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 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 Comparison between the Patterns of Common Breast Diseases Presenting as Breast Lumps in Pregnant and Non-Pregnant Married Women

2020 ◽  
Vol 15 (2) ◽  
pp. 13-17
Author(s):  
Zena Kassim Mohamed
Keyword(s):  
Pregnant Women ◽  
Old Age ◽  
Normal Development ◽  
Age Groups ◽  
Breast Diseases ◽  
Age Group ◽  
Breast Lump ◽  
Breast Clinic ◽  
Cross Sectional ◽  
Breast Lumps

Background: Breast lump is one of the most common prevalent complaint of patients attending breast clinics. Objective: To determine if there is any change in the pattern of common breast, diseases presenting as breast lumps between pregnant and non-pregnant women among patients attending Al-Elwiya Breast Clinic. Methods: This is a cross – sectional study, with convent's patient sampling setting in AL-Elwiya Breast Cancer Early Detection Clinic from 1st Feb. to 1st May 2018, we collected data from patients with breast lumps including the age groups, pregnancy status, parity status, previous breast diseases, hormonal drugs, menstrual cycle, breast feeding. Breast lump was examined, sonography and needle biopsy, and histopathology. Results:  This study involves 306 married patients, fibro adenoma was the commonest pathology in the age group 20-29 year-old (29.9%) followed by Aberration of Normal Development and Involution which was found mainly in 30-39-year-old age group (36.1%). Carcinoma found mainly in the >40-year-old age group (10.3%). Aberration of Normal Development and Involution was the main pathology in non-pregnant patients (36.1%), in pregnant patients fibro adenoma is the commonest (35.7%). Conclusion: The majority of breast lumps are benign. In pregnant women, fibro adenoma is the commonest, while in non-pregnant women, Aberration of Normal Development and Involution is the main cause of breast lumps

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 Histopathological Study of Malignant Neoplasm of Breast of Different Age and Sex Groups In a Tertiary Care Hospital

2018 ◽  
Vol 5 (2) ◽  
pp. 42-44
Author(s):  
Nazmun Nahar ◽  
Mohammed Iqbal ◽  
Kazi Md Shahidur Rahman ◽  
Md Abdullah Yusuf ◽  
Shahed Iqbal ◽  
...  
Keyword(s):  
Invasive Ductal Carcinoma ◽  
Breast Neoplasm ◽  
Ductal Carcinoma ◽  
Tertiary Care ◽  
Malignant Neoplasm ◽  
Care Hospital ◽  
Age Group ◽  
Breast Lump ◽  
Malignant Breast ◽  
Age And Sex

Background: Various types of female breast cancer associated with rapidly increasing age incidence. Objective: The purpose of the present study was to find out the frequency of different types of malignant neoplasm of breast in different age and sex.Methodology: This cross-sectional study was carried out at the Department of Pathology, Chittagong Medical College, Chittagong, Bangladesh from May 2005 to June 2006. Patients presented with breast lump of different age and sex were subjected to this study. Details gross examination was done followed by H & E staining for histopathological study.Result: A total number of 48 samples were selected after fulfilling the inclusion and exclusion criteria. This present study conducted in 27 specimens out of 48 breast lump. Among these benign and malignant were 21 and 27, respectively. Majority of the malignancy found in age group 41-50 years. Histopathologically Invasive ductal carcinoma was common 81.5%.There was significant association between different age group and type of neoplasm. In relation to sex malignant breast neoplasm was more common in female.Conclusion: In conclusion invasive ductal carcinoma was the commonest lesion of breast. In relation to sex malignant breast neoplasm was more common in female.Journal of Current and Advance Medical Research 2018;5(2):42-44

A clinicopathological study to determine age specific prevalence rate of benign breast lumps

2019 ◽  
Vol 6 (10) ◽  
pp. 3655
Author(s):  
Noor Hassan Hussian ◽  
Pradip Kumar Mohanta ◽  
Subikash Biswas ◽  
Siddhabrata Besra ◽  
Sabuj Pal ◽  
...  
Keyword(s):  
Age Groups ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Breast Diseases ◽  
Age Group ◽  
Breast Lump ◽  
Cross Sectional ◽  
Outer Quadrant ◽  
Breast Physiology ◽  
Breast Lumps

