Cytomorphological study of breast lesions with histopathological co-relation

Authors : Shashikala Hiremani, Shashikala Hiremani, Shivananda Gundalli, Shivananda Gundalli, Suma Mamadapur, Suma Mamadapur, Mamata Patil, Mamata Patil, Renuka Alagageri, Renuka Alagageri

DOI : 10.18231/j.jdpo.2019.062

Volume : 4

Issue : 4

Year : 2019

Page No : 299-307

Introduction: Breast Lesions (BLs) are commonly encountered in routine practice and have increased
importance due to awareness of breast carcinoma, potential cosmetic disfigurement following surgery,
hence BLs are one of indication for fine needle aspiration cytomorphology (FNAC).
Objectives: 1) To study FNAC of various BLs. 2) To evaluate diagnostic accuracy of FNAC in comparison
with Histopathology (HP) study.
Materials and Methods: A retrospective study of 4 years included all 103 BLs cases (palpable and n on
palpable) presented to Department of Pathology, District Hospital Vijayapur for FNAC, from Jan-2015 to
Dec-2018. FNAC study was carried out, diagnosis were categorized. Out of 103 FNAC performed cases,
76 cases were referred to HP examination and diagnosed at Department of PathologyAl-Ameen Medical
College Vijayapur. The HP slides were retrieved and analyzed. Data was collected from cytology and HP
case records. Cytological diagnosis were compared with HP diagnosis and FNAC diagnostic accuracy was
assessed.
Observations: Total of 76 cases were included in the study, there were 74 females and 2 were males with
age range of 18-65 years. Out of 76 cases 71 cases correlated with HP diagnosis, with diagnostic accuracy
of 93.4% (71/76 cases), with highest number of benign BLs 92.1% (70/76 cases) and 100% correlation to
malignant BLs (06/0 6 cases).
Conclusion: Study reveals that there is good correlation of FNAC diagnosis with HP diagnosis. Hence
FNAC is a useful, valuable, quick and reliable primary screening technique for breast lesions with high
diagnostic accuracy.

Keywords: Breast, Correlation, FNAC, Histopathology..


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