Analytical And Comparative Study Of Presentation Of Various Breast Lesions With Their Cytological & HistoPathological Findings In Western India
Journal Title: National Journal of Medical and Dental Research - Year 2017, Vol 5, Issue 3
Abstract
Background : Breast is a dynamic organ undergoing physiological changes throughout the reproductive period of a woman. Significant morphological changes occur due to the action of hormones and growth factors leading to most of the breast pathologies. Palpable breast lump is second most common presentation, the Pain being the first. Though histo-pathological diagnoses is a universally accepted confirmatory mode of diagnosis & follow up, FNAC of breast lumps is an important part of Tripple assessment. Aims:The purpose of this study is to analyze breast diseases causing breast lump with special reference age, presentations, sizes, Triple assessment with fine-needle aspiration, clinical diagnosis and to evaluate the histology of the cases diagnosed as suspicious of malignancy. Early diagnosis will help in better management of the case, reduce undue anxiety of the patient in benign cases and reduce morbidity and mortality. Material & Method:Prospective study, of total of 200 patients were done. All were investigated by triple assessment. Finally Cyto-histological correlation was done. Result: Out of 200, 152 cases (76%) were benign with maximum number of cases of fibroadenoma (75/200), followed by benign fibrocystic diseases (49/200), Duct ectasia (15) galactocele (7), phyllodes tumor (5) and Inflamatory mass (4cases). Breast carcinoma found in 41 cases out of 200 , DCIS in 4 cases and malignant variant of Phylods tumour in 3 cases in the present study. Majority of cases (62.36 %) were 21-40 age group. Most of the cases with benign findings were below 40 yrs. of age. Most of the cases with malignant findings were beyond 40 yrs. of age. 122 cases were found in Superolateral quadrant of Breast (61%). Post-op. Biopsy done in all cases which reported 75 cases of FA and 49 cases of Fibrocystic disease/adenosis. IDC was found in 41 cases and DCIS in 4 cases. Conclusion:In this, we concluded that breast lump was the most common presentation with most patients visiting late to surgeon. Fibroadenoma is the most common of the benign lesions. We also concluded that Triple assessment test has 100 % accuracy to diagnose nature of lesions. We also found 100% correlation between FNAC and histology.
Authors and Affiliations
Bharti Saraswat, Ram Ratan Yadav, Yeshwanth Preetham, Anant Vyas, Krishan Kumar
Keywords
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