ABSTRACT
Aims: To analyze the application of mammography and ultrasound in breast cancer associated with pregnancy.Study Design:Cohort Study.Place and Duration of Study:The study was conducted Republican Specialized Scientific-Practical Medical Center of Oncology and Radiology between 2018 and 2019.Methodology:A total of 30 consecutive patients with breast cancer pathologically diagnosed during pregnancy were included in this study. The ages of the patients ranged from 26 to 49 years. Both mammography and ultrasound were performed all 30 patientsResults:Mammography revealed positive findings in 24 (80,0%) of 30 patients, even though all 30 patients had dense breasts. Mammographic findings included masses without calcifications, masses with calcifications, calcifications with axillary lymphadenopathy, a mass with axillary lymphadenopathy, calcifications alone, asymmetric density alone and diffuse skin and trabecular thickening alone. Sonographic findings were positive and showed masses in 26 of 30 patients (86,7%). The common sonographic findings of masses were irregular shapes, irregular margins, mixed echo patterns and posterior acoustic enhancement.Conclusion:Timelydiagnosis and adequate therapeutic tactics will significantly improve the results of treatment of breast cancer that has developed against the background of pregnancy
ABSTRACT
Background: Presently, fine needle aspiration (FNA) biopsy is the preliminary, non-invasive test for diagnosis of suspected lymphadenopathy. Apart from its diagnostic yield, it helps identifying the origin, grading and typing of the metastatic lesions in many cases. Methods: In the present study, data of 369 patients with suspected neoplastic lymphadenopathy presenting to the surgical and medical outpatient department of our institute over a period of 3 years was collected. FNA biopsy was performed on the most prominently visible and palpable lymph node. The use of special stains was performed in selected cases. Results: Of 369 cases studied, cytological diagnosis was offered in 358 cases, while unsatisfactory smears were reported in 11 cases. Of these 358 cases where a cytological diagnosis of either primary or metastatic lymphadenopathy was given, 244 were males and 114 were females. Metastatic tumors in the lymph nodes were reported in 307 cases and lymphoma in 51 cases. The distribution of lymphadenopathy revealed involvement of cervical group in 222 cases, axillary group in 57 cases, supraclavicular in 28 cases & inguinal in 24 cases. The commonest primary tumor, metastasizing to lymph nodes was squamous cell carcinoma (52.44%). Conclusion: In our study, FNA biopsy proved to be a safe and non-expensive technique that provided a high diagnostic accuracy with zero false positive results, confirmed the presence of secondaries where primary tumor was evident and guided the response to medical treatment.