COMPARISION OF ROBINSON‘S CYTOLOGICAL GRADING WITH ELSTON‘S MODIFIED BLOOM RICHARDSON‘S HISTOLOGICAL GRADING IN BREAST CARCINOMA: A TWO YEAR STUDY IN A TERTIARY CARE HOSPITAL OF NORTH EAST INDIA.

Dr Deep Jyoti Kalita; Dr Barnali Das; Dr Tarali Pathak; Dr Samim Sultana Hoque; Dr Ranjita Sarma

Volume : VIII, Issue : I, January - 2018

COMPARISION OF ROBINSON‘S CYTOLOGICAL GRADING WITH ELSTON‘S MODIFIED BLOOM RICHARDSON‘S HISTOLOGICAL GRADING IN BREAST CARCINOMA: A TWO YEAR STUDY IN A TERTIARY CARE HOSPITAL OF NORTH EAST INDIA.

Dr Deep Jyoti Kalita, Dr Barnali Das, Dr Tarali Pathak, Dr Samim Sultana Hoque, Dr Ranjita Sarma

Abstract :

INTRODUCTION:Cytological grading has an important role in terms of therapy and prognosis of carcinoma east.However no uniform consensus have been made regarding reporting and acceptability of cytological gradings.

AIM: This study was done to compare the widely known Robinson’s cytological grading with Elston’s modified Bloom –Richardson’s method.

MATERIALS AND METHODS:We present a series of 72 cases who were clinically as well as radiologicaly suspected of having carcinoma east.The study period was between July 2014 to June 2016.Robinson’s nuclear grading was ascertained for all cases.Haematoxylin –eosin stained sections were examined for confirmation of cytological findings,modified R&B score was obtained.Concordance rate between both the grading system was determined.

RESULTS :The concordance rate between grade I tumours in cytology and histology was 73.33%,while for grade II tumours it was 72.22%.Grade III tumours showed a higher concordance rate of 81.25%.Overall concordance rate was 76.9%.

CONCLUSION:Precise cytological grading can guide the surgeon in determining the proper treatment and hence prevent unnecessary mastectomies as well as many deaths in future.