable breast lumps. Together they give sensitivity of 100%. The triple assessment is taken as positive if any of the three components, two are positive or positive report of FNAC and negative only if all of its components are negative for malignancy.Methods: This study was conducted in the Department of Surgery, P.D.U Medical College, Rajkot, Gujarat over a period of 2 years. A total of 100 patients with a breast lump were selected more than 15 years of age. A detailed history, focused clinical examination, radiological imaging and FNAC were used as diagnostic tools for screening of the patients. The aim of this study was to evaluate accuracy of modified triple assessment in the preoperative diagnosis of patients with breast carcinoma.Results: Results shows sensitivity and specificity of all the modalities used in triple assessment when combined together was 100% and 99.3%, respectively. Positive predictive value was 93.3%, negative predictive value was 100%, p-value was highly significant (p<0.0001). We conclude that modified triple assessment is a very useful diagnostic tool to evaluate patients with breast lumps and an overall accuracy of 98%.Conclusions: Thus, triple assessment is an easily available, cost effective, least invasive, rapid and patient compliant diagnostic tool for diagnosis of breast lump.

Analysis of Spine Motion Variability Using a Computerized Goniometer Compared to Physical Examination A Prospective Clinical Study

Spine ◽  
1994 ◽  
Vol 19 (5) ◽  
pp. 586-595 ◽  
Author(s):  
Craig A. Dopf ◽  
Shlomo S. Mandel ◽  
Douglas F. Geiger ◽  
Philip J. Mayer
Keyword(s):  
Clinical Study ◽  
Physical Examination ◽  
Prospective Clinical Study ◽  
Spine Motion

scholarly journals Histopathological analysis of breast lump in an urban community hospital laboratory

2015 ◽  
Vol 1 (2) ◽  
pp. 27-29
Author(s):  
Reetu Baral
Keyword(s):  
Community Hospital ◽  
Early Stage ◽  
Malignant Neoplasm ◽  
Descriptive Statistics ◽  
Histopathological Analysis ◽  
Breast Lump ◽  
Carcinoma Of The Breast ◽  
Pathology Laboratory ◽  
Fourth Sample ◽  
Breast Lumps

Introductions: Breast lump is mostly benign in nature however carcinoma of the breast also presents as a simple lump. Since breast carcinoma is the second most common killer of the female cancer it is important to detect it at early stage and treat. The purpose of the study was to analyse histopathology profile of breast lump.Methods: Histopathology samples were received, processed, reported and recorded in the Pathology laboratory of Helping Hands Community Hospital, Kathmandu. Data analysed from 2008 to 2011. Descriptive statistics was used to analyse the data.Results: Out of 1991 histopathology samples 68 were breast lumps. Fifty (73.5%) were benign and 18 (26.5%) were malignant. Ten (55.5%) of carcinoma was seen in between 41 and 50 years. Eleven (46%) of the malignant neoplasm were of Stage IIIA.Conclusions: Every fourth sample had carcinoma and it is mostly seen after 40 years of age.

scholarly journals TRIPLE ASSESSMENT

2012 ◽  
Vol 19 (05) ◽  
pp. 620-624
Author(s):  
MARYAM ISHRAT NIAZ ◽  
OMER FAROOQ ◽  
FARHAN HAIDER TIRMAZI
Keyword(s):  
Primary Treatment ◽  
Lymph Node Status ◽  
Age Group ◽  
Breast Lump ◽  
Breast Clinic ◽  
Lump Size ◽  
Presenting Symptoms ◽  
Triple Assessment ◽  
Malignant Breast ◽  
Breast Lumps

Objectives: To determine the efficacy of triple assessment in diagnosis of malignant breast lumps in female patients taking corebiopsy as a gold standard. Setting: Breast Clinic, Unit-III, Department of Surgery, Nishtar Hospital, Multan. Period: October 2007 to March2008. Material & Methods: A total 0f 100 patients of breast lump, above the age of 14 years, having palpable lump of any size in breast wereselected according to inclusion criteria. Results: Out of 100 patients included in the study most of the patients were in the age group 45-54years i.e. 46 (46%) followed by 32 (32%) in the age group 35-44 years. According to occupation 67 (67%) were house wives, 13 (13%) wereteachers and 5 (5%) were nurses. In 48 (48%) patients the lump size was 2 cm, 35 (35%) patients had lump size from, 2-4 cm while in 17 (17%)patients lump size was > 4 cm. Presenting symptoms like lump was present in 50 (50%) patients, pain alone 25(25%) patients, discharge in 20(20%) patients and discharge with pain in 5 (5%). Lymph node status like grade-0 was seen in 60 (60%) patients, grade-1 in 21 (21%) patients,grade-2 in 15 (15%) patients and grade-3 in 4 (4%) patients. Conclusions: Triple assessment is a valuable tool for an accurate non surgicaldiagnosis of breast lump, allows assessment of breast cancer patient for conservative and neo-adjuvant primary treatment before surgicaltreatment.

