efficacy of quadrantectomy as a breast conserving procedure for local control of early breast cancer in females

Between January 1987 and May 1989, 30 female patients with T1 and T2 breast cancer treated at E1 Demerdash and Ain Shams specialized hospitals were subjected to this study. Patients were undrwent quadriantectomy followed immediately by radical or modified radical mastectomy. The specimens were studied grossly and histopathologically for multifocality. 7 out of 30 [23%] were found to have separate foci. The most common histologic type [invasive ductal] was least likely to have multifocal disease [19%]. Size was a factor in ductal cancer only. Seventy one per cent of the secondary foci were found in the same quadrant with the primary, suggesting spread rather than multicentricity. This implies a more limited and predictable distribution of cancer cell and open the way to be more rational for breast preservation

Comparative study of clinical examination, mammography and fine needle aspiration cytology in the diagnosis of breast tumours

The diagnostic acuracy of clinical examination, mammography and fine needle aspiration cytology was compared with definitive histological findings in 125 breast lumps. When suitable aspirates were obtained for cytological examination, the diagnostic acuracy of aspiration cytology was higher than clinical examination or mammography. A diagnostic acuracy of 100% was achieved when all three screening tests were in agreement. Cytology is useful in identifying malignancy when clinical findings suggest that the tumour is benign. The availability of acurati cytology has affected patient management in many ways. Mammography did not enhance the diagnostic acuracy of clinical examination and aspiration cytology in patients presenting with a breast lump and as a procedure with potential hazard, the benifit of routine mammography is questionable when an efficient cytological service is available