Abstract
Background: Fine-needle aspiration cytology (FNAC) is a simple, accurate, and safe procedure for the diagnosis of palpable breast lumps (PBLs), yet in certain situation there is a need for more definitive and more invasive techniques such as core needle biopsy (CNB) to touch a definitive diagnosis. This procedure is performed instead of excisional or frozen section in some breast cancer units. The aim of this study was to analyze if FNAC is still an accurate procedure for diagnosis of PBLs as well as to correlate between FNAC and histopathological findings of CNB in PBLs. Material and methods: An observational study was conducted on 66 patients presenting with PBLs. All these patients underwent outpatient FNAC. Core needle biopsy (CNB) was performed for the inadequate, suspicious, and malignant cases. Evaluation of all the prepared cytologic and histopathological slides was done. Results: benign tumors are forming the major component of FNAC cases that seen, majority of them is fibroadenoma. Conversely 7 cases are cytologically malignant that proved histologically to be malignant. Three out of 6 cases that are cytologically highly suspicious are diagnosed malignant histologically. Conclusion: in spite of the simplicity, rapidity, and cost effectiveness of FNAC in the preoperative diagnosis of cancer, tissue diagnosis by CNB is highly recommended in selected cases for more confirmation.
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