ROLE OF TRUCUT BIOPSY AS A DIAGNOSTIC TOOL IN PALPABLE BREAST LUMP
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 62
Abstract
BACKGROUND Breast lumps are an enormous source of anxiety to patients and a stratified approach has to be adopted to properly evaluate and treat them. An efficient and accurate evaluation can maximise cancer detection and minimise unnecessary testing and procedures. The present study is a sincere attempt to analyse different diagnostic modalities. For most diagnoses, all that is needed is an ounce of knowledge, an ounce of intelligence, and a pound of thoroughness.” MATERIALS AND METHODS This descriptive observational study of the palpable breast lump was conducted on the female patients attending as outpatients and inpatients in the Department of Surgery for the period from 1st Jan 2013 to 30th September 2014 at SAIMS Medical College and Postgraduate Institute, Indore. All the collected data were entered on a master chart. These were simple, descriptive, statistical methods. The demographic profile, clinical presentations, investigations like mammography and sonography and reports of trucut biopsies of the breast lumps were studied. At no stage of the study the individual identity of the patient was disclosed. RESULTS Total 57 patients were analysed in our study. The average age of women in this study was 42 years. Trucut biopsy correctly identified malignancy in 22 cases, Mammography in 21 cases, Clinical Examination in 18 cases and Combined Test in 22 cases. The combined test was 96.55% specific with malignant lesions. CONCLUSION The results of this study suggest that TCB is an accurate, reliable and a safe method of establishing the diagnosis of cancer in patients with breast lesions. Our results yielded a high sensitivity of 95.65% with 96.88% specificity when compared with FNAC in the diagnosis of breast cancer especially when radiology is not diagnostic. Thus, trucut biopsy should replace fine needle aspiration in the preoperative assessment of suspicious breast lumps.
Authors and Affiliations
Rohan Chaphekar, Suraj Jain, Rajesh Sharma, Abhishek Kansal, Prashansa Vijaywargiya
Keywords
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- EP ID EP230553
- DOI 10.14260/Jemds/2017/984
- Views 89
- Downloads 0
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