Journal de cytologie et d'histologie

A Study of Age wise Spectrum of Breast Lump Biopsies with FNAC Correlation a 3-Year Experience from a Tertiary Health Care Centre

Abstract

Dr. Pratibha Patil* and Dr. Sridhar H

Introduction: Breast cancer is the commonest malignancy in women worldwide and leading cause of death from cancer in women. So the preoperative evaluation of breast lumps is an essential part of the management of breast lesions. Fine needle aspiration cytology (FNAC) is a well-accepted procedure and is a valuable tool in the diagnosis and patient management of breast lesions. It has high diagnostic accuracy. This helps the clinician in planning the correct surgical or medical treatment.

Aim: Correlation of breast lump FNAC with biopsies

Materials and Methods: 3 years retrospective study of 90 patients attending outpatient department of M.S.RAMAIAH Medical College from JAN 2015 to DEC 2017 presented with breast lump in women, who underwent FNAC in the Department of Pathology were correlated with histopathology in 90 cases.

Results: Out of 90 cases 67 benign and 23 were malignant. Maximum cases (24) seen in 21 -30 years, most of them were benign conditions. Fibro adenoma was the most common benign condition (32.8%). Malignant cases were seen more in the 5th decade. IDC was the most common type. Diagnostic accuracy of FNAC for malignant condition was 68.96%.

Conclusion: The results of our study showed FNA of breast lump to be a reliable method to diagnose breast lump with high accuracy. Triple assessment by clinical, radiological and FNAC can produce 99% accuracy for both benign and malignant lesions. Histopathological study acts as an internal quality measure for Cytological diagnosis .It is the gold standard for diagnosis of neoplastic lesions.