Aims: The present study was taken up in carcinoma breast patients to evaluate clinical examination and Ultrasound in estimating the breast tumour size and axillary lymph node size taking histopathological examination as the gold standard. Material & Methods: The study carried out between December 2008 to June 2010 included thirty seven carcinoma breast patients. Ethics committee clearance obtained. Twenty four patients received neoadjuvant chemotherapy followed by surgery. 13 patients were taken up directly for surgery. Largest dimension of the primary tumour and axillary lymph nodes were assessed clinically, sonologically and histopathologically. Results were analyzed using paired-t test and Pearson correlation coefficient. Results: Clinical examination overestimated breast tumour size, while underestimated axillary lymph node size in majority of the patients. Sonological examination underestimated both breast tumour size and axillary lymph node size in majority of patients. There was strong correlation (r =.719, p=<.001) between clinical and histopathological breast tumour size, however for axillary lymph nodes the correlation was moderate (r=.536, p= .001). A moderate correlation (r=0.601; p=<.001) was observed between sonological and pathological breast tumour size, while strong correlation (r=.652, p <0.001) was found for axillary lymph nodes. For breast tumour, the difference between mean clinical and histopathological size was 0.01cm and statistically not significant (t=.064, p=.949). However, the difference between mean sonological and histopathological size for breast tumour was 1.10cm, and statistically highly significant (t=-3.93, p<.001). For axillary lymph nodes, the difference in mean size between clinical and histopathological assessment was 0.46 cm (p=0.007) as against mean difference of 0.48 cm between sonological and histopathological assessment (p=0.001). Conclusion: In the present study, for primary breast tumour size estimation clinical assessment was as good as histopathological examination, however, ultrasound was found to be inferior. Whereas for axillary lymph node size estimation both clinical assessment and ultrasound were indifferent .
| Published in | International Journal of Medical Imaging (Volume 2, Issue 3) |
| DOI | 10.11648/j.ijmi.20140203.13 |
| Page(s) | 59-62 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2014. Published by Science Publishing Group |
Ultrasound, Breast Cancer, Tumor and Lymph Node Assessment
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APA Style
Rashmi Singh, Govardhan H. B., Satyajt Pradhan, P. Swain, Anand Kumar, et al. (2014). Ultrasound- an Evaluation Tool for Assessment of Breast Tumour and Axillary Lymph Node Size. International Journal of Medical Imaging, 2(3), 59-62. https://doi.org/10.11648/j.ijmi.20140203.13
ACS Style
Rashmi Singh; Govardhan H. B.; Satyajt Pradhan; P. Swain; Anand Kumar, et al. Ultrasound- an Evaluation Tool for Assessment of Breast Tumour and Axillary Lymph Node Size. Int. J. Med. Imaging 2014, 2(3), 59-62. doi: 10.11648/j.ijmi.20140203.13
AMA Style
Rashmi Singh, Govardhan H. B., Satyajt Pradhan, P. Swain, Anand Kumar, et al. Ultrasound- an Evaluation Tool for Assessment of Breast Tumour and Axillary Lymph Node Size. Int J Med Imaging. 2014;2(3):59-62. doi: 10.11648/j.ijmi.20140203.13
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Download@article{10.11648/j.ijmi.20140203.13,
author = {Rashmi Singh and Govardhan H. B. and Satyajt Pradhan and P. Swain and Anand Kumar and R. C. Shukla and U. P. Shahi and L. M. Agrawal},
title = {Ultrasound- an Evaluation Tool for Assessment of Breast Tumour and Axillary Lymph Node Size},
journal = {International Journal of Medical Imaging},
volume = {2},
number = {3},
pages = {59-62},
doi = {10.11648/j.ijmi.20140203.13},
url = {https://doi.org/10.11648/j.ijmi.20140203.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20140203.13},
