Correlation Of Clinical Examination, Mammography And Histopathology Examination In Tumour Staging For Carcinoma Of Breast - Tertiary Institutional Study, India.
Dr. Samir Ranjan Nayak, Dr. K. L. Narasimha Rao, Dr. Lavanya. K. M, Dr. P. B. Anand Rao, R. Sai Sunil
Background: The cancer breast is most common malignancy among the rural as well as urban women in India. This study aimed at to correlate tumor size by clinical breast examination (CBE), mammogram and post-operative histopathology examination (HPE) early breast cancer.Materials and methods: The present prospective clinical study was conducted during sept- 2014 to september 2016 among 60 patients of breast cancer in a tertiary care hospital, Andhra Pradesh, India. All these patients were subjected to Clinical examination and mammography pre-operatively and post-operatively, to histopathology examination. All patients with age more than 18 years and less than 70 years, with early breast cancers were included.Results: About 18 (30%) of the patients belonged to 51 60 years, 17 (28.3%) to 41 50 years, 14 (23.3%) to above 61 years and 11 (18.3%) to 31 40 years. Mean age was 51.6510.79 years. Cancers were more common in the left breast 37 (61.7%) compared to right 23 (38.3%). Tumor was most commonly seen in the upper outer quadrant 35 (58.3%).There was a moderate positive correlation between CBE and HPE (r = 0.674, P 0.000), thus the best predictor of tumor size was CBE next to HPE. Mammography had comparatively lesser correlation with HPE (r = 0.473, P 0.000). The correlation between CBE and Mammogram was also good (r = 0.619, P 0.000). Conclusion: Clinical Breast Examination is in good agreement with Histopathological examination of breast carcinoma, compared to mammogram. Though CBE might not be confirmatory, it can be used for screening of breast cancers to some extent, especially in low socio-economic situations as in India since mammography is a costly procedure.
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