Evaluation of Breast Disease Using Triple Assessment Test with Ultrasonography as the Fourth Component

Breast disease is a significant health concern, with varying clinical presentations and diagnostic challenges. This study aims to assess the accuracy and utility of ultrasonography (USG) as an adjunct component to the Modified Triple Assessment Test (MTT) in the screening and diagnosis of breast diseases. A total of 40 patients with breast complaints, including lumps, nipple discharge, or retraction, were included. The MTT, consisting of clinical examination, mammography, fine-needle aspiration cytology (FNAC), and histopathological examination (HPE), was performed on all patients under informed consent. USG was added as a fourth component. Data on age distribution, parity, menstrual status, side of breast lump, location of tumors, and histopathological findings were collected and analyzed. In the 30-39 age group, breast lumps were common, with nulliparous women showing more malignant cases. Pre-menopausal women had benign lumps, while peri-menopausal and post-menopausal women had more malignancies. Left-sided lumps prevailed, and the upper outer quadrant was the common location. Clinical examination had high accuracy, as did ultrasonography (USG). This study underscores the importance of personalized breast health approaches, considering age, parity, and menstrual status. The combination of clinical examination, mammography, FNAC, and USG (MTT) provides a reliable diagnostic tool for breast disease, with MTT serving as a valuable modality for breast carcinoma diagnosis and treatment planning

Comparison of Conventional Sutures Versus Cyanoacrylate Glue in Clean Operative Wound Closure

Objective: The purpose of this study was to compare the efficiency and results of cyanoacrylate glue and traditional sutures in the closure of clean surgical wounds. Methods: This randomized controlled experiment was conducted between December 2020 and June 2022, enrolling 100 patients who met strict inclusion criteria. To close wounds, patients were given a random choice between using cyanoacrylate glue or traditional sutures. Wound healing, infection rates, patient satisfaction surveys, and cosmetic evaluations were all included of the postoperative assessments. Results: There were no appreciable differences between the two closure techniques in the rates of infection or wound healing. Patients in the cyanoacrylate glue group expressed considerably greater levels of satisfaction with their postoperative discomfort and pain reduction. Cosmetic assessments showed better results in the cyanoacrylate glue group, with lower ratings for scarring, erythema, and uneven skin texture. Conclusion: For a clean surgical wound closure, both traditional sutures and cyanoacrylate glue work well. Cyanoacrylate glue has benefits in terms of improved cosmetic results and patient comfort. The selection of the closure technique should take into account the unique characteristics and desires of the patient, highlighting the significance of patient-centered care in surgical decision-making. It is necessary to do additional study with larger sample numbers and long-term follow-up to validate these findings and investigate their relevance in various clinical setting