Clinical radiological and pathological assessment of benign breast lumps: our institutional experience

Bangaru, H; Chandra, Alluru Sarath; Gaiki, Varun

doi:10.18203/2349-2902.isj20174658

Cited by 3 publications

(5 citation statements)

References 21 publications

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“…[12][13][14][15] The most common entity was fibroadenoma (55% cases) which correlates with finding of Bangaru et al (75% cases), Narayana et al (54% cases) and Pandey et al (42.8%). [16][17][18] Most common presentation was breast lump in 53% cases which corresponds to finding of Koorapati et al (68%cases), Ilaiah et al (58.3% cases), Chalya et al (67.6% cases). [12][13][14] In 27.77% of mastalgia with nodularity patients, there was history of taking OC pills.…”

Section: Resultssupporting

confidence: 65%

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Clinical, pathological and radiological correlative study of benign breast diseases in a tertiary care hospital

Samal¹,

Swain²,

Pattanayak³

2019

Int Surg J

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Background: Study of pattern of benign breast disease is a challenge due to variants in occurrence and presentation in different age groups and different geographical areas. The objective was to study the pattern of benign breast diseases and its clinical, pathological and radiological correlation.Methods: This is a prospective study of females with benign breast diseases presenting to surgery department. This work was done for studying the age distribution, to evaluate the different types of benign diseases of the breast, their mode of clinical presentation, pathology, to evaluate the accuracy of different modes of triple assessment and various modes of management for different types of Benign Breast Diseases. Patients with obvious malignancy and males were excluded from the study.Results: A total of 200 females were included in the study. Fibroadenoma (55%) was the commonest diseases with presenting mostly at 20-24years of age. Clinical examination had accuracy of 88%, USG had accuracy of 77.3%, FNAC had 93% and mammography had 83.33% accuracy foe diagnosing benign breast diseases.Conclusions: Benign breast diseases are common problems of 2nd and 3rd decade in females and raises considerable fear of malignancy. The patients of BBDs generally present with one or more of these complaints-breast lump, breast pain or nipple discharge. All the patients with discrete breast lumps should undergo a triple assessment to make an early diagnosis.

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Section: Resultssupporting

confidence: 65%

“…The accuracy rate of fibroadenoma was 83%, for mastalgia with nodularity 67.64%, for breast abscess 75%, 50% for phylloides tumor and 100% for fibrocystic diseases which concurs the finding of Bangaru et al (98.3% sensitivity and 71.4% specificity). 16 The Aberdeen breast clinic had a high accuracy rate of 96.8% for benign breast diseases.…”

Section: Resultsmentioning

confidence: 99%

Clinical, pathological and radiological correlative study of benign breast diseases in a tertiary care hospital

Samal¹,

Swain²,

Pattanayak³

2019

Int Surg J

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“…In a study done by Himabindu Bangaru et al [8] sensitivity and specificity of USG in diagnosis of breast lump were 97% and 94% respectively with a PPV and NPV of 79% and 98% respectively.…”

Section: Correlation Of Usg With Hpe Reportmentioning

confidence: 95%

“…In a study done by Himabindu Bangaru et al [8] on 202 patients, 197 (97.5%) patients had benign disease and 05 (2.5%) patients had malignancy of 197 patients with benign disease fibroadenoma accounted for 167 (82.67%) patients followed by fibrocystic disease in 21 (10.39%) patients, phyllodes tumor in 06 (2.97%) patients and duct ectasia in 03 (1.48%) patients. The most common benign pathology in breast was fibroadenoma in majority of studies which is similar to the present study.…”

Section: Histopathological Findingsmentioning

confidence: 98%

Comparison between FNAC and TRU cut biopsy in patients with breast lump

Pravalika,

Reddy,

Prakash

2024

Int. J. Surg. Sci.