scholarly journals Case reports of two unusual breast lumps

2013 ◽  
Vol 3 (5) ◽  
pp. 422-424
Author(s):  
S Pudasaini
Keyword(s):  
General Practitioner ◽  
Clinical Presentation ◽  
Case Reports ◽  
The Body ◽  
Histopathological Diagnosis ◽  
Diagnostic Problem ◽  
Breast Lump ◽  
Young Females ◽  
Breast Lumps

Breast lump is a common diagnostic problem both to the general practitioner and to the surgeons. Cases like mammary myxoma and cysticercosis are rare findings and their diagnosis needs to be confirmed on histopathology. Myxoma of the breast is extremely rare and presents with painless swelling. Cysticercosis can affect any organ or tissue of the body and involvement of the breast is unusual. We present reports on two unusual breast lumps in young females with mammary myxoma and cysticercosis. The clinical presentation and its histopathological diagnosis is discussed. Journal of Pathology of Nepal (2013) Vol. 3, No.1, Issue 5, 422-424 DOI: http://dx.doi.org/10.3126/jpn.v3i5.7874

scholarly journals Diagnostic Role of Fine Needle Aspiration Cytology in the Breast Lump With its Correlation with Histopathology

1970 ◽  
Vol 14 (2) ◽  
pp. 65-69
Author(s):  
Hazara Khatun ◽  
Suraiya Enam ◽  
Maleeha Hussain ◽  
Monowara Begum
Keyword(s):  
False Negative ◽  
Needle Aspiration ◽  
Histopathological Diagnosis ◽  
Breast Lump ◽  
Medical College ◽  
False Positive Diagnosis ◽  
Diagnostic Role ◽  
Palpable Breast ◽  
Needle Aspiration Cytology ◽  
Breast Lumps

This study was carried out to evaluate the accuracy of FNAC and its role in palpable breast lumps for the early surgical management in outdoor and indoor patients of Dhaka Medical College during the period of January to December 2000. FNAC was performed on 310 patients who presented with palpable breast lumps. Histopathology was available in 122 cases, among which cytologically diagnosed benign cases were 106 proved so histologically in 105 (99.05%) cases but catagorized correctly in 99 cases. There was false negative diagnosis in one case. All 14 cases diagnosed as malignant in cytological examination were confirmed as such histologically. Two cases reported as suspicious for malignancy in cytological diagnosis, was proved malignant histologically. False positive diagnosis was made in one case. The accuracy of FNAC in the diagnosis of breast lump is quite satisfactory and can be compared with histopathological diagnosis. DOI: http://dx.doi.org/10.3329/taj.v14i2.8388 TAJ 2001; 14(2): 65-69

scholarly journals A PROSPECTIVE STUDY OF TRIPLE ASSESSMENT IN EVALUATION OF BREAST LUMP

2021 ◽  
Vol 9 (03) ◽  
pp. 65-71
Author(s):  
M. Vishnuteja ◽  
◽  
Suman Saurav Rout ◽  
Prakash Kumar Sahoo ◽  
◽  
...  
Keyword(s):  
Imaging Modality ◽  
Nipple Discharge ◽  
Breast Lump ◽  
Suitable Alternative ◽  
Additional Information ◽  
Triple Assessment ◽  
Palpable Breast ◽  
Breast Lumps ◽  
Representative Area ◽  
A Prospective Study

Breast masses have a variety of etiologies, benign and malignant. Most masses are benign, but breast cancer is the most common cancer and the second leading cause of cancer deaths in women. The Study is done with an aim of assessing the added and singular dependability of modified triple testing in making a pre-procedural diagnosis of a breast lump. A random sample of 150 patients attending the surgery outpatient department was taken. Of the 150 patients presenting with breast lumps most of the lumps were painless 81.3%(n=122),10% (n=16)of the lumps were associated with pain and 8%(n=12) were associated with nipple discharge. A fine collaboration between experienced radiologists, cytologist and the Clinician is required.Ultrasound when replacing mammography serves as effective an imaging modality in palpable breast lumps and is more comprehensive.Ultrasound breast aids biopsy techniques by guidance to the representative area than increasing yield. CNB is a suitable alternative when FNA is inconclusive and may offer additional information. Thus the use of Modified Triple Test( MTT) to complement findings in differential diagnosis of a lesion in a symptomatic women seeking medical care deserves acceptance and further evolution. This may lead to less delay in treatment when malignancy is suspected and to avoidance of surgical exploration when a benign nature of lesion is suspected.

