Comparative Study of Breast lumps by Fine Needle Aspiration Cytology and Core Needle Biopsy
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 7
Abstract
Breast is the most common site of various lesions that presents as palpable breast lumps including benign, inflammatory and malignant causes. Now a day’s incidence of breast cancer is increasing at its pace causing increase in morbidity in female patients particularly. This has called to initiate a diagnostic modality to detect breast cancers in early phases so as to combat the increasing morbidity due to breast cancers. Mammography is taking lead in early suspicion and detection of breast lumps. But Fine needle aspiration cytology is one of the most effective and specific for diagnosis of breast lumps. But fine needle aspiration cytology do have its own drawbacks and grey zone areas which has put core needle biopsy technique forth to obviate excisional biopsy along with giving advantages of tumor grading, staging and immunophenotypic analysis giving parallel results with that of gold standard histopathological diagnosis. Thus the present study has been conducted with the aim of utility of core needle biopsy in diagnosing breast lumps, comparing it with fine needle aspiration cytology results and initiating use of core needle biopsy as a routine technique wherever applicable. Total 107 cases studies showed maximum number of cases in the age group of 31-50 years of age. bethesda system was applied for reporting spiration cytology smears and core needle iopsy sections in 5 categories as benign, atypia, suspicious for malignancy, positive for malignancy, and unsatisfactory and results were compared. Benign lesions outnumbered malignant one both in fine needle aspiration cytology and core needle biopsy, Fibroadenoma was the most common benign and ductal carcinoma was most common malignant diagnosis given. In the category of intermediate or atypical cases proliferative breast disease was common diagnosis offered on aspiration smears. There were few cases which were diagnosed inadequate on cytology has given definitive diagnosis on core needle biopsy. Few cases which has given benign diagnosis out malignant on core needle biopsy. Histopathological diagnosis was available in 80 cases. Thus core needle biopsy has detected more breast carcinomas with sensitivity of 95.4% as compared to 60.5% sensitivity of aspiration cytology. Due to definitive diagnosis offered by core needle biopsy rate of suspicious lesions decreased replacing use of excisional biopsy.
Authors and Affiliations
Dr. Priyanka Asawa
Keywords
Related Articles
- EP ID EP619952
- DOI -
- Views 130
- Downloads 0
Crestal Bone Evaluation and Implant Success Rate In Type 2 Diabetic Patients after Immediate Loading of Dental Implants
Statement of problem : Diabetes was considered a contraindication for dental implants although recent research and clinical suggest a comparable success rate for diabetic patients as well but the current literature is la...
PowerPoint versus Chalkboard Based Lectures in medical teaching: Evaluation of Their Impact on Medical Student’s in Rajasthan.
Background- Medical education throughout the world is rapidly evolving and newer methods are being experimented to bring out better medical graduates who can coupe up with the changes that are taking place in the medical...
Evaluation of Modified Alvarado Score in Diagnosis of Acute Appendicitis at M.G Hospital Bhilwara Rajasthan
Background-The diagnosis of acute appendicitis is essentially clinical; however a decision to operate based on clinical suspicion alone can lead to removal of a normal appendix in 15-30% cas...
Knowledge and Attitude of People toward Epilepsy in a Tertiary Care Hospital of West Bengal.
Background: Epilepsy still remains a neglected issue in many developing countries. The disease is prevalent in all social strata and among all ages. Preventive public health awareness is necessary to address the ill effe...
Plunging Ranula in Children – A Case Report.
Few cases of plunging ranulas occur during childhood and the lesions are frequently misdiagnosed. Plunging ranula is an uncommon condition in children under 10 years of age. Here a plunging ranula in a child is reported...