Akash Guru Prasad, A (2020) A Study to Assess the Incidence of Internal Mammary Nodes in Response to Various Quadrants and Various Stages by CT Scan in Carcinoma Breast. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.
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Abstract
INTRODUCTION: The carcinoma breast is one of the most common carcinoma of the women with the other one being carcinoma cervix. The carcinoma breast usually metastasize to axillary nodes in about 75% of the cases followed by internal mammary nodes. The involvement of internal mammary nodes is usually overlooked and PET CT, MRI are the most common investigation done to recognize the involvement. The involvement of the internal mammary nodes usually upstage the disease shifting the treatment choice from surgery to neo adjuvant chemotherapy. In this study the incidence of internal mammary nodes in response to various stage and various quadrants of carcinoma breast were studied using contrast enhanced computed tomogram and the following results was observed, the nodes were more commonly involved in upper inner / medial quadrant and in correspondence to stage it was more common in stage III disease. AIM OF THE STUDY: The main aim of this study is to assess the incidence of internal mammary nodes in computerized tomography scan in response to various quadrants and various stages of carcinoma breast. MATERIALS AND METHODS: This prospective clinical study of 30 cases of carcinoma breast admitted in Government Mohan Kumaramangalam Medical College Hospital, Salem is done in the period from December 2017 to September 2019. The cases were evaluated with through proper history taking, clinical examination, histology and radiological investigations and the findings are listed. OBSERVATION: Of all the 30 patients studied, the node positivity was observed more in the upper medial quadrant and in correspondence to the staging it is more common in stage III disease. CONCLUSION: From our study it is concluded that the incidence of internal mammary nodal metastasis is more common in the upper inner quadrant and also was observed more commonly in stage III disease. The presence of internal mammary nodal metastasis is associated with increased chance of distant metastasis, making it as one of the predictors of prognosis. Hence in carcinoma breast the imaging of internal mammary nodes must be taken into account as it provides details about the prognosis and site of recurrence.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711401 |
| Uncontrolled Keywords: | Positron Emission Tomography (PET CT), magnetic resonance imaging (MRI), Internal mammary nodes, CECT. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 11 Feb 2021 03:01 |
| Last Modified: | 11 Feb 2021 03:14 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14049 |
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