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Article
The Role of FNAC in the Diagnosis of Breast Lumps in Karbala…………………………………………….....

Author: Dr. Ali A. Ali
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2009 Volume: 2 no.6, 7 Issue: 4 Pages: 443-446
Publisher: Kerbala University جامعة كربلاء

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Abstract

objectives:The aim of this study is to find out the sensitivity of FNAC in the diagnosis ofbreast lumps in Kar bala.Patients & Methods: This is a clinical study of FNAC of breast lumps done in ALHusseinTeaching Hospital in Karbala, from May 2005-May 2007. FNAC findings werecorrelated with the histopathological findings of the excised lump of the same patient todetermine the sensitivity of FNAC.Results: Eighty five cases were included in the study, one male and eighty four females. The agerange was between 20-70 years. Benign cases composed 52.9% (45 patients) while malignantcases were 47.1% (40 patients) of the total number of patients. Sensitivity was 92%.Conclusion: FNAC of the breast is a simple, , highly sensitive test . It can minimize the need foropen biopsy, and is recommended as a routine test for determining benign or malignant lesions incorrelation with clinical examination and imaging procedures.Key Words: FNAC, breast lumps, breast disease diagnosis, breast lumps in Karbala.


Article
Comparison Between the Patterns of Common Breast Diseases Presenting as Breast Lumps in Pregnant and Non-pregnant married women

Author: Zena kassim Mohamed
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2019 Volume: 15 Issue: 2 Pages: 13-17
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Breast lump is one of the most common prevalent complaint of patients attending breast clinics.Objective: To determine if there is any change in the pattern of common breast, diseases presenting as breast lumps between pregnant and non-pregnant women among patients attending Al-Elwiya Breast Clinic.Methods: This is a cross – sectional study, with convent's patient sampling setting in AL-Elwiya Breast Cancer Early Detection Clinic from 1st Feb. to 1st May 2018, we collected data from patients with breast lumps including the age groups, pregnancy status, parity status, previous breast diseases, hormonal drugs, menstrual cycle, breast feeding. Breast lump was examined, sonography and needle biopsy, and histopathology.Results: This study involves 306 married patients, fibro adenoma was the commonest pathology in the age group 20-29 year-old (29.9%) followed by Aberration of Normal Development and Involution which was found mainly in 30-39-year-old age group (36.1%). Carcinoma found mainly in the >40-year-old age group (10.3%).Aberration of Normal Development and Involution was the main pathology in non-pregnant patients (36.1%), in pregnant patients fibro adenoma is the commonest (35.7%).Conclusion: The majority of breast lumps are benign. In pregnant women, fibro adenoma is the commonest, while in non-pregnant women, Aberration of Normal Development and Involution is the main cause of breast lumps


Article
Feasibility of Fine Needle Aspiration Cytology in the Diagnosis of Breast Lumps
جدوى الفحص الخلوي بواسطة السحب الوخزي الدقيق في تشخيص أورام الثدي

Author: Ali M.Ali Ridha علي محمد علي رضا
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2019 Volume: 9 Issue: 2 Pages: 1-8
Publisher: University of Kufa جامعة الكوفة

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Abstract

Background: most patients with breast mass are anxious (to start with) regarding method of final diagnosis. If FNAC is done by dependable hands it proves to be the least invasive and may lead (if positive) to one stage surgery. Aim of the study: The study aimed principally to evaluate the feasibility and accuracy of Fine Needle Aspiration Cytology (FNAC) in the diagnosis of breast lumps by comparing the results with the histopathological diagnosis. Methodology: data were prospectively collected from 103 female patients within a period of 5 years (Feb.2009 to Jan.2014). All patients had palpable breast lumps for which initially aspiration cytology of the lump has been done followed by partial or total surgical lump excision for final histopathological diagnosis and to compare the results.Results: Of all FNAC specimens, 98 (95%) were adequate for cytological interpretation. Of those evaluated cytological, 62 (62.8%) were benign, 9 (9%) were suspicious for malignancy and 27 (27.5%) were malignant. Of the surgical histopathological specimens, 40 (40.8%) were malignant.Conclusion : The FNAC procedure is a rapid method, easy to perform, of little cost and easily accepted by the patients and it provides a high specificity and quite reasonable sensitivity rates that can be used for rapid diagnosis and screening.Recommendation: FNAC results are better interpreted in correlation with the clinical and imaging findings to allow better management for the patient and are better to be used with ultrasound guidance for better and adequate aspirates.

خلفية البحث: يكون معظم مرضى عقدة الثدي قلقين بداية من طريقة التشخيص النهائي لمرضمن فأذا تم اجراء السحب الوخزي بأيادي مضمونة فأنه سيكون الطريقة الاقل عنفا وعندما يكون موجبا قد يؤدي الى اجراء عملية جراحية ذات مرحلة واحدة. الهدف : ان الغرض من اجراء هذا البحث هو لتقييم جدوى ودقة الفحص الخلوي السحبي الوخزي فی تشخیص اورام الثدي وذلك عن طريق مقارنة النتائج مع الفحص النسیجی التشریحی المرضي.المنهجية : تم جمع عينات من 103 مريضة (بصورة مستقبلية) في فترة 5 سنوات من (شباط / 2009 الى كانون الثاني / 2014)، كان جميعهن يشكون من وجود ورم او عقدة الثدي . أجري للمرضى بدايةً السحب الوخزي الدقيق من تلك العقد او الاورام لغرض الفحص الخلوي ومن ثم تم ترتيب اجراء التداخل الجراحي لرفعها كلاً او جزءاً لغرض اعداد التشخيص النهائي عن طريق الفحص النسيجي التشريحي المرضي ومقارنة النتائج.النتائج : كان سحب 98 ( 95.2%) عينة وخزية من اصل العدد الكلي للمرضى صحيحاً وكافياً لأعطاء نتيجة وافية بالفحص الخلوي فكان نتيجة 62 عينة منها (62.8%) حميداً و 27 عينة ( 27.5%) اعطت نتيجة غير حميدة (سرطانية) بينما كانت نتيجة 9 عينات بأتجاه (الشك) السرطاني . بعد اجراء الفحص النسيجي التشريحي المرضي على عينات الاورام المستأصلة جراحياً، تم تثبيت 40 منها (40.8%) كعينات سرطانية اكيدة.الأستنتاج : أن الفحص الخلوي بواسطة السحب الوخزي الدقيق هو طريقة سريعة، سهلة التنفيذ، قليلة التكلفة وسهلة التقبل من قبل المريض وهو ذات نسبة خصوصية عالية وحساسية معقولة يمكنه من التشخيص والمسح السريع. التوصيات : ان النتائج الحاصلة من الفحص الخلوي عن طريق السحب الوخزي الدقيق من الافضل ان يتم تفسيرها (تقييمها) طبقا وبالتزامن مع المشاهدات السريرية والتصويرية (اشعة وسونار الثدي) للحصول على علاج افضل للمريض ومن المستحسن ان يجري وخز ورمة الثدي بمساعدة السونار للحصول بشكل افضل على مادة خلوبة كافية.

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