Abstract

CLINICAL PRESENTATION, IMAGING, PATHOLOGICAL PROFILE AND MANAGEMENT OF FOCAL BREAST NODULARITY BASED ON TRIPLE ASSESSMENT: A PROSPECTIVE STUDY

Rekha Porwal, Hanuman Prasad Gupta, Amit Singh*, Pramod Kumar Kulhari, Nagendra Singh Bhadauria

Abstract

Aim: To evaluate patients presenting with focal breast nodularity with clinical, pathological and radiological examination for the outcome and treatment. Material and Method: This prospective study was carried out in the Department of Surgery at a tertiary care hospital in Rajasthan, India. A total of 100 consecutive female patients who presenting with benign breast conditions classified under focal breast nodularity attending the surgery department From January 2013 to January 2015 were enrolled in the study. Patient parameters were recorded on a predesigned case record form. After clinical assessment, imaging and pathologic evaluation was done as indicated. Results: The mean age of presentation was 36.80 yrs. All of patients presented with a commonest complaint of lump in the breast (100%). History of painless lump was present in 24 patients. Pain associate with menstrual period were present in 30 patients. Maximum patients present with dull aching pain. Nodularity was presents in all 100 patients. Average size of nodularity was 3.2 cm × 3.2 cm. Left breast was involved in 52 patients. Diagnostic accuracy of FNAC in detection of focal breast nodularity was 95%. Diagnostic accuracy of TRUCUT BIOPSY was 98% in our study. Out of 100 patients, 96 patients underwent conservative management with reassurance, NSAID, evening primrose oil and danazol and 04 patients underwent surgical managment. Conclusion: The majority of breast lumps are benign, but finding a breast lump understandably creates considerable patient anxiety. Triple assessment a combination of clinical examination, imaging, and pathological examination is essential for all women who have a significant clinical finding such as focal breast nodularity.

Keywords: Focal breast nodularity, ANDI, Triple assessment of breast, TRUCUT BIOPSY.