Role of Fine-Needle Aspiration Cytology in Evaluation of Breast Lumps

  • Ashish Kosthi
  • Maneesh Sulya Assistant Professor,Department of Pathology,Gandhi Medical College , Bhopal, M.P. Pin No.462001
  • Reeni Malik
Keywords: FNAC, breast lesions, fibroadenoma, ductal carcinoma.

Abstract

Background: Breast lump is most common presentation in most of the breast diseases. Fine-Needle Aspiration Cytology (FNAC) is the immediate tool of the physician when first time patient is examined. The method is rapid, accurate, minimally invasive and serve as a therapeutic procedure when a cyst is encountered.Method: This is a retrospective hospital based study conducted at department of Pathology,Gandhi Medical College, Bhopal over a period of two and a half years. It included 531 patients with breast lump attending the outpatient department (OPD).Result: FNAC was done on 531 cases of breast lump, 31 (5.84%) cases were not satisfactory and remaining 500 (94.16%) were satisfactory enough for a cytological diagnosis. Out of 500 cases, benign lesions were 358 (71.60%), malignant lesions were 87 (17.40%), inflammatory lesions were 41 (8.20%) and suspicious category include 14 (2.80%). Fibroadenoma was the most common benign lesion and ductal carcinoma was the common malignant lesion. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of FNAC was 98.13%, 100%, 100%, 98.98% and 99.34% respectively.Conclusion: FNAC of the breast lump is a simple, safe, economical, and rapid diagnostic procedure which can be used routinely on OPD basis, because the cytopathological examination of these lesions before operation or treatment serves as an important diagnostic modality.DOI: 10.21276/AABS.1602

Author Biography

Maneesh Sulya, Assistant Professor,Department of Pathology,Gandhi Medical College , Bhopal, M.P. Pin No.462001
Assistant Professor, Department of Pathology,Gandhi Medical College Bhopal m.p.

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Published
2017-08-18
Section
Original Article