The role of fine needle aspiration cytology as a first line investigation in the diagnosis of palpable breast masses: A rural population study.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Background Breast cancer is one of the commonest malignancies in women worldwide and the preoperative evaluation of breast lumps is an essential part of management of breast carcinoma. Diagnostic accuracy of FNAC is further increased with cell block preparations. In addition to its high diagnostic accuracy, FNAC offers advantages such as minimal invasiveness, less discomfort, cost effectiveness, and rapidity of result. Breast FNACs compare very well with histology for excision biopsies. Aim: To determine the diagnostic accuracy of FNAC in the evaluation of palpable breast lumps among rural population. Methodology: This combined retrospective and prospective study on palpable breast lumps was carried out in the departments of General surgery and Pathology at Karpaga Vinayaga institute of medical sciences, from june2015- june2018 for a period of three years. Results: Of the 73 cases of benign report by fine needle aspiration cytology, 72 were confirmed by histopathology. False negative were 1 case. False positive was zero. Of the total 22 cases of malignant lesions, fine needle aspiration cytology reported 22 as malignant. False negative and false positive was zero. Sensitivity was 95% and specifity was 100%. Conclusion: FNAC is a fast, simple and cheap outpatient procedure in diagnosis of breast lumps. FNAC is a very important preliminary diagnostic test in palpable breast lumps, and if done by expert hands, the results show a high degree of correlation with the final histopathology report. In rural population it’s very affordable, cost effective and a reliable investigation.
Authors and Affiliations
Dr. Sithyathiya Munavarah, Dr. M. Ramula
Keywords
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- EP ID EP465088
- DOI 10.9790/0853-1802030105.
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