IJAR - Indian Journal of Applied Research

Dr. E.Lakshmi Bai; Dr. B.Aneela; Dr. H.Sandhya Rani; Dr. S.Sandhya

Volume : VI, Issue : VI, June - 2016

A STUDY TO EVALUATE THE ROLE OF MAMMOGRAPHY AND FINE NEEDLE ASPIRATION CYTOLOGY IN THE DIAGNOSIS OF BREAST LESIONS

Dr. E. Lakshmi Bai, Dr. B. Aneela, Dr. H. Sandhya Rani, Dr. S. Sandhya

Abstract :

 AIMS AND OBJECTIVES : To study the efficacy of fine needle aspiration cytology and mammography in evaluation of east lesions and correlation between them. To describe age distribution and spectrum of various east lesions in the study subjects. MATERIAL AND METHODS : Present study comprises of 184 patients with east lesions who presented to the surgical and radiology department of MGM hospital over a period of 3 years between August 2012 and 31 July 2015.All patients presented with east lump underwent sequential mammography and FNAC. In all cases FNAC was performed after mammography. RESULTS : Among the 184 cases of east lesions, 90 cases were of BI–RADS category 2, 24 cases of category 3, 12 cases of category 4 and 48 cases of category 5. 10 cases were found to have normal study i.e. they belonged to category 1. Out of the 184 cases of east lesions with mammographic abnormality, 114 cases were benign and 60 cases showed malignant findings. For this, BI–RADS categories 2 and 3 were considered benign while categories 4 and 5 were considered malignant. Out of the 184 cases which were opined on FNAC, 120 cases were benign and 64 cases were malignant. Mammographically, 10 cases were of normal study while 114 had benign features and 60 cases showed features of malignancy. These 10 cases of mammographically normal study turn out to be 6 malignancies and 4 benign cases on FNAC CONCLUSION : From the above study it can be concluded that – Incidence of east lesions was maximum in the age group of 21–30 years and a female preponderance was observed. The occurrence of lesions was more in the right east . On FNAC, benign lesions were more common than malignant ones. The most common east lesion was fioadenoma. Among the malignancies, infiltrating ductal carcinoma – not otherwise specified constituted 95.31% of cases. Out of 10 cases, which were normal on mammography, 6 cases turned out to be benign and 4 cases were malignant by FNAC. Which indicates mammographic false negative cases and the diagnostic superiority of FNAC over mammgraphy. Hence diagnostic accuracy improved when combinations of diagnostic tools were employed. If malignancy is suspected, it should be evaluated for further investigations. Multidisciplinary approach reduces the errors in diagnosis