Study of Cytomorphological Analysis of Palpable Breast Lumps by FNAC in A Tertiary Care Hospital

Dr Patil Tushar; Dr Badhe Pallavi

Volume : IX, Issue : I, January - 2019

Study of Cytomorphological Analysis of Palpable Breast Lumps by FNAC in A Tertiary Care Hospital

Dr Patil Tushar, Dr Badhe Pallavi

Abstract :

Breast carcinoma is the leading cause of morbidity and mortality due to cancer in women. More than 1million cases of east carcinoma are occurring worldwide annually. FNAC of palpable east lumps is having a very high sensitivity, specificity and accuracy.The present hospital based observational study was done in pathology department of YCM Hospital, Pune over a period of three years and from January 2015 to December 2017 to assess the distribution of various cytomorphological patterns of clinically palpable east lumps by fine needle aspiration cytology technique. In the present study FNAC was done on 629 consecutive cases of palpable east lumps referred to the pathology department. After doing FNAC, three alcohol fixed smears were prepared. First smear was stained with ZN stain by Kenyon’s modified method using 20 % H2SO4, second with routine Hematoxylin Eosin stain while third one was air dried and studied with Leishman’s stain. All malignant cases were sent for biopsy to confirm the diagnosis. All data regarding mastitis, benign and malignant lesions was collected and analyzed statistically. Out of 629 cases 362 (57.55 %) patients were found benign and 95 (15.10%) were malignant, 82(13.03%) cases were diagnosed having inflammatory lesions. Fioadenoma was the most common benign lesion found in 185 (51.10%) patients. Malignant east lesions were found in 95 (15.10%) cases, among which Ductal adenocarcinoma 71 (74.73%) cases was commonest type. Fine–needle aspiration cytology is a rapid and effective method for the primary categorization of palpable east lumps into benign, malignant, inflammatory lesions.