Cytomorphology of breast lesions with historadiological correlation in a tertiary care centre of Puducherry
Journal Title: IP Archives of Cytology and Histopathology Research - Year 2018, Vol 3, Issue 1
Abstract
Introduction Breast cancer is the leading cause of morbidity amp mortality worldwide Breast being a surface organ is easily palpable for aspiration Diagnosis is often done by correlating fineneedle aspiration cytology FNAC findings with mammography The aim of this study was to evaluate the FNAC in the diagnosis of breast lesions and to correlate cytological findings with histopathology findings along with mammographyMethodology Over a period of three years 329 aspirations were performed 158 4803 cases that had followed up by histopathological examination were included in the studyResults Among the 158 cases studied 154 9747 cases were females and 4 253 cases were males The incidence of breast lesions was maximum in the range of 21 to 30 years of age 2468 Most commonly encountered benign breast lesion was fibroadenoma 7053 Most commonly encountered malignant breast lesion was IDC 3095Taking histopathology as the golden standard for diagnosis we calculated the sensitivity specificity diagnostic accuracy positive predicitve value negative predictive value of FNAC and mammography The sensitivity specificity positive predicitve value negative predictive value of a mammogram were found to be 9868 7812 9817 and 8333 respectively while that of FNAC were found to be 8723 100 9605 100 and 9487 respectivelyConclusion From present study it is evident that benign breast lesions are common than malignant lesions The simplicity rapidity lack of morbidity high sensitivity high specificity and cost effectiveness of FNAC makes it the most valuable tool in the evaluation of both neoplastic and nonneoplastic breast lesionsKeywords FNAC Biopsy Fibroadenoma
Authors and Affiliations
Trisha Banik, Shanmugasamy. K, Anandraj Vaithyanathan, Dhananjay S. Kotasthane
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