European Journal of Cardiovascular Medicine

Introduction: Breast cancer is the most frequent cancer detected globally and leading cause of cancer related death in women. One of the other methods which can assess the status of the axillary lymph node is USG.  Methods and Materials: This is a Hospital based Observational Study, Patients who are admitted in the Department of General surgery, PBMH, Kalinga Institute of Medical Sciences, Bhubaneswar for Breast carcinoma during the period September 2018 to August 2020. A total of 70 patients will be selected after applying the following inclusion and exclusion criteria. Results It was observed that, the clinical presentation of patients with carcinoma breast in this series were breast lump, nipple discharge and nipple retraction. Most common presentation was breast lump. All cases presented with lump in the breast, 5(7.14%) cases presented with lump with nipple discharge and 6(8.57%) cases presented with lump with nipple retraction. Tumor size was less than or equal to 2 cm (T1) in 24 (34.29%) cases, tumor size greater than 2 cm but less than or equal to 5 cm were in 46 (65.71%) cases and tumor size more than 5cm were 0 (100%) cases. Mean and Standard Deviation of all Doppler USG parameters i.e. L/S ratio, H/L ratio, Resistivity Index (RI), Pulsatility Index (PI). The L/H ratio ranged from 1.12 to 4, the H/L ratio ranged from 0 to 0.96, RI from 0.34 to 1.23 and PI from 1.25 to 4.25. Conclusion:  In our study we have found high specificity of axillary ultrasound in detecting metastatic axillary nodes. So it can be concluded that targeted axillary dissection (TAD) is a better option. Only those with USG negative patients who are having Early breast cancer (size<5cms. T1/T2) and planning for breast conservative surgery must be offered SLNB and referred to centre having such facility.1835