EVALUATION OF TRIPLE ASSESSMENT FOR DIAGNOSIS OF BREAST CANCER IN A TERTIARY CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 21
Abstract
BACKGROUND Breast is a specialised accessory (modified sweat gland) of skin capable of milk secretion. Breast diseases may present with lump, nipple discharge or retraction, mastalgia etc. Benign lesion of breast commonly encountered are fibroadenosis, fibroadenoma, cyst, lactational breast abscess, non-lactational breast abscess etc. Malignant diseases of breast may present with a painless lump, mostly in the upper and outer quadrant of the breast. Pain is present only in about 10 percent cases. Nipple discharge is uncommon, but may be the only symptom. There may be enlargement, shrinkage or asymmetry of the affected breast. Sometimes the patient presents with metastatic symptoms like backache, chest pain, jaundice etc. Of all the diseases of breast the malignant diseases are the most dreaded, feared not only by the patients but also by the surgeons as well. If a lump is present in the breast, the woman feels threatened. Cancer phobia haunts her. She feels a sense of dissociation. In such cases, it is our duty to find out whether the lump is benign or malignant with as much certainty as possible. Triple assessment is the clinical assessment- history including age and examination; radiological imaging US/ mammography (after 40 years); cytological or historical analysis FNAC/core biopsy- pathology. Triple assessment is taken as positive if any of the three component is positive and negative only if all of its components are negative for malignancy. In view of this, we studied 180 cases of breast lump for evaluation by triple assessment to diagnose cancer. The aim of the study is evaluation of triple assessment for diagnosis of breast cancer in a tertiary centre. MATERIALS AND METHODS The study was performed in Surgery Department in SGT Medical College, SGT University, Budhera, Gurugram, Haryana, over a period of 2 years 3 months from December 2015 to March 2018. A total of 180 patients were studied. A detailed history was taken. Focused clinical examination was done. USG, mammography and FNAC were performed. The results were evaluated. RESULTS The sensitivity and specificity of triple assessment when combined together was 100% and 99.3%, respectively. Positive predictive value was 93.3%, negative predictive value was 100%, sensitivity was 100% and specificity was 99.3%. P value was significant (0.000). CONCLUSION Triple assessment was found to be very useful in evaluating patients of breast lumps with an overall accuracy of 99.3%.
Authors and Affiliations
Kanwar Singh Goel, Sapna Goel
Keywords
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- EP ID EP431635
- DOI 10.14260/jemds/2018/580
- Views 100
- Downloads 0
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