A Study on Clinical Evaluation and Management Modalities in Benign Breast Diseases

2021 ◽  
Vol 8 (03) ◽  
pp. 168-171
Author(s):  
Ajay Chanakya V ◽  
Sreekanth Kotagiri ◽  
Gogineni Tarun Chowdary ◽  
Sriram K.V.V.S.D. ◽  
Ch. Vasu Reddy ◽  
...  
Keyword(s):  
Surgical Oncology ◽  
Needle Aspiration ◽  
Breast Diseases ◽  
Study Group ◽  
Psychological Burden ◽  
Diagnosis And Management ◽  
Medical College ◽  
Benign Breast Diseases ◽  
Needle Aspiration Cytology ◽  
A Prospective Study

BACKGROUND Benign breast diseases (BBDs) are a common cause of breast problems in up to 30 % of women. The pathogenesis of BBD involves disturbances in the breast physiology. There is a necessity for thorough comprehensive, prompt diagnosis and management of the benign conditions to reduce the physical and psychological illness of the patients who are anxious about the possibility of the disease being a malignant one. METHODS This was a prospective study conducted in the Department of Surgical Oncology, GSL medical college from October 2016 to July 2018. Females presenting with breast lump, confirmed with fine needle aspiration cytology (FNAC), aged between 12 – 55 years and fit for surgery were included in the study. Those who did not submit the informed consent were excluded. Statistical analysis was performed by SPSS version-21 and MS Excel 2013. RESULTS Most (74 %) of the patients were between 20 and 40 years of age, 56 % were diagnosed to be fibroadenoma. In the study group, 82 % (41) participants with BBD were married. The most common presenting complaint in the study group was lump (50 %) in the breast followed by lump associated with pain (28 %). Patients with fibroadenoma mass had well defined features. CONCLUSIONS Lump was the most common clinical presentation followed by lump with pain. Based on the FNAC report, decision is made for management. Comprehensive and prompt preoperative diagnosis and management of the benign conditions is necessary to reduce the physical and psychological burden on the patients who are anxious about the possibility of malignancy. KEYWORDS Breast, Participants, Study, Age

scholarly journals Clinicopathological evaluation of thyroid swelling in patient attending Hamidia Hospital Bhopal

2020 ◽  
Vol 7 (7) ◽  
pp. 2222
Author(s):  
Samir Shukla ◽  
Shashi kant Tiwari
Keyword(s):  
Thyroid Nodule ◽  
Surgical Excision ◽  
Thyroid Function Test ◽  
Needle Aspiration ◽  
Medical College ◽  
Neoplastic Lesion ◽  
Thyroid Swelling ◽  
Needle Aspiration Cytology ◽  
Gandhi Medical College ◽  
A Prospective Study

Background: The prevalence of thyroid nodule ranges from 4-10% in general population. Its treatment includes either conservative management or surgical excision of gland. Fine needle aspiration cytology (FNAC) has emerged as most accepted, accurate diagnostic procedure and considered the gold standard diagnostic test in evaluation of thyroid nodule, other tests like ultrasound, nuclear scan used in conjunction with FNAC. The aim of study was to study the spectrum of diseases in thyroid swelling and accuracy of FNAC in the diagnosis.Methods: A prospective study, with total 50 patients, was conducted during period from 2017-2019 in department of surgery, Gandhi Medical College Bhopal. All patients who underwent thyroid surgeries were selected for study. All patients underwent detailed history, clinical examination, routine investigations, thyroid function test, FNAC, ultrasonography neck and histopathological examination.Results: Of 50 cases female to male ratio was 9.2:1, with median age group was 38.6 years. Among all, 42 (84%) were benign, 3 (6%) malignant and 5 (10%) suspicious. Of 5 suspicious lesions, only 1 (5%) case found malignant. Hemi thyroidectomy was common surgery performed, followed by subtotal/near total and total thyroidectomy.Conclusions: Thyroid swellings are common in females occur in 3rd and 4th decade most commonly. FNAC is very useful and indispensable in the diagnosis. Most common non neoplastic and neoplastic lesion was solitary thyroid nodule and papillary carcinoma respectively.

