000			02680nam a22003017a 4500
003			OSt
005			20240305193718.0
008			221012b |||||||| |||| 00| 0 eng d
022			_aeISSN: 1937-8688
028			_b Phone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
040			_cDLC
041			_aEnglish
100			_aTresphory Bonephace Kamushaga _944845
222			_a Conventional; ultrasound guided; fine needle aspiration cytology; breast lump
245			_aUtility of ultrasound guided versus conventional fine needle aspiration cytology in diagnosing breast malignancies among patients with palpable breast lumps at Bugando Medical Centre, Mwanza Tanzania
260			_aMwanza, Tanzania: _b Pan African Medical Journal & _b Catholic University of Health and Allied Sciences [CUHAS – Bugando] _c2021/6/16
300			_aPages 1 - 9
490			_v Pan African Medical Journal Volume 39 Issue 1
520			_a Abstract Introduction: breast lump is the commonest presentation for both benign and maligant breast conditions. Both ultrasound guided and conventional fine needle aspiration cytology (FNAC) have been used for diagnosing of breast malignancy among patients with palpable breast lumps. This study compared diagnostic utility of ultrasound guided versus conventional FNAC in diagnosing breast malignancies among patients with palpable breast lumps at Bugando Medical Centre. Methods: this was a hospital based cross sectional study with a follow up component that combined both retrospective data (from January 2017 to June 2018) and prospective data (from July 2018 to June 2019). Results: during the study, total of 354 patients (male; female = 1: 32) were enrolled in the study. A total of 134 (37.9%) patients had malignant lesions while 220 (62.1%) of patients had benign lesions confirmed on histology. The diagnostic utility (sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy) for conventional FNAC was 86.7%, 95.7%, 93.5%, 91.1% and 92.0% with an 8% error margin versus ultrasound guided FNAC all were 100% with a 0% error margin respectively. Conclusion: both ultrasound guided and conventional FNAC show almost perfect agreement with histology. However, ultrasound guided FNAC has a higher diagnostic utility relative to conventional FNAC in diagnosing breast malignancies.
700			_aGeofrey Charles Giiti _944846
700			_a Benson Richard Kidenya _922900
700			_a Patrick Sitati Ngoya _944847
700			_aPeter Fabian Rambau _944520
942			_2ddc _cVM
999			_c19196 _d19196