Clinical, Radiological and Pathological evaluation of breast lumps: a crosssectional study from a tertiary care hospital of north-east India

ABSTRACT Background Breast lumps are a frequent clinical finding among women, ranging from benign lesions to malignant conditions. Differentiating these lesions accurately is critical for timely diagnosis and treatment, especially in resource-limited settings. In India, breast cancer...

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Main Authors: Kaushik Datta, Susmita Dutta
Format: Article
Language:English
Published: Makhdoomi Printers 2025-02-01
Series:Global Journal of Medicine and Public Health
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Online Access:https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4117
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author Kaushik Datta
Kaushik Datta
Susmita Dutta
author_facet Kaushik Datta
Kaushik Datta
Susmita Dutta
author_sort Kaushik Datta
collection DOAJ
description ABSTRACT Background Breast lumps are a frequent clinical finding among women, ranging from benign lesions to malignant conditions. Differentiating these lesions accurately is critical for timely diagnosis and treatment, especially in resource-limited settings. In India, breast cancer remains the most common cancer among women, with variable presentations. This study investigates the clinical, radiological, and pathological features of breast lumps in patients at a tertiary care hospital in Tripura, northeast India. Methods This cross-sectional study included 180 female patients with palpable breast lumps, excluding those previously diagnosed or unwilling to consent. Each patient underwent clinical examination, imaging (mammography or ultrasonography based on age), and Fine Needle Aspiration Cytology (FNAC) for preliminary diagnosis. In cases of atypical or indeterminate FNAC findings, biopsy was conducted for histopathological confirmation. Results The mean age of participants was 38.5 years. The cytological findings from Fine Needle Aspiration Cytology (FNAC) in 180 patients revealed that 76.7% of patients had benign lesions, while 17.2% had malignant lesions. After the histopathological findings as the final diagnosis, 33 cases were malignant and 147 cases were reported as of benign origin.Most lumps were located in the upper outer quadrant (42.2%). FNAC findings revealed that 76.7% of cases were benign, while 17.2% were malignant. Histopathological analysis confirmed fibroadenoma as the most common benign lesion (45.5%), and invasive ductal carcinoma as the predominant malignant type (15.5%). Conclusion Fibroadenoma and invasive ductal carcinoma were the most common benign and malignant breast lesions, respectively. Early detection and accurate differentiation of breast lumps are essential, particularly in limited resource settings, to reduce morbidity and mortality. These findings emphasize the importance of structured diagnostic protocols to optimize patient outcomes.  
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spelling doaj-art-a673d22067b64656b852cb89a50d89052025-02-09T16:49:05ZengMakhdoomi PrintersGlobal Journal of Medicine and Public Health2277-96042025-02-011306Clinical, Radiological and Pathological evaluation of breast lumps: a crosssectional study from a tertiary care hospital of north-east IndiaKaushik DattaKaushik DattaSusmita Dutta ABSTRACT Background Breast lumps are a frequent clinical finding among women, ranging from benign lesions to malignant conditions. Differentiating these lesions accurately is critical for timely diagnosis and treatment, especially in resource-limited settings. In India, breast cancer remains the most common cancer among women, with variable presentations. This study investigates the clinical, radiological, and pathological features of breast lumps in patients at a tertiary care hospital in Tripura, northeast India. Methods This cross-sectional study included 180 female patients with palpable breast lumps, excluding those previously diagnosed or unwilling to consent. Each patient underwent clinical examination, imaging (mammography or ultrasonography based on age), and Fine Needle Aspiration Cytology (FNAC) for preliminary diagnosis. In cases of atypical or indeterminate FNAC findings, biopsy was conducted for histopathological confirmation. Results The mean age of participants was 38.5 years. The cytological findings from Fine Needle Aspiration Cytology (FNAC) in 180 patients revealed that 76.7% of patients had benign lesions, while 17.2% had malignant lesions. After the histopathological findings as the final diagnosis, 33 cases were malignant and 147 cases were reported as of benign origin.Most lumps were located in the upper outer quadrant (42.2%). FNAC findings revealed that 76.7% of cases were benign, while 17.2% were malignant. Histopathological analysis confirmed fibroadenoma as the most common benign lesion (45.5%), and invasive ductal carcinoma as the predominant malignant type (15.5%). Conclusion Fibroadenoma and invasive ductal carcinoma were the most common benign and malignant breast lesions, respectively. Early detection and accurate differentiation of breast lumps are essential, particularly in limited resource settings, to reduce morbidity and mortality. These findings emphasize the importance of structured diagnostic protocols to optimize patient outcomes.   https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4117Keywords: breast lump, BIRADS, invasive ductal carcinoma, fibroadenoma, FNAC..
spellingShingle Kaushik Datta
Kaushik Datta
Susmita Dutta
Clinical, Radiological and Pathological evaluation of breast lumps: a crosssectional study from a tertiary care hospital of north-east India
Global Journal of Medicine and Public Health
Keywords: breast lump, BIRADS, invasive ductal carcinoma, fibroadenoma, FNAC..
title Clinical, Radiological and Pathological evaluation of breast lumps: a crosssectional study from a tertiary care hospital of north-east India
title_full Clinical, Radiological and Pathological evaluation of breast lumps: a crosssectional study from a tertiary care hospital of north-east India
title_fullStr Clinical, Radiological and Pathological evaluation of breast lumps: a crosssectional study from a tertiary care hospital of north-east India
title_full_unstemmed Clinical, Radiological and Pathological evaluation of breast lumps: a crosssectional study from a tertiary care hospital of north-east India
title_short Clinical, Radiological and Pathological evaluation of breast lumps: a crosssectional study from a tertiary care hospital of north-east India
title_sort clinical radiological and pathological evaluation of breast lumps a crosssectional study from a tertiary care hospital of north east india
topic Keywords: breast lump, BIRADS, invasive ductal carcinoma, fibroadenoma, FNAC..
url https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4117
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