scholarly journals Comparison between histopathology and fine needle aspiration cytology in the case of breast lumps

2019 ◽  
Vol 6 (11) ◽  
pp. 4095
Author(s):  
Vishnu V. K. ◽  
Ashwini R. K. ◽  
S. Rajagopalan
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Diagnostic Method ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Medical College ◽  
Needle Aspiration Cytology ◽  
Breast Lumps ◽  
A Prospective Study

Background: Breast lump is one of the common pathologies seen in surgical practice. Hence it is of importance to have a reliable diagnostic method to distinguish between benign and malignant lumps. Aim of this study was to bring out fine needle aspiration cytology (FNAC) as a rapid, inexpensive, accurate and least invasive diagnostic method for this purpose.Methods: A prospective study conducted between December 2017 to November 2018 on all 30 patients admitted at Rajarajeswari Medical College and Hospital with breast lumps. Patients were subjected to clinical examination FNAC and Histopathology.Results: Clinically 64% were categorized as benign lumps and 36% malignant. On FNAC 64% were fibroadenoma, 30% suggestive of malignancy and 6% suspicious of malignancy. On Histopathology 60% were fibroadenoma, 33% turned out to be carcinoma and 7% benign phyllodes. 4% of benign lesions on FNAC turned out malignant on histopathology.Conclusions: Although son mammography is the conventional approach with a sensitivity of 76.5% and specificity of 90.48%, in this study FNAC was found to have sensitivity of 96.6% and specificity of 100% and can be a reliable tool for early diagnosis in the case of breast lumps.

scholarly journals Epidemiology of benign breast lumps, is it changing: a prospective study

2019 ◽  
Vol 6 (2) ◽  
pp. 465
Author(s):  
Navin Kumar ◽  
Janardan Prasad
Keyword(s):  
Needle Aspiration ◽  
Screening Mammography ◽  
Breast Diseases ◽  
Oral Contraceptive Pills ◽  
Benign Breast Diseases ◽  
Contraceptive Pills ◽  
Triple Assessment ◽  
Wide Range ◽  
Breast Lumps ◽  
A Prospective Study

Background: There are wide range of benign breast diseases reported from India. Breast lumps are one of the commonest presentations. Although most of the breast lumps are benign but patient become anxious due to fear of malignancy. Due to this, there is an increase in the use of screening mammography and the fine needle aspiration cytology (FNAC) or core needle biopsy (CNB), most of which yield benign findings. This study is aimed to evaluate the incidence of different types of benign breast lumps in respect to age, size, side and site, relation with parity and use of oral contraceptive pills and analyses of this result in relation with the past and recent study on benign breast diseases.Methods: This study was conducted at Rajendra Institute of Medical Sciences, Ranchi (India) over a period of one and half years. Inclusion criteria was the cases with palpable breast lumps which were reported benign on either FNAC or CNB and exclusion criteria was the cases with breast malignancy and inflammatory breast lumps.Results: Most common benign breast lump (BBL) was fibroadenoma followed by fibrocystic disease of breast. Fibroadenoma was mainly presented with lump only whereas fibrocystic diseases of breast presented with lump and pain. Most of the BBL was found in nullipara and OCP non-users.Conclusions: Epidemiology of BBL is still the same when analyzed with past and recent study on the benign breast diseases. Triple assessment remains the key in the evaluation of breast lumps.

scholarly journals Analysis of Breast Pain: A study of 110 Cases

1970 ◽  
Vol 10 (2) ◽  
pp. 77-81
Author(s):  
Riaz Ahmed Chowdhury ◽  
Syed Khalid Hasan ◽  
Jafar Md Masud
Keyword(s):  
Performance Status ◽  
Needle Aspiration ◽  
Breast Diseases ◽  
Second Phase ◽  
Breast Abscess ◽  
Breast Pain ◽  
Breast Clinic ◽  
College Hospital ◽  
Medical College ◽  
Needle Aspiration Cytology

