A Study of Triple Assessment of Breast Cancer Patients in a Tertiary Care Hospital of Central India

Abstract

BACKGROUND AND AIMS:The study was done to know the accuracy of Triple assessment and management strategies for breast cancer patients. MATERIALS AND METHODS: Patients with carcinoma breast were analyzed in a tertiary care hospital of central India from January 2012 to June 2013. Thorough Clinical and physical examination was done, mammography, USG and FNAC was used for diagnosis of cancer Breast. RESULTS: maximum cases (90%) were diagnosed clinically & by FNAC. USG was more sensitive for dense breasts of young patients, whereas mammography was more sensitive for breasts of older patients. Among pathological diagnosis Trucut biopsy was more sensitive than FNAC having diagnostic accuracy of 100% as compared to FNAC whose diagnostic accuracy was 90%. Diagnostic accuracy of triple assessment was 100% for diagnosing carcinoma breast. CONCLUSION: Most common symptom was lump in breast among postmenopausal women from urban area. Lack of education was responsible for their delayed presentation. Left upper and outer quadrant being the commonest site, Infiltrating duct carcinoma was the most common type, diagnostic accuracy of triple modality i.e. clinical, radiological and pathological assessment was 100%.