Clinical, Radiological, and Pathological Analysis of Breast Lump

Abstract

Background The occurrence of breast lumps is more prevalent in the present-day population. Eighty percent of breast lumps are benign. There is no definitive examination or clinical analysis for the diagnosis of breast lumps.Aim The present study aimed to investigate the individual and combined accuracy of clinical breast examination ultrasonography and fine-needle aspiration cytology in the early diagnosis of breast lumps related to histopathology.Methods All female patients aged gt18 years who presented with a palpable breast lump underwent clinical breast examination. Ultrasonography USG and fine-needle aspiration cytology FNAC of the breast lump and subsequent excision biopsy were included in the study. The final histopathological results were analyzed using the results of clinical breast examination ultrasonography and fine-needle aspiration cytology. A detailed history of the presenting complaints was obtained from all eligible patients.Results On analysis a larger breast lump was observed in the age group of 21-30 yrs. In 100 of cases individuals reported a breast lump as their primary concern accompanied by pain. Majority of these cases 60 involved lumps ranging from 3 to 5 cm in size. Fibroadenomas 58 were found to be common observations. Most cases presented with a lump on the right side 54. FNAC was performed in all cases and was diagnostic 92.25. USG suggested that if the lesion was cystic or solid further typing of the lesion had limitations even though fibroadenoma would be diagnosed accurately 72.4. There was a statistically significant correlation between the clinical diagnosis and USG diagnosis Plt0.05. Among 50 patients 40 80.0 showed a correlation between the clinical diagnosis and USG diagnosis. There was a statistically significant correlation between USG and histopathological diagnosis Plt0.05 however among 50 patients the diagnosis of lesions was correlated in 34 68.0. There was a statistically significant correlation between the clinical findings USG and histopathological diagnosis Plt0.05. Conclusion The accuracy of breast lump diagnosis increases when all three modalities that is clinical examination USG and FNAC are combined. Triple-modality diagnosis of breast lumps may avoid many unnecessary surgeries.