Online ISSN: 2515-8260

Keywords : Triple assessment


Correlation between histopathological results and BIRADS classification in breast masses

Dr Parag Goyal , Dr Parul Maheshwari, Dr Pawan Bhambani, Dr Sanjeev Narang, Dr Bhawana Bansal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 2819-2826

Background: Breast cancer incidence in India is increasing and has now become the most common cancer among women. Preoperative pathology diagnosis and mammography (using breast imaging reporting and data system (BI-RADS) scoring system) constitute an essential part of the workup of breast lesions. The present study was aimed to compare the diagnostic accuracy    of BI-RADS score with histopathological finding in diagnosis of benign and malignant lesions of breast.
Methods: This is a cross-sectional study with study duration of 1.5 year (January 2021- June 2022) The present study was conducted on 100 randomly selected newly diagnosed cases of breast  masses.
Results: Considering histopathological examination as gold standard, the sensitivity and specificity of BI-RADS score is 93.9% and 82.8% respectively. The positive predictive value, negative predictive value and diagnostic accuracy of BI-RADS score is 91.04% and 87.8 % respectively.
Conclusions: The inference derived from the present study is that BIRADS is a very useful tool specially owing to the fact that it is noninvasive, which leads to lesser trauma and faster report however the tissue diagnosis using H&E and other stains remains the gold standard and should always be restored to before undertaking surgery.

A COMPARATIVE BACKGROUND CLINICAL, ULTRASONOGRAPHY, AND HISTOPATHOLOGY FINDINGS OF BENIGN BREAST DISEASES

Dr. Aparna Mule, Dr.T.Srinivas, Dr. A. Nagaraju, dr. Puli Vineela

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 735-746

BACK GROUND:
Breast cancer is becoming more common in today's population. Eighty percent of lesions are harmless. No clinical examination or investigation can reliably detect BBD. When clinical examination, USG breast, and FNAC/HPR are coupled, the accuracy of diagnosis improves.
AIMS & OBJECTIVES:
The purpose of this study was to examine the roles of clinical examination, ultrasonography, and histopatholgical examination in the diagnosis of benign breast illnesses.
Materials And Methods:
Female patients with breast disorders who attended O.P.D. or were admitted to wards at Department of Surgery, Govt Medical College/GGH, Mahabubnagar and research centre between June 2019 and July 2022. A detailed history of the patient was taken in order to determine the reasonable risk factor, and complaints were recorded chronologically. A clinical examination was performed to determine the various forms of presentation. The breast USG and FNAC/HPR are then performed.
RESULT: The present study indicated that the incidence of benign lumps was higher in the age group of 11-20 years. 28 patients (90 percent) reported a lump in the breast, followed by pain and drainage from the nipple. The majority of them (60%) were 3cms. Fibroadenomas were prevalent (73.34 percent). There were 16 cases of left side lesions. The majority of the lesions were isolated in 28 patients (93.34 percent ). FNAC was performed in all patients and was diagnostic (100 percent ). The USG could clearly indicate whether the tumour was cystic or solid, however further typing of the lesion had limitations, even though fibroadenoma could be reliably diagnosed.