Approach to a Lump in the Breast: A Regional Perspective

Cheung, Kwok-Leung; Lam, Tai Pong

doi:10.1016/s1015-9584(09)60264-5

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…The odds for Muslim and Traditionalist women to have breast lump in the study is higher than those who are Christian. This corroborates the findings by Cheung and Lam [18] that breast examination and treatment of breast lump is influenced by religious beliefs.…”

Section: Discussionsupporting

confidence: 91%

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Factors Associated with Women having Breast Lump in Ghana: A Cross-Sectional Study

Ngmenbelle,

Ofori,

Ofori

et al. 2023

AJPAS

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Background: Breast lumps or lumpiness are a prevalent issue among women seeking guidance, with 40% to 70% reporting lumps or lumpiness. Any woman, regardless of age, who discovers a breast lump by self-examination, screening, or medical intervention begins to worry about developing breast cancer. Late stage of reporting suspected lumps is on the rise and this was impacted by the pandemic. The study examined factors that are associated breast lump and the risk on women who ever had breast lump. Method: An institutional-based cross-sectional study was conducted on women who attended Peace and Love Hospital in Kumasi, Ghana for breast care services from January to February 2022. Closed-ended questionnaire was used to solicit information from 301 women within a period of six weeks. Chi-square and binary logistic regression model was used to determine the association and the risk respectively. Results: Breast lump was dominant in women between 41 – 50 years and in those who do not have family history of breast cancer. The findings reveal that educational level [χ2 = 11.170; p = 0.011] and the practice of breast self-examination [χ2 = 7.998; p = 0.005] were significantly associated with breast lump. Married women were 0.764 less likely to have breast lump than those who are singles. Women between 31-40 years were 2 times more likely [AOR=2.061, CI=0.876-4.846] and those between 41-50 years 1 time more likely [AOR=1.131,CI=0.451-2.837] to have breast lump than women between 18 – 30 years. Conclusion: Breast lump is predominant in women between 31 – 50 years. Factors associated with a woman having breast lump are educational background and the practice of breast self-examination. Surgeon managing a breast lump in women over 30 years old are encouraged to be extremely suspicious and cautious in order to detect and treat malignant lumps early.

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Section: Discussionsupporting

confidence: 91%

“…Age and history of breast cancer are important factors relating to recurring or breast lump [4]. The chance of a diagnosis relates more with socio-demographic factors [18]. It is in this regards that, the study seeks to examine factors that are associated with breast lump and their risk.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Women having Breast Lump in Ghana: A Cross-Sectional Study

Ngmenbelle,

Ofori,

Ofori

et al. 2023

AJPAS

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“…The majority of breast cancer patients in western countries are postmenopausal and in their 6th and 7th decades The best hope for improving survival is early detection and treatment and thus reduces the mortality. For evaluation of women with symptomatic breast, a careful history and physical examination of the breast play an important role along with imaging techniques like mammography and breast ultrasonography to locate the appropriate site for the biopsy and thus to come to a final diagnosis and to detect early breast cancers 16 . In our study out of 50 studied cases 15 were malignant and 35 were benign.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Approach to Palpable Breast Lump by Modified Triple Test Score- A Prospective Study

Gurav¹

2018

jmscr

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Introduction: Breast carcinoma is one of the common causes of cancer related deaths in women and along with colorectal and lung cancers is responsible for approximately 40% of cancer related deaths in women. The single most important prognostic factor in determining the outcome of treatment in these patients is the stage in which it is detected. The early detection of carcinoma breast is associated with excellent prognostic outcome. Triple test consisting of physical examination; mammogram and fine needle aspiration cytology is one of the most sensitive test for early detection of carcinoma breast and is found to have a considerably high sensitivity in detection of carcinoma breast as compared to any single test such as mammography or fine needle aspiration cytology. The modified triple test which substitutes mammography by ultrasound examination is also found to be highly sensitive in early detection of breast carcinoma we conducted this study to assess the accuracy of modified triple test score i.e. clinical examination, ultrasonography and fine needle aspiration cytology in breast lump by comparing with histopathology. Materials and Methods: 50 women with palpable breast lump attending surgical outpatient and inpatient who underwent surgery for the same were included in the study on the basis of a predefined inclusion and exclusion criteria. Clinical examination of all the patients in respect to size of breast lump, site, consistency, tenderness, mobility and fixity to underlying structures was assessed in all the cases. Ultrasonography of both breast and axillae and Fine needle aspiration cytology of breast lump was done in all the cases. The accuracy of modified triple test was assessed by comparing the histopathology of the breast lump. SSPE 16.0 software was used for statistical analysis and p value less than '0.05' was taken as statistically significant. Results: Out of 50 studied cases 15 turned out to be malignant on histopathology, 14 patients had intra ductal carcinoma (no special type) and 1 had mucinous carcinoma. 35 were benign lesions on histopathology, 26 had fibro adenoma, 5 had fibrocystic disease and 2 had mammary hamartoma. Out of 50 patients, 34 had MTTS score of 3 or 4 points all of which were proved benign on histopathology report.15 patients had MTTS score of 6 and above and all were malignant on HPR, out of which 14 were intraductal carcinoma. Only 1 patient had a score of 5 and it was proved to be benign. Conclusion: Modified triple test score assessment is highly sensitive and specific in diagnosing breast lumps as well as differentiating benign from malignant breast pathologies.

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“…The most common breast lesions are cysts and fibroadenomas (2). Different approaches for breast masses in different regions have been published (3). Surgeons do not have uniform practices for breast masses (4).…”

Section: Introductionmentioning

confidence: 99%

Surgeons’ Approaches and Professional Perspectives on Breast Masses: A National Survey in Turkey

et al. 2015

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Objective: General surgeons' approaches to breast masses in their daily practices and their perspectives for issues on breast diseases and breast surgery are investigated through a survey. Materials and Methods:Answers of 524 general surgeons for the survey "Approach to breast diseases and breast surgery" between November 2012 and February 2013 were assessed. Demographic features, approaches to the breast masses, and answers for the clinical scenerios of surgeons were questioned. Surgeons were asked about management of breast cancer and the future role of surgeons for oncoplastic breast surgery and breast diseases.Results: Participants were representing 14.6% of all general surgeons in Turkey. The survey revealed that breast diseases are the most common cause for admission in general surgery outpatient clinics. Needle biopsies were employed by 241 (60%) respondents. Three hundred and seventy-one (71%) participants indicated that breast cancer management could be accurately conducted by the general surgeons. Two hundred and seventy-three (52%) respondents think that oncoplastic breast surgery should be performed by a general surgeon and 241 (41%) respondents predict that the role of general surgeons for breast diseases and breast surgery will decrease in the future. Conclusion:Basic approaches towards breast masses need to be improved in our country despite the highest frequency of breast diseases in outpatient admissions. The views and opinions of surgeons on breast diseases and the course of breast surgery in different regions and different communities need to be defined and clarified.

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Approach to a Lump in the Breast: A Regional Perspective

Cited by 5 publications

References 15 publications

Factors Associated with Women having Breast Lump in Ghana: A Cross-Sectional Study

Factors Associated with Women having Breast Lump in Ghana: A Cross-Sectional Study

Diagnostic Approach to Palpable Breast Lump by Modified Triple Test Score- A Prospective Study

Surgeons’ Approaches and Professional Perspectives on Breast Masses: A National Survey in Turkey

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