Abstract

Background: The present study is aimed at correlation of cytological and histological findings of palpable breast mass and evaluate efficacy of FNAC as a first line of investigation modality in breast lump.Material Method: Total 378 female patients with breast lump were subjected to fine needle aspiration cytology examination and reported by using five tire system for breast cytology. Out of 378 cases, in 300 cases cytological findings were correlated with histological diagnosis.Results: In present study, all benign, malignant and suspicious cases on cytology were well correlated with their histological diagnosis. The sensitivity, specificity and positive predictive value of FNAC for palpable breast lump are 97.7%, 98.8% and 97.7% respectively.Conclusion: FNAC of breast lump is an effective, rapid, cost effective, though simple diagnostic procedure with excellent patient compliance. It is giving high accuracy rates when practiced by and experienced hand; making it one of the most reliable modality for evaluation of palpable breast mass. DOI: 10.21276/APALM.1385

Highlights

  • Palpable breast mass is the commonest presentation at surgical OPD

  • FNAC carried out by a well trained, experienced hand, has high accuracy rate observed in many series.[3,4] This makes it most reliable element of the triple test in cases where the three modalities are no concordant.[5,6]

  • FNAC is a cost effective, simple diagnostic procedure for palpable breast lumps,(7) which can be used on OPD basis without hospitalization of the patient

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Summary

Introduction

Palpable breast mass is the commonest presentation at surgical OPD. Breast malignancy is one of the commonest malignancy in women worldwide and its incidence increases with age.[1]. FNAC is a cost effective, simple diagnostic procedure for palpable breast lumps,(7) which can be used on OPD basis without hospitalization of the patient. Present study is done to evaluate efficacy of FNAC in cases of palpable breast lesions, which is done by correlating cytological findings with histological diagnosis. The present study is aimed at correlation of cytological and histological findings of palpable breast mass and evaluate efficacy of FNAC as a first line of investigation modality in breast lump. Conclusion: FNAC of breast lump is an effective, rapid, cost effective, though simple diagnostic procedure with excellent patient compliance It is giving high accuracy rates when practiced by and experienced hand; making it one of the most reliable modality for evaluation of palpable breast mass

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