ABSTRACT
Introduction: Breast is important organ of female as a symbol of womanhood and fertility. This study is done to know utility ofultrasonography in identifying breast diseases as mammography not routinely available in all treating centres. Role of BetahCGin breast diseases.Materials and Methods: This is a prospective observational study consisting of 112 patients with breast diseases plannedfor surgical management from June 2016 to June 2018 and a cyto-sono-histopathological correlation done. Pre-operativeevaluation included history, clinical examination, ultrasonography (USG) breast, serum beta-human chorionic gonadotropin(hCG), and post-operative histopathology.Results: The most common benign lesion was fibroadenoma (62 cases) followed by gynecomastia disease – 5 cases (7.33%).The most common malignant lesion reported in the study was invasive ductal carcinoma – 53 cases. In this study, sensitivityand specificity of breast fine-needle aspiration cytology (FNAC) were 87.5% and 100%, respectively. The diagnostic accuracy ofFNAC in our study was reported to be 96.5%. Sensitivity and specificity of breast USG were 84.8.5% and 96.5%, respectively.The diagnostic accuracy of USG in our study was reported to be 93.3%. In our study, a 98.9% cyto-histopathological correlationwas observed for benign lesions and 100% for cases suspicious of malignancy. A cyto-histopathological correlation was 100%.Conclusion: Study concludes that sonography should be the first investigation to be done after the clinical examination becauseif USG says the disease is benign then the patient can be assured without any invasive procedure, i.e., FNAC and biopsy. IfUSG says abnormality then the patient should go for an invasive procedure. As far as for early definitive diagnosis, FNAC issuperior to Sonology. Serum beta-hCG has no correlation with breast diseases.