JPSB logo
Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 5 No. 1 (2014)

Evaluation of breast disease by clinical breast examination (CBE): Experience of a tertiary care hospital

Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2014
CONTENTSVolume 05Number 1January 2014
Editorial
What we can read and what we cannot read in the mortality curve of the neonatal surgery - the progress of the neonatal surgery in Japan
Akio Kubota
01
Review Articles
Diabetes Mellitus and Gestational Diabetes Mellitus
SA Begum, R Afroz, Q Khanam, A Khanom, TS Choudhury
30
Original Articles
Immediate Outcome of Neonate With Pneumothorax
Marium Begum, Zabrul SM Haque, Mahmuda Hassan, Abdul Mannan, Nasim Jahan
03
Diagnosis of Congenital Anomalies of Kidney and Ureter by Ultrasonography
Fathima Nusrath Halim, Mohammad Ali Sarker, Farah Nazlee, Md Nazrul Islam
08
Comparative study between intralesional Dexamethasone and oral Prednisolone in the treatment of Infantile Hemangioma
Tahmina Akhter Chowdhury, Akbar Husain Bhuiyan, Mohammed Monjurul Hakim
12
Evaluation of breast disease by clinical breast examination (CBE): Experience of a tertiary care hospital
Rehana Akhter, Farzana Deeba, Mir Mosarraf Hossain, Begum Nasreen, Jesmin Banu, Masuma Amanullah
20
A Comparative Study between the Outcome of Laparoscopic Appendectomy and Open Appendectomy in Children
Nazmus Sakib Ferdous, Ashraf Ul Huq, Kaniz Hasina, Masuda Khatun
25
Case Reports
Fetal Hydronephrosis, A Case Report And Review of Literature
Parveen Akhter Shamsunnahar, Abdul Motaleb, Begum Nasrin, Fawzia Hossain, Sharmeen Mahmood, Shirin Akhter Begum
36
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
View Contents

Authors

  • Rehana AkhterDeputy Project Director, ENCCBCST, Bangabandhu Seikh Mujib Medical University, Dhaka
  • Farzana DeebaAssistant Professor, Department of Obstetrics and Gynaecology, Bangabandhu Seikh Mujib Medical University, Dhaka
  • Mir Mosarraf HossainAssistant Professor, Department of Medicine, Dinajpur Medical College, Dinajpur
  • Begum NasreenAssociate Professor, Department of Obstetrics and Gynaecology, Bangabandhu Seikh Mujib Medical University, Dhaka
  • Jesmin BanuAssociate Professor, Department of Obstetrics and Gynaecology, Bangabandhu Seikh Mujib Medical University, Dhaka
  • Masuma AmanullahConsultant (deputed), Department of Obstetrics and Gynaecology, Bangabandhu Seikh Mujib Medical University, Dhaka

Keywords

CBE Breast Cancer Breast lump

Abstract

Introduction: Breast cancer is the second most common cancer (10.4% of all cancer incidence, both sexes counted) and the fifth most common cause of cancer death in the world. In 2005, breast cancer caused 502,000 deaths worldwide. Clinical evaluation could function as a valuable diagnostic tool. Clinical evaluation, however, is a simple method to detect cases as it is inexpensive and non-invasive and if found to be accurate, might be of great value. Aim: To evaluate patients referred to colposcopy clinic in BSMMU for breast symptoms by clinical breast examination (CBE). Material and method: The study design was cross sectional study done in the colposcopy clinic in the department of Obstetrics and Gynaecology, under the Establishment of National centre for cervical and breast cancer screening and training at BSMMU and Cervical and breast cancer screening and training in BSMMU projects. Result: A total of 752 patients fulfilled the inclusion criteria, demographic features are demonstrated in mean age of the patients was 35.1±9.2 years, mean BMI was 22.5±2.1, about 30% subjects were postmenopausal and about 2% patients had history of breast cancer. Presenting complaint was a self-detected breast mass and found to have a mass on examination by her physician in 204 patients. 308 subjects complained of mastalgia; 34 patients complained of nipple discharge. Only 5 patients complained of axillary lymph node enlargement. Nipple abnormalities like retracted and cracked nipple was complained by 4% cases. Most patients (58%) were found to have normal findings. Palpable mass was found in 121 cases and bilateral in one case. Nipple abnormalities found in 10 cases. Tenderness and nipple discharge found in 15% and 4% cases respectively. Regarding the characteristics of the masses proved by cytology (FNAC), 109 were benign and 12 were malignant. Conclusion: CBE is an important screening procedure to identify breast pathology. Out of 752 patients breast pathology were identified in about 41% of patients and 10% breast lumps were malignant. So CBE should be done every three yearly in <40 and yearly in above 40 years women.

Journal of Paediatric Surgeons of Bangladesh (2014) Vol. 5 (1): 20–24

Read full article (PDF)