A Study of Fine Needle Aspiration Cytology of Breast Lump With The Use of National Health Service Breast Screening Program (NHSBSP) - Study Of 500 Cases
Abstract
Background: FNAC is rapid, simple, safe, cost effective and good screening procedure with high sensitivity and specificity. Clinically, the diseases of breast mainly present as palpable breast lump, pain and nipple discharge. Most of the breast lumps are benign but pose a significant anxiety to the patient, which can be allayed by giving assurance that, usually it is benign. So it is necessary to distinguish benign from malignant conditions Methods: The present study on was carried out during June 2017 to May 2019. We categorized the patients into C1 (Inadequate), C2 (Benign), C3 (Atypia, probably benign), C4 (Suspicious of malignancy) and C5 (Malignant) category according to NHSBSP and correlated histopathologically whenever available. Result: Total 500 cases examined. Majority of the cases were in the 3rd decade of the life. Benign category comprised of 368 cases (73.6%), followed by malignant disease 61 (12.2%). Fibroadenoma was most common comprising of 230 cases (62.3%) among benign cases. Out of 230 cases of Fibroadenoma, most (89) cases were in 21-30 years age group, followed by 11-20 years age group. Breast carcinoma was most common (31.1%) in 41-50 years age group and 61-70 (27.9%) years age group followed by 51-60 (19.7%) years age group. Conclusion: FNAC of breast lesions is advantageous for both clinicians and patients because of its immediate results, economy, and accuracy. FNAC has got significant diagnostic value in differentiating benign from malignant lesions providing us valuable information for planning of subsequent therapeutic management and avoiding unwanted surgeries.References
Devi B, Singh K, Bhardwaj S. Cytomorphological Pattern of Breast Lesions Diagnosed on Fine Needle Aspiration Cytology in a Teritary Care Hospital.JKscience.2018;20(2):57–60.
Gupta R, Dewan D, Kumar D, Sharma R. Utility of fine-needle aspiration cytology as a screening tool in diagnosis of breast lumps. Int Surg J.2017;4:1171-5.
Singh P, Chaudhry M, Nauhria S, Rao D. Cytomorphological patterns of breast lesions diagnosed on fine-needle aspiration cytology in a tertiary care hospital. Int J Med Sci Public Health.2015;4:674-679.
Abraham B, Sarojini TR. Cytological Scoring of Breast Lesions and Comparison with Histopathological Findings.J Cytol.2018;35:217–22.
Sandeepa S, Udayakumar M. Cytomorphological study of breast lesions with histopathological correlation. PARIPEX - Indian Journal Of Research. 2015;4(3):6–11.
Bhagat R, Bal MS, Vk B, Ak S. Cytological study of palpable breast lumps with their histological correlation.Int J Med and Dent Sci. 2013; 2(2): 128-136
Rathi M, Khalid M, Budania SK, Mittal A, Verma N. A clinicopathologic study of various breast lesions with cytohistological correlation. Muller J Med Sci Res. 2015;6:16-22
Gray W, Kocjan G.Diagnostic Cytopathology.3rd edition.Elsevier;2010: chapter 4:179-230
Cibas ES, Ducatman BS.Cytology Diagnostic Principles and Clinical Correlates. 4th edition.Elsevier;2014.
Silverberg SG, Silverberg’s Principles and practice of Surgical pathology and Cytopathology. 4thedition.Churchil Livingstone;2005: chapter 19:423-425
Orell SR, Sterrett GF. Fine needle aspiration cytology.5th edition. Elsevier;2012
Zardawi I, Weigner J. The legitimacy of the atypical ( C3 ) breast cytology category. Journal of Diagnostic Pathology.2016;11:5‐11
Rosen LE, Gattuso P. Neuroendocrine Tumors of the Breast.Arch Pathol Lab Med. 2017;141:1577–1581
Young NA, Mody DR, Davey DD. Diagnosis and Subclassification of Breast Carcinomaby Fine-Needle Aspiration Biopsy. Arch Pathol Lab Med.2002; 126:1453–7.
Vijayabharathi, A. Bhagyalakshmi, J. Rajendra Prasad, S. Satish Kumar.Prospective Study of CYTO Histopathological Correlation of Breast Lesions. Journal of Evidence based Medicine and Healthcare. June 15, 2015; 2(24): 3577-3586.
Kujur P. Fine-Needle Aspiration Cytology of the Palpable Breast Lump of 106 Cases and Correlation with Histologic Diagnosis: A Prospective Analysis. Int J Sci Stud. 2015;3(9):111-115.
Sulhyan KR., DD Manek , Deshmukh BD. Fine Needle Aspiration Cytology of Breast Lesions- A Practical Diagnostic Modality. Journal of Medical Science and Clinical Research October. 2017;05(10):28806–12.
Copyright (c) 2022 Neha Shivkanth Shahu, Bhavna Nilesh Gamit, Sheetal Pankajbhai Sheth, Sweta Ashokbhai Sutariya, Harshal Harsukhbhai Kukadiya
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access at http://opcit.eprints.org/oacitation-biblio.html).