abstract = {Aims: The present study was taken up in carcinoma breast patients to evaluate clinical examination and Ultrasound in estimating the breast tumour size and axillary lymph node size taking histopathological examination as the gold standard. Material & Methods: The study carried out between December 2008 to June 2010 included thirty seven carcinoma breast patients. Ethics committee clearance obtained. Twenty four patients received neoadjuvant chemotherapy followed by surgery. 13 patients were taken up directly for surgery. Largest dimension of the primary tumour and axillary lymph nodes were assessed clinically, sonologically and histopathologically. Results were analyzed using paired-t test and Pearson correlation coefficient. Results: Clinical examination overestimated breast tumour size, while underestimated axillary lymph node size in majority of the patients. Sonological examination underestimated both breast tumour size and axillary lymph node size in majority of patients. There was strong correlation (r =.719, p=<.001) between clinical and histopathological breast tumour size, however for axillary lymph nodes the correlation was moderate (r=.536, p= .001). A moderate correlation (r=0.601; p=<.001) was observed between sonological and pathological breast tumour size, while strong correlation (r=.652, p <0.001) was found for axillary lymph nodes. For breast tumour, the difference between mean clinical and histopathological size was 0.01cm and statistically not significant (t=.064, p=.949). However, the difference between mean sonological and histopathological size for breast tumour was 1.10cm, and statistically highly significant (t=-3.93, p<.001). For axillary lymph nodes, the difference in mean size between clinical and histopathological assessment was 0.46 cm (p=0.007) as against mean difference of 0.48 cm between sonological and histopathological assessment (p=0.001). Conclusion: In the present study, for primary breast tumour size estimation clinical assessment was as good as histopathological examination, however, ultrasound was found to be inferior. Whereas for axillary lymph node size estimation both clinical assessment and ultrasound were indifferent .},
year = {2014}
}
TY - JOUR T1 - Ultrasound- an Evaluation Tool for Assessment of Breast Tumour and Axillary Lymph Node Size AU - Rashmi Singh AU - Govardhan H. B. AU - Satyajt Pradhan AU - P. Swain AU - Anand Kumar AU - R. C. Shukla AU - U. P. Shahi AU - L. M. Agrawal Y1 - 2014/04/30 PY - 2014 N1 - https://doi.org/10.11648/j.ijmi.20140203.13 DO - 10.11648/j.ijmi.20140203.13 T2 - International Journal of Medical Imaging JF - International Journal of Medical Imaging JO - International Journal of Medical Imaging SP - 59 EP - 62 PB - Science Publishing Group SN - 2330-832X UR - https://doi.org/10.11648/j.ijmi.20140203.13 AB - Aims: The present study was taken up in carcinoma breast patients to evaluate clinical examination and Ultrasound in estimating the breast tumour size and axillary lymph node size taking histopathological examination as the gold standard. Material & Methods: The study carried out between December 2008 to June 2010 included thirty seven carcinoma breast patients. Ethics committee clearance obtained. Twenty four patients received neoadjuvant chemotherapy followed by surgery. 13 patients were taken up directly for surgery. Largest dimension of the primary tumour and axillary lymph nodes were assessed clinically, sonologically and histopathologically. Results were analyzed using paired-t test and Pearson correlation coefficient. Results: Clinical examination overestimated breast tumour size, while underestimated axillary lymph node size in majority of the patients. Sonological examination underestimated both breast tumour size and axillary lymph node size in majority of patients. There was strong correlation (r =.719, p=<.001) between clinical and histopathological breast tumour size, however for axillary lymph nodes the correlation was moderate (r=.536, p= .001). A moderate correlation (r=0.601; p=<.001) was observed between sonological and pathological breast tumour size, while strong correlation (r=.652, p <0.001) was found for axillary lymph nodes. For breast tumour, the difference between mean clinical and histopathological size was 0.01cm and statistically not significant (t=.064, p=.949). However, the difference between mean sonological and histopathological size for breast tumour was 1.10cm, and statistically highly significant (t=-3.93, p<.001). For axillary lymph nodes, the difference in mean size between clinical and histopathological assessment was 0.46 cm (p=0.007) as against mean difference of 0.48 cm between sonological and histopathological assessment (p=0.001). Conclusion: In the present study, for primary breast tumour size estimation clinical assessment was as good as histopathological examination, however, ultrasound was found to be inferior. Whereas for axillary lymph node size estimation both clinical assessment and ultrasound were indifferent . VL - 2 IS - 3 ER -
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