Background: The pathogenesis involves disturbance in the breast physiology extending from an extreme normality to well defined disease processes. The clinician must provide a degree of diagnostic accuracy while at same time ensuring that an excessive biopsy rate is prevented. The aim of this study was to evaluate the benign breast lumps in different age groups and to determine the prevalence of benign breast lumps among the breast symptomatic.Methods: This clinico-pathological cross sectional study was conducted with a sample size of 100. The study was conducted during the period from July 2018 to June 2019 which included all patients presenting with benign breast lump during the study period.Results: Out of 100 studied cases of benign breast diseases, the most common benign breast tumor found as fibro adenoma and majority of the fibro adenoma found in the 2nd and 3rd decade of life. Right breast and upper outer quadrant were most commonly affected. Majority of benign breast lesions presented with painless lump in the breast and most of them were from rural background. Majority of benign Breast lumps (45%) cases were found in the age group of 21-30 years. Majority of the patients (60%) attain menarche between ages 13-15 years. Majority of cases (55%) were belonged to lower socio economic status.Conclusions: Our study indicates that FNAC is diagnostically more accurate, safe, cost effective and OPD procedure, however when FNAC was inconclusive, biopsy is the best choice for breast tumors.

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.

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 CLINICAL BREAST EXAMINATION;

2014 ◽  
Vol 21 (06) ◽  
pp. 1147-1152
Author(s):  
Afsheen Zafar
Keyword(s):  
Sensitivity And Specificity ◽  
Clinical Breast Examination ◽  
Individual Characteristics ◽  
Likelihood Ratios ◽  
Carcinoma Breast ◽  
Breast Examination ◽  
Triple Assessment ◽  
Clinical Breast ◽  
Malignant Breast ◽  
Breast Lumps

Objective: To determine sensitivity and specificity of standardized clinical breast examination (CBE) for benign and malignant breast lumps. Design: A prospective validation study. Place & duration of study: The study was conducted at Railway hospital, Rawalpindi from September 2008 to February 2010. Patients & Methods: A total of 110 female patients presenting with breast lumps were recruited in the study. All of them underwent a standardized clinical breast examination along with complete triple assessment. The sensitivity and specificity of CBE was calculated and compared with that of triple assessment in the same patient. Likelihood ratios for individual characteristics of breast lumps were also calculated. Results: Sensitivity of a structured CBE to pick up carcinoma breast in a patient with lump breast was 100% (95% CI, 0.8-1) while specificity was 94.6% (95% CI, 0.86-0.97). The likelihood ratio for carcinoma breast was 17.8 (95% CI, 7.6 - 41.7). Conclusions: The standardized CBE can differentiate between palpable benign and malignant lumps reliably. This is especially important in benign lumps where a policy of follow up clinical examination can be utilized, particularly when the investigative facilities may not be readily available.

scholarly journals The diagnosis of malignant breast lumps using fine needle aspiration cytology and ultrasonography versus histopathology

2021 ◽  
Vol 25 (1) ◽  
pp. 423-430
Author(s):  
Ahmed Baban
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Breast Lump ◽  
Aspiration Cytology ◽  
Predictive Values ◽  
Fine Needle ◽  
Malignant Breast ◽  
Needle Aspiration Cytology ◽  
Breast Lumps

Background and objective: The most common cancer of women worldwide is breast cancer and usually presents as a breast lump. Fine needle aspiration cytology and ultrasonography are two investigational techniques used to differentiate malignant breast lump from benign one. This study aimed to find out and compare the specificity, sensitivity, and predictive values of ultrasonography versus fine needle aspiration cytology for the diagnosis of malignant breast lump. Methods: Patients who presented with clinically palpable breast lump at the department of Surgery, Rizgary Teaching Hospital, Erbil, from October 2014 to March 2016, were included. The age of the study participants ranged from 15 to 56 years. The highest rate (28.9%) was among the age group 35-45 years. Breast abscess, cystic breast lumps, and recurrent lumps have been excluded. The ultrasonographic evaluation was done by using 7.5 MHz probe for all patients at the department of radiology and fine needle aspiration cytology at the department of histopathology. All the patients underwent excision of the lumps, and histopathological examination was done for tissues. Specificity, sensitivity, and predictive values of ultrasonography and fine needle aspiration cytology were estimated, taking the histopathological result as the gold standard. A comparison of values was made. Results: Ninety patients with 93 breast lumps were included in this study. Fine needle aspiration cytology reported 28 lumps as malignant lumps and 63 as benign, and two cases were indeterminate. Ultrasonography reported 27 cases as malignant, 54 as benign, and nine as indeterminate, while three breast lumps were failed to be detected. Sensitivity, specificity, positive and negative predictive values of ultrasonography and fine needle aspiration cytology in diagnosing malignant breast lump were 94.74%, 100%, 100%, 97.22%, and 90.48%, 100%, 100%, 95.24%,respectively. Conclusion: Ultrasonography and fine needle aspiration cytology are 100% specific in diagnosing malignant breast lesions. Although ultrasonography appears more sensitive than fine needle aspiration cytology, it has a higher percentage of the indeterminate report. Keywords: Fine needle aspiration cytology; Ultrasonography; Breast lumps.

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