Presentation Of Breast Diseases Research Articles

Ductal carcinoma in-situ, cystic hypersecretory type presented by recurrent hemorrhagic cyst

Recurrent hemorrhagic cyst is an uncommon presentation of breast disease. The ordinary imaging could not demonstrate the malignant features of the cyst. However, the non-contrast dedicated breast computerized tomography could support the malignancy concern. Although tissue diagnosis cannot show the malignant cell, Surgical excision could be offered without uncompromising. Eventually, ductal carcinoma in-situ was diagnosed and further adjuvant treatment could be given. We reported the first case report of ductal carcinoma in-situ, hypersecretory type, presented by a hemorrhagic cyst.

Assessment of Clinical Features and Presentation of Breast Diseases at a Tertiary Care Hospital of Telangana

Assessment of Clinical Features and Presentation of Breast Diseases at a Tertiary Care Hospital of Telangana

P126. Should more large breast cancers with calcifications receive conservation after NACT?

Introduction: Breast cancer is still perceived as a taboo amongst many Ghanaian women, commonly resulting in a delayed and advanced presentation. Breast screening and access to specialist care are not widely available. We described our experience of conducting one-stop self-referral breast clinics in rural Ghana. Methods: Three separate voluntary working visits were carried out between October 2013 and October 2014. A total of 25 clinics were conducted. Clinical findings, imaging and therapeutic intervention (when performed) on all patients seen were included. Results: 210 patients (mean age 40) were included (206 female, 4 male). 86 patients were clinically screened and 124 patients presented symptomatically. Median duration of symptoms before attending clinic was 6 months (range 0.25 to 384 months). Clinical presentation included: pain in 67%, a lump in 52%, skin changes in 11% and nipple symptoms in 9%. Symptoms were unilateral in 79% of patients. Likely clinical diagnoses included: mastalgia 41%, benign breast lump 12% and cancer in 12%. The median size of palpable lumps was 35mm (range 5mm to 300mm). 27 patients were referred to regional centres for further assessment and 9 patients underwent an excision biopsy locally. Of those clinically screened, 83% had a normal examination and 17% benign changes. Conclusions: Presentation of breast disease in West Africa is delayed and severe. Diagnostic adjuncts such as imaging, simple biopsies and pathology services, as well as possibility of performing therapeutic interventions are limited. There is a striking difference in culture and beliefs in the perception of breast health.

P125. Presentation of breast diseases in Ghana – A trainee's experience

P125. Presentation of breast diseases in Ghana – A trainee's experience