Abstract

EVALUATION OF CLINICAL, RADIOLOGICAL, AND FINE NEEDLE ASPIRATION OF BREAST LUMP IN IRAQI FEMALE PATIENTS SAMPLE

Prof. Dr. Alaa Ghani Hussein, M.B.CH.B., M.Sc., FICMS (Histopathology), *Sara Habeeb Abdulhussein, M.B.CH.B.

Abstract

Background: the female patients present with a variety of complaints in the breast like mastalgia, nipple discharge, cystic lesions, and more commonly a lump. One-fourth of women suffer from breast disease in their life time. Aim of the study: to evaluate the role of the triple assessment (a combination of clinical assessment, ultrasonic examination, and FNAC) in the diagnosis of breast lump and in correlation with histopathological diagnosis. Materials and Methods: A retrospective and prospective study include analysis of 40 conveniently selected female patients with breast lump collected from breast clinic in Al- Emamain Al- Kadhmain medical hospital (from 20 January to 13 Decemeber/ 2020). With inclusion criteria consisted of age group: (20 to 69 years), married females, with and without children. Exclusion criteria composed of females of pediatric group (age under 18 years) with breast lump and recurrent breast cancer. Results: the peak number of patients with breast lump in the 4th decade of life which represents 35% of cases. The mean age distribution was 44.5 year. The most common symptom was pain as was 75%. In the clinical examination 60% of lumps considered to be benign while 40% of patients were considered being malignant. Ultrasound examination revealed that 70% were negative for malignancy while 30% were positive for malignancy, in addition to FNAC revealed that 75% of female patients were negative for malignancy and 25 % were positive for malignancy. Conclusion: this study demonstrates that the combination of triple assessment )clinical, ultrasound, and FNAC( yield a high degree of sensitivity, specificity and accuracy.

Keywords: clinical examination, ultrasonic examination, fine needle aspiration cytology and breast cancer.