ISSN: 2734-3138 E-ISSN: 2971-625X

Orient Journal of Surgical Sciences

The official Publication of the Department of Surgery
Chukwuemeka Odumegwu Ojukwu University Teaching Hospital
Awka Anambra State Nigeria
Orient Journal of Surgical Sciences

Abstract

BREAST DISEASES: COMPARING THE INITIAL CLINICAL DIAGNOSIS WITH THE DEFINITIVE HISTOLOGICAL REPORT.

Background: Breast lump is a common clinical presentation of breast lesions. The physical characteristics associated with breast lumps are very vital in making a clinical diagnosis of breast disease.

Objective: To evaluate the accuracy of the initial clinical diagnosis (as obtained from the physical characteristics of the breast lump) with the definitive histopathological report of the various breast lesions.

Methodology: A one-year prospective study of all consecutive patients with palpable breast lumps presenting at the general surgery out-patient clinic of a tertiary health institution. Patients were evaluated clinically and then followed up until the histology reports were obtained following open surgical biopsy. The data were entered into a database and statistical analyses carried out using the Statistical Package for Social Sciences (SPSS) version 17.0.

Results: Of the 110 patients evaluated, 47.3% had malignant breast lesions while 52.7% others had benign lumps. Fifty-four individuals had masses greater than 5cm in their widest diameter, 13 of which were benign and 41 malignant. Thirty-five subjects had axillary lymphadenopathy, 30 were malignant while five were histopathologically benign. Forty-seven tumours were hard: 3(6.4%) benign and 44(93.6%) malignant. Of the 37 patients with attached growths, 3(8.1%) had benign disease while 34(91.9%) were malignant. Out of 52 cases with malignancy, 23(44.2%) had no cutaneous involvement while 29(55.8%) manifested at least one skin change. Only 4(6.9%) people out of 58 with benign diagnosis had skin changes.

Conclusion: The physical characteristics of breast masses still accurately reflect the histopathological diagnosis.

Key words: Breast masses, Physical features, Histological diagnosis.

 


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  • 4 Jun 2023
    Publication of 3rd edition of the Orient Journal of Surgical Sciences

    This 3rd Volume of the Orient Journal of Surgical Sciences is out with a bang. An Orthopaedic article is featured along with original articles from the fields of Ophthalmology and General surgery.

    As is consistent with the policy of the Journal, each published article provides unique valuable clinical and scientific information on the respective subjects presented.

    Future issues of the Orient Journal of Surgical Sciences would be featuring quality articles from the wider fields of Anaesthesia, Pathology, Otorhinolaryngology (ENT), Radiology, Plastic surgery, Neurosurgery and Gynaecology.

    Thanks for your interest in the Orient Journal of Surgical Sciences (eISSN: 2971-625X & ISSN: 2734-3138)

  • 2 Dec 2021
    Publication of 2nd edition of the Orient Journal of Surgical Sciences

    The department of surgery of the Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH), Awka, Nigeria is pleased to publish this 2nd edition of the Orient Journal of Surgical Sciences.

     

    The foremost aspiration of the editorial team is to publish quality peer reviewed articles that meet international standards at a minimum frequency of once per year in the select specialties and this volume has met that commitment. This volume contains articles of great importance particularly to the Ophthal-mologists and Surgeons.


     

  • 26 Mar 2020
    Publication of Maiden Edition of the Orient Journal of Surgical Sciences March 2020 Vol.1, No.1

    The Maiden Edition of the Orient Journal of Surgical Sciences Was Published on Wednesday 25th March 2020.

    Hard Copies are now available at ₦1,000 per copy (or its USD $ equivalent) payable at site of collection at the Department of Surgery Office, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH) Awka, Nigeria or into the Journal bank account with the following details:

    Bank - Zenith bank; Account Number: 1016472847; Account Name: COOUTH - The Orient Journal of Surgical Sciences.

     



    The Editorial Board is also calling on all prospective Authors for the submission of new articles towards the 2nd issue scheduled for publication in September 2020. 

     

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ISSN: 2734-3138
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