A prospective type of analytical study was carried out on 106 patients with breast pain to analyze the causes of breast pain. This study was conducted from August, 2002 to January 2004 at breast clinic of Bangladesh Medical College Hospital (BMCH) and at Department of Surgery of BMCH. Sampling was done purposively and a structured questionnaire was used for data collection by interviewing followed by examining the patient in the first phase. In the second phase, Mammography and FNAC (Fine Needle Aspiration Cytology) was done. Majority of the patients (35.8%) were in the age group of 21- 30 years and the mean age was 27.61± SD10.5 years. About 48.1% breast pains were due to ANDI (Aberration of Normal Development and Involution) and among the other causes nonspecific pain 15.1%, breast abscess 14.2% and carcinoma of breast were only 1.9%. The performance status of all the patients were in between 0- 1. Mammography was done in 54 patients and of them 44 was found positive for fibrocystic disease (41 cases) and fibroadenoma (3 cases). FNAC was done in 50 patients and 36 were found positive with fibroadenoma (22 cases), fibrocystic change (8 cases), chronic breast abscess (2 cases), mitotic lesion (2 cases), and neurofibroma (2 cases). So painful breast diseases are helpful in seeking further medical care for appropriate intervention Keyword: Breast pain, Mastalgia, ANDI.   doi: 10.3329/jom.v10i2.2818 J MEDICINE 2009; 10 : 77-81

scholarly journals A study on clinical and pathological correlation of benign breast lesions

2017 ◽  
Vol 4 (8) ◽  
pp. 2700 ◽  
Author(s):  
Koorapati Ramesh ◽  
Kishan Bookya
Keyword(s):  
Age Distribution ◽  
Nipple Discharge ◽  
Breast Disease ◽  
Clinical Findings ◽  
Breast Diseases ◽  
Young Females ◽  
Medical College ◽  
Benign Breast Diseases ◽  
Pathological Correlation ◽  
A Prospective Study

Background: Benign breast diseases are common in females among young age group. Most common presentation is painless lump in the breast. Clinical and pathological correlation is essential. Fibroadenoma is the commonest among all other benign breast diseases. The aim was to study the age distribution of benign breast diseases. To study different types of benign breast diseases, their mode of clinical presentation and to correlate with radiological examination, cytology and histopathology of breast diseases.Methods: This was a prospective study conducted in the outpatient department of General Surgery in MGM hospital, Kakatiya Medical College, Warangal over a period of 2 years. A total of 250 patients diagnosed as benign breast diseases on clinical examination were studied and clinical findings were correlated with radiological, cytological and histopathological findings.Results: Patient age ranged 11 to 59 years. Majority of cases 150 (60%) were among 21-30 years. There were 98.8% female patients. Fibroadenomas were 57.6%, fibrocystic disease cases were 13.2%, breast abscesses were 1.6%, Intraductal papilloms 2.0%, simple cysts were 4.8%, Galactoceles 1.8%, Benign phyllodes were 3.6%, proliferative breast disease without atypia were 5.2% and gynaecomastia were 1.2% cases.Conclusions: Benign breast diseases are common among young females. Most of them present as painless mobile breast lump. Breast pain and nipple discharge are the other symptoms. Fibroadenoma is the commonest in our study, followed by fibrocystic changes Clinical diagnosis was correlated with cytology and histopathology.

scholarly journals Cytomorphological study of Benign breast lesions in a Tertiary Care Hospital

2021 ◽  
Vol 7 (4) ◽  
pp. 176-180
Author(s):  
Dr. Manika Alexander ◽  
◽  
Dr. Mallikarjun. A. Pattanashetti ◽  
Keyword(s):  
Tertiary Care ◽  
Age Groups ◽  
Breast Disease ◽  
Needle Aspiration ◽  
Breast Diseases ◽  
Breast Lesions ◽  
Care Hospital ◽  
Benign Breast Diseases ◽  
Needle Aspiration Cytology ◽  
Breast Lumps

