A Hospital Based Comparative Evaluation of the Diagnostic Accuracy of FNAC with Histopathology in Benign and Malignant Breast Lumps
Creators
- 1. Senior Resident, Department of Pathology, AIIMS, Patna, Bihar, India
Description
Aim: The aim of the present study was to compare the diagnostic accuracy of fine needle aspiration cytology (FNAC) and with histopathological correlation in patients with detectable breast lesions. Methods: The study was conducted in the Department of Pathology, AIIMS, Patna, Bihar, India for a period of two years. During this period, 120 fine needle aspiration were performed for various breast lumps. Out of these, 60 patients underwent surgery and form the material of the study. Results: A total of 60 patients presenting with palpable breast lumps were included in this study. The maximum number of patients attended were in 41–50 years of age group ( 18 cases, 30%), followed by 51–60 years (25%) with mean age of the patient was 46.93 years. The maximum number of benign lesions (12 in number) occurred in 31–40 years of age group and the maximum number of malignant lesions (18 in numbers) occurred in 41–50 years of age group. In FNAC, 57 cases were labelled as benign and 3 cases were malignant. Out of the 60 cases, 40 patients had fibroadenoma, 2 patients had phylloid tumor, 1 tubular adenoma, 3 fibrocystic disease of breast, 4 patients had inflammatory or breast abscess, 2 patients had gynaecomastia and in 2 cases no opinion was given. Out of the 4 malignant cases in HPE, 2 patients had a diagnosis of ductal cell carcinoma and 4 patients infiltrating ductal carcinoma. Conclusion: Fine needle aspiration cytology is a comfortable, easy, reliable, rapid and simple diagnostic test. The FNAC of breast lump should be used with” triple test” for preliminary investigation in outdoor patient department, which will further enhance the diagnostic accuracy of breast lumps.
Abstract (English)
Aim: The aim of the present study was to compare the diagnostic accuracy of fine needle aspiration cytology (FNAC) and with histopathological correlation in patients with detectable breast lesions. Methods: The study was conducted in the Department of Pathology, AIIMS, Patna, Bihar, India for a period of two years. During this period, 120 fine needle aspiration were performed for various breast lumps. Out of these, 60 patients underwent surgery and form the material of the study. Results: A total of 60 patients presenting with palpable breast lumps were included in this study. The maximum number of patients attended were in 41–50 years of age group ( 18 cases, 30%), followed by 51–60 years (25%) with mean age of the patient was 46.93 years. The maximum number of benign lesions (12 in number) occurred in 31–40 years of age group and the maximum number of malignant lesions (18 in numbers) occurred in 41–50 years of age group. In FNAC, 57 cases were labelled as benign and 3 cases were malignant. Out of the 60 cases, 40 patients had fibroadenoma, 2 patients had phylloid tumor, 1 tubular adenoma, 3 fibrocystic disease of breast, 4 patients had inflammatory or breast abscess, 2 patients had gynaecomastia and in 2 cases no opinion was given. Out of the 4 malignant cases in HPE, 2 patients had a diagnosis of ductal cell carcinoma and 4 patients infiltrating ductal carcinoma. Conclusion: Fine needle aspiration cytology is a comfortable, easy, reliable, rapid and simple diagnostic test. The FNAC of breast lump should be used with” triple test” for preliminary investigation in outdoor patient department, which will further enhance the diagnostic accuracy of breast lumps.
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IJPCR,Vol15,Issue2,Article159.pdf
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Additional details
Dates
- Accepted
-
2023-02-04
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue2,Article159.pdf
- Development Status
- Active
References
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