Suresh Bhosale1 , Ashok Kshirsagar2 , Nitin Nangare3 , Ritvij Patankar4 , Akshay Pednekar5 , Mayank Vekariya6 , Vaibhav Gupta7 , Abhishek Mahna8
AIM: To plan the line of management for carcinoma breast as per the clinical and histopathological findings. OBJECTIVES: To study various clinical presentations of breast cancer and its co-relation with histopathological pattern. METHOD AND MATERIALS: All the patients coming to the OPD and admitted to IPD of the surgery dept. with a mass in the breast will be screened and the data will be collected in a pre-structured and pre-formed Performa. A detail history about all vital information and other parameters will be collected in the Performa along with information regarding diagnosis, lab and histopathological examination. Then after taking consent from the patient standard histopathological examination will be done. The clinical information will be correlated with histopathological report and plan of management of the patient will be drawn accordingly. CONCLUSION: Our result shows that the size of the primary tumour directly corresponds to the axillary metastasis. All pathological types of breast cancer can occur in all quadrants of breast. Axillary dissection with removal of lymph nodes up to level II is a must for accurate staging and treatment. If the histopathological evaluation of lymph node has tumor tissue it should be taken as systemic disease and adjuvant chemotherapy is warranted. Irrespective of the tumor size or the stage at which they presented all patients in our study underwent modified radical mastectomy and our follow up over a period of 0- 18 months showed no recurrence. But some of the patients who presented with early breast tumor were over treated because of inability to rule out axillary metastasis. This problem can be avoided with newer methods like sentinel lymph node biopsy and cryotyping. Awareness must be raised and regular screening for breast cancer must be under taken to direct the cases in its early stage.
