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.

Evaluation of Breast Lumps by Ultrasound and Correlation with Histological Findings

2020 ◽  
Vol 23 (1) ◽  
pp. 10-12
Author(s):  
Nelema Jahan ◽  
Md. Mamunur Rahman ◽  
Mohammad Shahidul Alam ◽  
Md Saiful Islam
Keyword(s):  
Histopathological Examination ◽  
Breast Diseases ◽  
Histopathological Study ◽  
Common Symptom ◽  
Breast Lump ◽  
Histopathological Findings ◽  
Malignant Breast ◽  
Breast Lumps ◽  
One Year ◽  
A Prospective Study

Background: A breast lump is the most common symptom associated with both benign and malignant breast diseases. Therefore, a distinction of benign from malignant lump is of importance for proper management. Though a definitive diagnosis is possible with imaging for all the lesions, histopathological study is proven essential for confirming the diagnosis. Objective: The objective of this study was to evaluate the role of USG and histopathological findings of different breast lump in diagnosis and their comparison. Methods: A prospective study was conducted over a period of one year from January 2017 to December 2017. A total of 116 patients were included in this study. All breast lumps underwent surgery and the ultrasound findings of these lumps were compared with the histopathological findings. Data were collected from these patients by a preformed questionnaire and finally the data were analyzed. Results: Out of 116 patients only 21 cases were reported as malignant in ultrasound report but histopathology revealed 31 malignant patients. On histopathological examination 10 benign cases turned out to be malignant. Conclusion: The present study was undertaken to evaluate in diagnosing breast mass lesions individually by ultrasound and compared with histopathology for definitive management of a patient. Journal of Surgical Sciences (2019) Vol. 23 (1) : 10-12

scholarly journals Study of clinical, imaging and pathological assessment of breast lumps: an observational study

2020 ◽  
Vol 7 (5) ◽  
pp. 1452
Author(s):  
Sumedha Laul ◽  
Divish Saxena ◽  
Nitin Wasnik
Keyword(s):  
Final Diagnosis ◽  
Needle Aspiration ◽  
Age Group ◽  
Breast Lump ◽  
Aspiration Cytology ◽  
Malignant Breast ◽  
Palpable Breast ◽  
Needle Aspiration Cytology ◽  
Breast Lumps

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.

scholarly journals Fine Needle Aspiration Cytology of Palpable Breast Lumps - Their Cytological Spectrum and Histopathological Correlation

KYAMC Journal ◽  
2017 ◽  
Vol 7 (2) ◽  
pp. 780-786
Author(s):  
Shaheen Akter ◽  
Md Jahidul Islam ◽  
Md Shariful Haque
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Breast Lump ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Histopathological Correlation ◽  
Palpable Breast ◽  
Needle Aspiration Cytology ◽  
Breast Lumps

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

scholarly journals Role of triple assessment modalities in diagnosis of palpable breast lump

2018 ◽  
Vol 6 (10) ◽  
pp. 3435
Author(s):  
Ashwinkumar S. Gadhvi ◽  
Udit I. Gadhvi ◽  
Dhaval A. Bhimani ◽  
Darshil K. Rajgor
Keyword(s):  
Benign Lesion ◽  
Malignant Lesion ◽  
Breast Disease ◽  
Breast Lump ◽  
Size Number ◽  
Life Saving ◽  
Triple Assessment ◽  
Palpable Breast ◽  
Sensitivity Specificity

Background: One fourth of women suffer from breast disease in their lifetime. Carcinoma of breast is the second most common cancer in the world. Timely and accurate diagnosis of breast lump with early intervention can be life saving. There are various modalities for the diagnosis of breast lump such as USG, FNAC and Mammography, MRI etc. but none of them is perfect. There are numerous reports suggesting that if the results of clinical assessment, mammography and FNAC are all combined, the diagnostic accuracy is nearly 100%. Furthermore, these techniques also provide information about tumor size, number, extent and grade preoperatively.Methods: Study was randomized, prospective, observational and longitudinal including 100 patients, selected according to inclusion criteria.Results: The sensitivity, specificity and accuracy of triple test in present study were 98.68%, 87.5%, and 96% respectively. Out of 100, 76 patients were confirmed as having benign lesion and 24 patients having malignant lesion by histopathology examination.Conclusions: Results of triple assessment are same as the results by histopathology examination in majority of cases. It is highly accurate, can be used as a confirmatory diagnostic tool for breast lump, thus there is no need to perform diagnostic open biopsy for breast lump.

