Diagnostic Utlilty of FNAC in breast lesions and its correlation with histopathology
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Background- A palpable breast lump is a common diagnostic problem to both general practitioners and surgeons. FNAC is a valuable tool and it's advantage is to provide rapid accurate diagnosis, cost-effective, excellent patient acceptance and minimal or no morbidity. Based on the result of FNAC, further treatment can be plannned in most cases without proceeding for biopsy. Aim- Evaluate FNAC in different type of breast lesions and to compare the result with histomorphological study in the available follow-up and assess the accuracy of FNAC of breast. Material And Methods- The present study was conducted in Pathology Department of Hi-Tech Medical College from August 2014 to July 2017. During the study period, 382 patients who presented with palpable breast lump were included in the study and FNAC was performed. A total of 206 cases were followed up for histoppathology. Result- FNAC of 305 benign and 77 malignant cases were studied. Fibroadenoma followed by fibrocytic disease were most common in benign breast lesions and invasive ductal carcinoma, NOS was most common among malignant breast lesions. Cyto-histological correlation was done in 206 cases- 129 benign and 77 malignant of which 2 benign cases were found to be false negative. Accuracy was found to be 99.02%. A detailed comparative analyses with other authors' study was done. Conclusion- FNAC plays a main role to provide rapid and accurate diagnosis in OPD itself so that definite management decisions can be made straightaway. Diagnostic errors with subsequent inappropriate clinical decisions can be best avoided if clinician use the Triple diagnostic procedure of clinical examination, mammography and FNAC which increase the accuracy for diagnosis of breast carcinomas.
Authors and Affiliations
Dr. Anshulekha Patel, Dr. Tapaswini Bhuyan2, Dr. R. C. Mohanty3, Dr. Raghumani Mohanty4
Keywords
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- EP ID EP363961
- DOI 10.9790/0853-1702133140
- Views 90
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