Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
(n=33). When the lumps are palpable clinically and of size more than 2cms FNAC itself has a sensitivity of 100%. Where as when the lumps are <2cms CBE+USG has a sensitivity of 92.8%. It was found that when clinical examination, USG and FNAC were all negative for malignancy in a patient with a breast lump, the patient can be safely observed, obviating the need for histology (surgical biopsies). Triple assessment did not require hospitalization, but was performed on OPD basis, without any complications The modalities used are either non‐invasive or minimally invasive. Recent advances in imaging and cytopathology have made the diagnosis of breast cancer easy and accurate. We found that sensitivity of triple assessment when correlated to histopathology was 100, specificity was 85% and concordance was 88.3%. The mortality and morbidity of malignant breast lesions can be brought down by early recognition and evaluation of the palpable lumps using triple assessment it is proved to be most reliable and cheapest mode of evaluation which involves limited resources. On FNAC examination out of 24 diagnosed to be malignant all 24 cases were confirmed to be malignant on histopathological examination. When triple assessment was compared with the histopathological report out of 29 cases found to be malignant by triple assessment 24 found to be malignant on HPE and 24 cases found to be benign on triple assessment all are benign on HPE report. Triple assessment was useful in diagnosing breast cancers at an earlier stage, with most of breast cancers detected at stage I or stage II ( T1 or T2: N0 or N1, M0). The sensitivity, specificity, positive and negative predictive value of triple assessment in present study was 100%, 85%, 83%, 100% respectively.
How to cite this article:
K. SivaPrasad Raju and J. Kishore Reddy. Evaluation of Palpable Breast Lumps Using Triple Assessment.
DOI: https://doi.org/10.36478/10.36478/makrjms.2020.6.260.265
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2020.6.260.265