Benign breast diseases

2018 ◽  
pp. 499-504
Author(s):  
Abdullah Jibawi ◽  
Mohamed Baguneid ◽  
Arnab Bhowmick
Keyword(s):  
Breast Imaging ◽  
Age Groups ◽  
Nipple Discharge ◽  
Surgical Excision ◽  
Clinical History ◽  
Breast Diseases ◽  
Management Options ◽  
Breast Infection ◽  
Triple Assessment ◽  
Breast Lumps

Benign breast lesions (fibroadenoma, breast cysts, breast pain, gyanecomastia, and breast infection) are common, and affect different age groups. Presentation ranges from well-defined breast lumps into spreading infection and nipple discharge. Triple assessment is the mainstay of diagnosis (clinical history and examination, breast imaging, and pathological assessment of biopsy). Management options include conservative wait and watch policy, into surgical excision and ultrasound-guided aspiration.

scholarly journals Epidemiology of benign breast lumps, is it changing: a prospective study

2019 ◽  
Vol 6 (2) ◽  
pp. 465
Author(s):  
Navin Kumar ◽  
Janardan Prasad
Keyword(s):  
Needle Aspiration ◽  
Screening Mammography ◽  
Breast Diseases ◽  
Oral Contraceptive Pills ◽  
Benign Breast Diseases ◽  
Contraceptive Pills ◽  
Triple Assessment ◽  
Wide Range ◽  
Breast Lumps ◽  
A Prospective Study

Background: There are wide range of benign breast diseases reported from India. Breast lumps are one of the commonest presentations. Although most of the breast lumps are benign but patient become anxious due to fear of malignancy. Due to this, there is an increase in the use of screening mammography and the fine needle aspiration cytology (FNAC) or core needle biopsy (CNB), most of which yield benign findings. This study is aimed to evaluate the incidence of different types of benign breast lumps in respect to age, size, side and site, relation with parity and use of oral contraceptive pills and analyses of this result in relation with the past and recent study on benign breast diseases.Methods: This study was conducted at Rajendra Institute of Medical Sciences, Ranchi (India) over a period of one and half years. Inclusion criteria was the cases with palpable breast lumps which were reported benign on either FNAC or CNB and exclusion criteria was the cases with breast malignancy and inflammatory breast lumps.Results: Most common benign breast lump (BBL) was fibroadenoma followed by fibrocystic disease of breast. Fibroadenoma was mainly presented with lump only whereas fibrocystic diseases of breast presented with lump and pain. Most of the BBL was found in nullipara and OCP non-users.Conclusions: Epidemiology of BBL is still the same when analyzed with past and recent study on the benign breast diseases. Triple assessment remains the key in the evaluation of breast lumps.

scholarly journals THE VALUE OF MODIFIED TRIPLE ASSESSMENT IN THE DIAGNOSIS OF PALPABLE BREAST LUMPS

2019 ◽  
Vol 3 (5) ◽  
Author(s):  
Dr. S. Raviraj ◽  
Dr. V. Vinitharan
Keyword(s):  
Benign Lesion ◽  
Malignant Lesion ◽  
Clinical Problem ◽  
Breast Lesions ◽  
Validity And Reliability ◽  
Early Evaluation ◽  
Triple Assessment ◽  
Palpable Breast ◽  
Breast Lumps ◽  
Common Clinical Problem

Breast Lumps in females are a common clinical problem which requires rapid and early evaluation with an important aim of excluding any breast malignant lesion. We have modified this approach by substituting mammogram with ultrasound for the assessment of breast lesions. Distinction of benign lesion of breast from malignant lesion is of paramount importance for patient care and proper management. An early and accurate diagnosis is important because the treatment can be initiated much earlier for the better prognosis. Nowadays Triple assessment has been used as a main diagnostic method in the evaluation of breast lesions. Therefore it is important to evaluate the validity and reliability of triple assessment in the evaluation of breast lesion.

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