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Introduction: Breast cancer is the most common cancer in women worldwide. Breast diseases include a variety of lesions including inflammatory, neoplastic and hormonal response disorders. Sometimes it is difficult to determine whether a suspicious lump in the breast is benign or malignant, simply with clinical examination and FNAC. Both FNAC and Trucut biopsy are complementary procedures. So the present study was conducted to determine the efficacy of FNAC vs Trucut biopsy in diagnosis of breast lump. Aims and Objectives: 1. To compare the diagnostic accuracy of FNAC and Trucut biopsy in differentiating benign and malignant lesions of palpable lump in breast. 2. To analyze sensitivity, specificity, PPV and NPV and the efficacy of FNAC and Trucut biopsy. 3. How an OP procedure of FNAC can be effective in arriving at diagnosis in carcinoma breast as treatment. 4. To analyse cost-effectiveness of FNAC and Trucut biopsy. Materials and Methods: This was a single centre, prospective, comparative study conducted from October 2022 to September 2023. It was carried out on 40 patients who were satisfying inclusion criteria. Results: Sensitivity of FNAC was 76.92% with a specificity of 96.2% and a PPV and NPV of 90.9% and 89.65% respectively. Accuracy rate for diagnosing malignant lesions by FNAC was 90%. Sensitivity and specificity of Trucut biopsy was 85.7% and 100% with a PPV of 100% and NPV of 92.85%. Accuracy rate for diagnosing malignant lesions by Trucut biopsy is 100%. Conclusion:It can be concluded that FNAC can be done with minimal pain and immediate report but, Trucut biopsy is superior to FNAC in diagnosis of breast lump as it can get Histopathology report, it can be performed as an outpatient surgery and can avoid unnecessary surgery in case of benign disease and early intervention in case of malignancy.

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“…Albeit, open careful biopsy is the 'best quality level' for analysis of discernible breast lumps, lately two kinds of insignificantly intrusive breast biopsy methods, center needle biopsy and fine needle aspiration biopsy (FNAB), have gotten set up for the symptomatic assessment of substantial breast masses [16]. FNAC of the breast has two primary objectives; to affirm radiological and clinically amiable sores consequently maintaining a strategic distance from pointless medical procedure, and to affirm radiological and clinically dangerous determinations in this way empowering conclusive therapy arranging in such manner, breast cytology has been demonstrated to be profoundly sensitive and precise [17]. [18].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Mammographic and Sonographic Findings in the Differentiation of Palpable Breast Masses taking Histopathology as a Gold Standard

Ayesha

Bacha

Akhter³

et al. 2021

RADS J. Pharm. Pharm. Sci.

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Background: The Presence of palpable breast mass may be an indication of breast cancer. Early and accurate diagnosis for the breast masses is important for therapeutic purpose. Purpose: To assess the diagnostic accuracy of mammographic and sonographic findings in the differentiation of palpable breast masses taking histopathology as a gold standard. Materials and Methods: 134 females were involved in the study. Sonographic and mammographic findings of palpable breast masses were obtained with the help of which diagnostic accuracy of ultrasound and mammography was calculated while taking histopathology as a gold standard. Results: Mean age in 134 females was found to be 44.2±4.7 years. Sn, Sp, PPV, NPV, disease prevalence and accuracy of ultrasound in diagnosis of palpable breast lumps were 99.09%, 79.17%, 95.61%, 95.00%, 82.09% and 95.52% respectively. Sn, Sp, PPV, NPV and accuracy of mammography in diagnosis of palpable breast lumps were 95.45%, 62.50%, 92.11%, 75.00% and 89.55% while disease prevalence was same as that of ultrasound i.e. 82.09% respectively. Conclusion: Ultrasound showed higher diagnostic accuracy in the evaluation of palpable breast masses than mammography while taking histopathology as a gold standard. It is noteworthy in differentiating breast masses.

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Clinical radiological and pathological assessment of benign breast lumps: our institutional experience

Cited by 3 publications

References 21 publications

Clinical, pathological and radiological correlative study of benign breast diseases in a tertiary care hospital

Clinical, pathological and radiological correlative study of benign breast diseases in a tertiary care hospital

Comparison between FNAC and TRU cut biopsy in patients with breast lump

Diagnostic Accuracy of Mammographic and Sonographic Findings in the Differentiation of Palpable Breast Masses taking Histopathology as a Gold Standard

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