Histopathological study on mastectomy specimens in a rural population Karaikal
Journal Title: Medpulse International Journal of Pathology - Year 2019, Vol 10, Issue 1
Abstract
Background: Breast carcinoma is the most common malignant tumor in female population. In developed countries early detection and treatment has led to the sharp decline in breast cancer mortality. But in developing countries like India, it is still the most common malignancy in female population. Objective: To evaluate the extent and spread of breast pathology in our patients by using important prognostic factors like tumor type, tumor size, necrosis, muscle infiltration, axillary nodal status and MBR grading on the available material. Materials and methods: Three year mastectomy specimens received in Department of Pathology, Vinayaka Missions Research Foundation Karaikal from January 2016 to December 2018 were included in the study. The specimen were formalin fixed and appropriate bits taken. Tumor size, histological type, nodal status, MBR grading was done. Result: There were total of 54 cases of which 53 were female and 1 male. Maximum percentage 48.1% of cases were documented in the age group 41-50. Mean age was 52.7 years, mean tumor size was 5cm. Pathology was more common in right side 55.6% compared to left side 44.4%. Infiltrating duct carcinoma was the most common lesion for which mastectomy done. It accounts for 75.9%. Most of the tumor falls in grade ll of Modified Bloom Richardson grading. Muscle infiltration was found in only 2 cases. Necrosis was present in 53.7% cases. Lymphnode metastasis was found in 48.1% cases Conclusion: Even though so many modalities are available for early detection of breast carcinoma, even before they can be clinically palpated, the situation in our population is worrying much. 48.1% of our cases had lymphnode metastasis which shows lack in awareness among public regarding breast carcinoma. Its high time to create awareness among population regarding breast self examination and screening mammography
Authors and Affiliations
Thiripurasundari R
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