Spectrum of breast lesions and cyto- histopathological correlation - A retrospective study in a teaching institution in North Malabar
Journal Title: Indian Journal of Pathology and Oncology - Year 2018, Vol 5, Issue 2
Abstract
Introduction Breast carcinoma is the most common malignancy in women Fine needle aspiration Cytology FNAC is an important component of triple approach for diagnosing breast lesions and is highly sensitive specific rapid and easy to perform FNAC has an important role in the preoperative evaluation of breast lesions and deciding treatmentMaterials and Methods The present study was carried out among 350 patients who presented to a tertiary care hospital in North Malabar during a 4 year period from June 2013 June 2017 All cases that presented with breast lump were evaluated with FNAC and the lesions were categorised as C1 C5 as per National Health Service Breast screening programme NHSBSP reporting criteria In 240 cases cytohistopathological correlation was obtained and diagnostic accuracy of FNAC was determinedAims To study the spectrum of benign and malignant breast lesions and the efficacy of FNAC as a diagnostic tool by correlating with histopathological findingsResults Statistical analysis showed that sensitivity of FNAC was 9946 in benign lesions and 962 in malignant lesions The specificity and positive predictive value of malignant lesions were 9946 and 9807 respectively and that of benign lesions were 962 and 9893 respectivelyConclusions FNAC serves as a rapid and reliable tool for evaluation of breast lumps with high sensitivity and specificity However grey zone lesions of breast which shows atypical suspicious morphology needs confirmation by biopsyKeywords Fine needle aspiration cytology Breast lumps Histopathology Correlation
Authors and Affiliations
Amritha Malini. G, Mary Nandini Singh, K. A. Aisabi
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