1. Clinical assessment
2. Radiological assessment
3. Histopathological assessment
4. Sentinel lymph node biopsy
Select the correct answer using the code given below.
Breast Triple Assessment Components
The triple assessment is a standard diagnostic procedure for evaluating breast abnormalities, aiming for high diagnostic accuracy.
It consists of three key components performed sequentially or concurrently:
- Clinical Assessment: This involves taking a detailed patient history and performing a physical examination of the breast and surrounding lymph nodes by a clinician.
- Radiological Assessment: This utilizes imaging techniques like mammography, ultrasound, or magnetic resonance imaging (MRI) to visualize the breast tissue and the abnormality.
- Histopathological Assessment: This involves the microscopic examination of tissue samples obtained through a biopsy (e.g., core needle biopsy or fine-needle aspiration cytology) to determine the nature of the lesion.
A sentinel lymph node biopsy (SLNB) is performed to check for cancer spread to lymph nodes. While vital for staging and treatment planning after a diagnosis, it is generally considered a subsequent step rather than part of the initial triple assessment diagnostic process itself.
Therefore, the components included in the triple assessment for breast conditions are the clinical, radiological, and histopathological assessments.
Important Questions from Neck & Breast Surgery
- A midline neck swelling just below the hyoid bone and managed by Sistrunk's operation leads to postoperative need for thyroxine replacement. The most likely diagnosis is
- A 60-year-old lady presents with a recent onset increase in a long standing swelling on the front of the neck. The swelling, which was small, had been present since last 30 years, but has now increased to more than twice the size in the last 2 months. On examination, the swelling is firm to hard in consistency and moves with deglutition. What is the most likely cause of this clinical presentation?
- A 43 year old woman presented with serous discharge from a single duct of the nipple of her right breast which was sent for evaluation. She is unlikely to be suffering from
- A gentleman of 60 years presented with a brawny swelling of the sub- mandibular region with inflammatory oedema of mouth and putrid halitosis. Most likely he is suffering from
- A 25 year old female patient with previous history of neck irradiation presents with thyroid swelling for last 6 months. The patient is clinically euthyroid. On examination, the right lobe of thyroid gland is enlarged with presence of ipsilateral cervical lymphadenopathy. The most probable clinical diagnosis in this patient is