Background: Benign breast disease is one of the most common breast lesions in the reproductiveage group. Fine needle aspiration cytology (FNAC) is one of the preliminary tests done to detectbreast lesions which help in early detection and management. Studying the cytology features ofvarious benign breast diseases was the aim of this study. Methods: This study is a cross-sectionalretrospective study conducted in the Department of Pathology from 2015 to 2020. Clinical detailsand cytology features were collected from the Department records. Results: A total of 430 caseswere collected during the study period. Age groups ranged from 16-40 years. All the cases werefemales. The spectrum of lesions was composed of fibroadenoma, fibrocystic change, breastabscess, fibroadenosis, granulomatous mastitis, etc. Conclusions: Breast lumps are a commoncause of anxiety and apprehension among patients. FNAC helps in rapid diagnosis and earlymanagement of lesions. It also helps in preventing unnecessary invasive surgeries in non-neoplasticand benign breast diseases.

scholarly journals A Clinical Study on Salivary Gland Tumours in a Tertiary Health Care Setup

2020 ◽  
Vol 7 (49) ◽  
pp. 2918-2922
Author(s):  
Sreekanth Kotagiri ◽  
Ajay Chanakya Vallabhaneni ◽  
Sumanth Prasad Mandava ◽  
Manikanta Chowdary ◽  
Tarun Chowdary Gogineni ◽  
...  
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Surgical Oncology ◽  
Needle Aspiration ◽  
Female Ratio ◽  
Salivary Gland Tumours ◽  
Modes Of Presentation ◽  
Male Female Ratio ◽  
Needle Aspiration Cytology ◽  
A Prospective Study

BACKGROUND Salivary gland (SG) neoplasms are rare, constitute of 3 - 4 % of head and neck tumours. 70 - 80 % of SG neoplasms occur in parotid gland. These are unique in the way they present, generally slow growing. A study was conducted to analyse various modes of presentation of SG tumours and to review the role of FNAC (Fine Needle Aspiration Cytology) in the diagnosis of SG tumours. METHODS This was a prospective study, conducted in the department of surgical oncology, October 2016 to July 2018. Individuals aged >18 years, came with swelling of the SGs were considered. Swellings that were not neoplasms, the individuals with inflammatory or infections of SGs, autoimmune diseases were excluded. Statistical analysis were performed by SPSS software version-21 and MS excel 2013. RESULTS Out of 40 participants, male female ratio was 2.07. The age was ranged between 31 – 70 years, maximum (80 %) members were in 41 – 60 group. Parotid gland was the most commonly followed by submandibular gland (20 %). Swelling alone was observed in 82.5 % (33) cases, two cases (5 %) presented with swelling along with pain with facial nerve involvement. CONCLUSIONS SG tumours occur in 4th to 6th decade, common among men. Parotid gland is most frequently involved, most often benign. FNAC had good accuracy in diagnosis and surgery is the main modality of treatment. KEYWORDS Salivary Gland, Tumour, Neoplasms, FNAC

Role of fine needle aspiration cytology in the preoperative diagnosis of malignancy in parotid and submandibular gland neoplasm

2014 ◽  
Vol 19 (2) ◽  
pp. 110-118
Author(s):  
Mohammad Amzad Hossain ◽  
Md Zahedul Alam ◽  
Md Rojibul Haque ◽  
Md Nazmul Haque ◽  
KM Nurul Alam ◽  
...  
Keyword(s):  
Submandibular Gland ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
False Negative ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Medical College ◽  
Preoperative Diagnostic ◽  
Needle Aspiration Cytology

