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CTRI Number  CTRI/2023/11/060190 [Registered on: 23/11/2023] Trial Registered Prospectively
Last Modified On: 22/11/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Corelation of distance of breast tumor to nipple areola with axillary node involvement. 
Scientific Title of Study   Clinical and sonological correlation between the distance of the tumour to the nipple-areola complex with axillary nodal involvement in a case of Carcinoma of the breast. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aditya Sriharsha Pedaprolu 
Designation  Junior Resident 
Affiliation  Jawaharlal Nehru Medical College 
Address  Department of General Surgery, Shalinitai Meghe Superspeciality Hospital, Sawangi (Meghe), Wardha
Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha
Wardha
MAHARASHTRA
442001
India 
Phone  9167270209  
Fax    
Email  adi.sriharsha@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Venkatesh Manohar Rewale 
Designation  Associate Professor  
Affiliation  Jawaharlal Nehru Medical College 
Address  Department of General Surgery, Shalinitai Meghe Superspeciality Hospital, Sawangi (Meghe), Wardha

Wardha
MAHARASHTRA
442001
India 
Phone  8007887196  
Fax    
Email  drvmrewale@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Venkatesh Manohar Rewale 
Designation  Associate Professor  
Affiliation  Jawaharlal Nehru Medical College 
Address  Department of General Surgery, Shalinitai Meghe Superspeciality Hospital, Sawangi (Meghe), Wardha

Wardha
MAHARASHTRA
442001
India 
Phone  8007887196  
Fax    
Email  drvmrewale@gmail.com  
 
Source of Monetary or Material Support  
Datta Meghe Institute of higher education and research 
 
Primary Sponsor  
Name  Aditya Sriharsha Pedaprolu 
Address  Datta Meghe Institute of Higher Education and Research Sawangi Wardha Maharashtra (442001) India 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aditya Sriharsha Pedaprolu  Datta Meghe Institute of Higher Education and Research  Department of Sugery, Shalinitai meghe Super speciality Centre, Sawangi (Meghe), Wardha
Wardha
MAHARASHTRA 
9167270209

adi.sriharsha@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee , Datta Meghe Institute of Medical sciences   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C509||Malignant neoplasm of breast of unspecified site,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NA  NA 
Comparator Agent  NA  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  1. Patients admitted at A.V.B.R.H for lump in breast.
2. Female patients aged 18 or older.
3. Female breast cancer patients exhibiting intact, uninvaded skin of the nipple and areola.
4. Individuals diagnosed pathologically and radiologically with early-stage invasive breast cancer, devoid of distant metastasis.
5. Patients who have not previously undergone neoadjuvant chemotherapy, endocrine therapy, or targeted therapy.
6. Patients who express willingness to undergo Modified Radical Mastectomy.
7. Patients with no history of prior breast or axillary surgery.
8. Patients classified as T1 or T2 based on the 8th edition of the AJCC TNM staging system.
 
 
ExclusionCriteria 
Details  Pregnant status
Prior occurrence of any malignant tumor within the last five years
History of previous breast surgery
Diagnosis of multi-center, multifocal, or bilateral breast cancer, as well as ductal carcinoma in situ
The presence of severe systemic illness or dysfunction in any organ
Patients currently receiving or having received adjuvant chemotherapy, endocrine therapy, or targeted therapy
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The decision to perform or avoid axillary clearance can be determined by assessing the tumor location and measuring the distance between the tumor and the nipple-areolar complex.   3 month pre and post operative period 
 
Secondary Outcome  
Outcome  TimePoints 
n/a  n/a 
 
Target Sample Size   Total Sample Size="35"
Sample Size from India="35" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/12/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Breast cancer stands as the most prevalent form of cancer among women. This type of cancer often advances without noticeable symptoms, making routine screenings or self-examinations crucial for its detection. We hope to analyse whether tumour location (quadrants) and tumour–nipple distance can help in predicting axillary node positivity by using current data of patients that will be a part of our cross-sectional observational study. will be conducted on patients with Carcinoma of the breast, primarily T1 and T2 patients, according to the 8th A.J.C.C Classification of T.N.M staging. In this study, 35 patients will be included and the outcomes will be recorded and analysed at the end of the study. we aimto determine the correlation between the mean distance of the tumour and nipple-areola complex and nodal positivity of axillary lymph nodes. If we can demonstrate a correlation, this study may help to prevent needless axillary nodal dissection procedures. It could also help to reduce the expense of the sentinel lymph node biopsy equipment and therapy.

 
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