A Comparative Study between Silver Impregnated Hydrofiber Dressing Verses Silver Sulfadiazine Dressing in the Non-Operative Management of Omphalocele

Abstract

Background: Breast lump is one of the most common surgical problems in female. Many diagnostic modalities available for the evaluation of breast lump. For several years, fine needle aspiration cytology (FNAC) was the most practiced method for the pathological diagnosis of breast lump specially differentiation of benign from malignant. The advent of Trucut biopsy in the new millennium has resulted in many surgeons switching to Trucut biopsy since it provides a sufficient amount of tissue for pathologists to make an accurate histological diagnosis. Aim of the Study: The aim of the study was to find out the diagnostic accuracy of FNAC findings in comparison to Trucut biopsy for evaluation of breast lump. Materials and Methods: The cross sectional observational study was carried out in the Department of Surgery of Mymensingh Medical College Hospital, Mymensingh. Patients with a breast lump were enrolled by purposive sampling during July, 2018 to June, 2019. All the patients were assessed by FNAC and Trucut biopsy. Final diagnosis was made on the basis of histopathology. A pre-formed semi-structured, case record form was prepared which was used to collect data. Data analysis was done by SPSS Version 23. Results: The mean age was found 41.4±10.6 years with range from 24 to 68 years. Clinical examination revealed suspicious for malignancy 52(61.9%) patients and 32(38.1%) in benign. In FNAC diagnosis, benign breast lump was found 39(46.4%), suspicious malignant cell was 10(11.9%) and malignant was 35(41.7%). In trucut biopsy, 48(57.1%) patients were found in malignant and 36(42.9%) in benign tumor. In histopathological diagnosis, 49(58.3%) patients were found in malignant and 35(41.7%) in benign tumor. 49 cases were malignant breast lump evaluated by histopathological diagnosis, out of which 41(83.7%) cases were suspicious for malignancy evaluated by clinical findings, 43(87.8%) cases were malignant breast lump evaluated by FNAC diagnosis and 47(95.9%) cases were ..........