Objective: To evaluate the role of Fine Needle Aspiration Cytology in the preoperative diagnosis of malignancy in parotid and submandibular gland neoplasm. Methods: This cross sectional study on 50 cases was conducted in the Department of Otolaryngology and Head-Neck Surgery of Sir Salimullah Medical College Mitford Hospital and Dhaka Medical College Hospital from January’2009 to June 2010. Results: Fine needle aspiration cytology findings of our all 50 cases were compared with postoperative histopathological reports. Out of the 50 cases, in 36(72%) cases of benign neoplasm and 7(14%) cases of malignant neoplasm, pre-operative FNAC findings and post operative histopathological findings were same. In 7 cases, FNAC and post operative histopathological findings did not matched. These were 2 (4%) false positive and 5 (10%) false negative result.In our study sensitivity of FNAC for reporting malignancy was 58.33%, specificity to rule out malignancy was 94.73% and overall accuracy in detecting malignant tumour was 86%. Positive predictive value and negative value were 77.77% and 87.80% respectively. It can be concluded that fine needle aspiration cytology is a safe, cheap and useful preoperative diagnostic tool in the diagnosis of malignancy in parotid and submandibular gland, but as fine needle aspiration cytology partly depends on operator skill, it may give false negative and false positive result. Conclusion: FNAC is a useful preoperative diagnostic tool for malignant parotid and submandibular glands with high specificity and sensitivity. DOI: http://dx.doi.org/10.3329/bjo.v19i2.17634 Bangladesh J Otorhinolaryngol 2013; 19(2): 110-118

Review and characteristics of 585 salivary gland neoplasms from a tertiary hospital registered in the Polish National Major Salivary Gland Benign Tumors Registry over a period of 5 years: a prospective study

2020 ◽  
Vol 74 (5) ◽  
pp. 1-6
Author(s):  
Krzysztof Piwowarczyk ◽  
Ewelina Bartkowiak ◽  
Hanna Klimza ◽  
Grażyna Greczka ◽  
Małgorzata Wierzbicka
Keyword(s):  
Salivary Gland ◽  
Needle Aspiration ◽  
Tertiary Hospital ◽  
Tumor Location ◽  
Salivary Gland Neoplasms ◽  
Benign Tumors ◽  
Tumor Diameter ◽  
Major Salivary Gland ◽  
Needle Aspiration Cytology ◽  
A Prospective Study

<b>Introduction:</b> A Polish National Major Salivary Gland Benign Tumors Registry (SGR) is a report of benign salivary gland neoplasms (SGNs) from 26 different centres in Poland, introduced in 2014. The aim of this study is to analyze demographic characteristics and clinico-pathological factors of benign SGNs treated in large tertiary institutions and to determine possible correlations between selected variables. <br><b>Material and method:</b> Analysis of 585 patients recorded in SGR and operated on for SGNs in the Department of Otolaryngology and Laryngological Surgery, University of Medical Sciences, Poznań, Poland, over a 5-year period. Patient age, sex, occupation, place of residence, tumor location, size, histology, recurrence, facial nerve function after surgery, wound healing, surgery procedure, availability of pre-operative imaging examinations, fine-needle aspiration cytology (FNAC) results were analyzed. <br><b>Results:</b> 338 females and 247 males with a mean age of 53 years were operated on. In total, 96.2% of tumors originated from the parotid and 3.8% from the submandibular gland. The most frequent primary tumor diameter was 2–4 cm (59.5%) followed by <2 cm (29.2%) and >4 cm (8.4%). Tumors of over 4 cm were frequently removed by partial superficial parotidectomy, while those under 2 cm – by extracapsullar dissection (ECD). Pleomorphic adenomas (PA) were predominant (58.8%), followed by Warthin’s tumor (WT) – 37.1%. Patients with WT were on average 13.3 years older than patients with PA. <br><b>Discussion:</b> This research can be helpful to better understand the clinico-pathological features of SGNs. Long-termin hospital-based analysis is important for subsequent metaanalyses and comparisons with other centers. The reasons why not all patients’ data are reported to the national SGR should be further precisely analyzed.

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