ABSTRACT

GJRA

GJRA - Global Journal For Research Analysis

2250 - 1991

Indian Society for Health and Advanced Research

gjra-5-12-5832

Original Research Paper

Comparison of the diagnostic accuracy of FNAC and BIOPSY in the diagnosis of a palpable breast lump

Biren

Dr. Hansa

Jagdish

Dr.

December 2016

5 12 01 02 ABSTRACT

&nbsp;OBJECTIVE: To study and compare the results of FNAC of breast lumps preoperatively with that of the post operative histopathological examination and analyse the accuracy of FNAC in their diagnosis DESIGN: The study conducted was prospective (Canadian Task Force Classification II-I)<o:p></o:p> PATIENTS: The present study included 200 patients who presented with breast lumps and admitted to the surgery department of IMS Medical College &amp; SUM Hospital, Bhubaneswar and who underwent FNAC and subsequent breast lump excision as per their nature. The period of study was from October 2014 to September 2016 over a 2 year period.<o:p></o:p> MEASUREMENTS AND MAIN RESULTS:&nbsp;&nbsp; Patient average age was 40.5 yrs. The female to male ratio was 32.3: 1 with a female preponderence.The majority of the lumps were benign and premenopausal. FNAC gave 71% lumps to be benign and 29% as malignant. Histopathology confirmed 65.5% to be benign 2.5% to be inflammatory and 32% to be malignant. The sensitivity and specificity in detecting malignancy was 90.6% and 100% respectively. The overall accuracy of FNAC was 97%.<o:p></o:p> CONCLUSION: In our experience of 200 patients who underwent FNAC and subsequent excision for their breast lumps and histopathological confirmation, it was found that FNAC, though not confirmatory is a reliable screening method for diagnosis of breast lumps and correlates well with histopathology. The findings in our series were more or less similar to those deduced in other series.<o:p></o:p>