DIAGNOSTIC UTILITY OF FNAC IN BREAST LESIONS AND ITS CORRELATION WITH HISTOPATHOLOGY; A TERTIARY CARE HOSPITAL BASED STUDY

Dr. Nilam Kumari; Dr Anshu Jamaiyar; Dr. Santosh Kumar

Volume : VII, Issue : IX, September - 2018

DIAGNOSTIC UTILITY OF FNAC IN BREAST LESIONS AND ITS CORRELATION WITH HISTOPATHOLOGY; A TERTIARY CARE HOSPITAL BASED STUDY

Dr. Nilam Kumari, Dr Anshu Jamaiyar, Dr. Santosh Kumar

Abstract :

BACKGROUND

Breast lesions most commonly present as east lump. Breast carcinoma is the most frequent cancer among women worldwide. FNAC is the initial first line of investigation in evaluating east lesions because of its reliability, rapidity,cost effectiveness, lack of requirement of anaesthesia and minimal or no morbidity. On the basis of the result of FNAC, further treatment can be planned in most of the cases.

AIMS

To determine the accuracy of FNAC in the diagnosis of east lesions and to correlate the cytological findings with histopathological examination.

MATERIAL AND METHODS

The present work is aretrospective type of study, conducted in the department of pathology of a tertiary care hospital, RIMS Ranchi over a period of one year from July 2017 to June 2018. In present study cyto–histopathological correlation was donein 88 patients.

RESULTS

Out of 88 patients, 58(65.91%)cases were benign, 28(31.82%)cases were malignant and 2(2.2%)cases were inflammatory on cytological examination. On histopathological examination 55(62.5%) cases were benign and 31(35.23%)cases were malignant and 2(2.27%) cases were found to be inflammatory. FNAChad sensitivity of 90.32%, specificity of 100% positive predictive valueof 100% and negative predictive value of 94.83% and cyto–histopathological correlation was found in 96.51% cases in our study.

CONCLUSION

FNAC is an easy, cost effective, less time–consuming and less traumatic method for diagnosis of east lesions. FNAC can provide a preoperative diagnosis of both benign and malignant lesions with reasonable accuracy as compare to histology.