Diagnosis of Breast Cancer.

The classic diagnostic triad of breast cancer is clinical examination, imaging, and pathological assessment. Any woman presenting with a painless breast lump, axillary lymph nodes (ALNs), blood-stained nipple discharge, recent onset change in the nipple, skin of the breast should be regarded with suspicion irrespective of age. The index of suspicion of breast cancer after Clinico-radiological examination is confirmed by pathology. A trucut/needle biopsy is the gold standard of diagnosis. An FNAC may be non-representative, non-conclusive, or hemorrhagic, and a negative FNAC does not always rule out a malignancy when the index of clinical suspicion is high.