scholarly journals A study on diagnostic accuracy of modified triple assessment in palpable breast lumps

2021 ◽  
Vol 8 (8) ◽  
pp. 2350
Author(s):  
Radha K. ◽  
Uma M.
Keyword(s):  
Diagnostic Accuracy ◽  
Benign Tumor ◽  
Nipple Discharge ◽  
Breast Diseases ◽  
Histopathological Diagnosis ◽  
Common Benign Tumor ◽  
Triple Test ◽  
Triple Assessment ◽  
Palpable Breast ◽  
Breast Lumps

Background: Breast (mammary gland) is a distinguishing feature of class Mammalia. Patients commonly present, complaining of a lump in the breast, pain, and nipple discharge. Although the most common cause of symptoms is benign breast diseases. But as the life expectancy is increasing incidence of carcinoma breast is also increasing. 1.To assess the individual component diagnostic accuracy of MTT.Methods: This was a cross-sectional study involving 50 female patients with palpable breast lumps attending the Surgical Out-Patient of the Department of General Surgery, Government Royapettah Hospital, Kilpauk medical college, Chennai between June 2020 and May 2021 over 12 months, who underwent clinical breast examination (CBE), ultrasonography (USG), and fine-needle aspiration cytology (FNAC). Results: In the study population, the breast tumor is common on the left side account for about overall 53%age of patients. The bilateral tumors are the least common. Fibroadenoma is the most common benign tumor. In our study also similar results were obtained. The next common benign tumor among the study group is a fibrocystic disease of the breast. Analysis of the above results shows that though FNAC has a sensitivity of 90%, it has a positive predictive value of 100%. The study shows that the combined results of the Modified Triple Test are comparable to the histopathological diagnosis of the biopsy specimen. Conclusions: Our study includes assessment of combined diagnostic accuracy of Modified Triple Test in women of more than 30 years of age with a palpable breast lump.

scholarly journals Study on clinical diseases and disorders of cattle and goat at Gopalgonj District in Bangladesh

2018 ◽  
Vol 3 (4) ◽  
pp. 412-418 ◽  
Author(s):  
Nidra Boti Khan ◽  
Dipa Rani Pal ◽  
Mohammad Lalmoddin Mollah
Keyword(s):  
Clinical Study ◽  
Physical Examination ◽  
Clinical Examination ◽  
Corneal Opacity ◽  
Adult Cattle ◽  
Different Types ◽  
Young Cattle

This clinical study was undertaken at the sadar Upazilla Livestock Office, Gopalgonj, Bangladesh to determine the general clinical prevalence of clinical diseases and disorders in cattle and goats during the study period from September to December 2016. Total animals were 105, among them cattle were 60 and goats were 45. Diagnosis was performed on the basis of general examination, physical examination and clinical examination. Clinical examinations were detected 60 (48.38% of total animals) different types of diseases and disorders in cattle. Whereas fever 3, anorexia 5, bloat 2, dysentery 3, diarrhoea 4, fascioliasis 2, myiasis 5, FMD 2, papillomatosis 2, ephemeral fever 3, pneumonia 5, mastitis 4, black quarter 1 were recorded. Age wise occurrence in young and adult cattle were 35 (58.33%) & 25 (41.66%) respectively. In goat 45 (36.29% of total animal) different types of diseases and disorders were found. Whereas fever 4, anorexia 4, bloat 1, dysentery 2, diarrhoea 3, corneal opacity 2, mange 3, myiasis 4, PPR 10, pneumonia 8, tetanus 1, mastitis 3 were recorded. Age wise occurrence in young and adult goat were 20 (44.44%) and 15 (33.33%) respectively. Diseases and disorders of cattle and goats which were recorded more or less present in both young and adult animals but some of the specific diseases and disorders were in animals due to age susceptibility such as black quarter in young cattle and PPR in goat. From this study it can be said that proper vaccination, treatment and management should be given to minimize the diseases and disorders of cattle and goat.Asian J. Med. Biol. Res. December 2017, 3(4): 412-418

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