CYTOLOGICAL STUDY OF SPECTRUM OF LESIONS OF PALPABLE BREAST LUMPS BY FNAC AT SMIMER HOSPITAL, SURAT

Abstract

Background: Palpable breast lumps are quite common which can be benign or malignant. Carcinoma breast is the second most common cancer after cervical cancer. Fine needle aspiration cytology (FNAC) is a minimally invasive, rapid, reliable and cost-effective outdoor procedure to provide effective diagnosis and way to further planning of treatment without need for biopsy.

Objective: To study the spectrum of various breast lesions on cytomorphology.

Methods: This was a one-year study from January 2018 to January 2019 including 160 cases aspirated from palpable breast lumps. Physical examination of breast lumps by palpation was done. Cytological diagnosis was made.

Results: On cytomorphological study of 160 breast lump aspirates 15 (9.38 %) were inflammatory lesions, 96 (60 %) benign, 49 (30.62 %) malignant. The most common benign lesion in the present study was fibroadenoma 62 (64.58 %) and the most common malignant lesion was ductal carcinoma 45 (91.84 %).

Conclusion: Fine needle aspiration cytology is a rapid and reliable tool to provide effective diagnosis in palpable breast lumps. It should be used as routine diagnostic procedure to provide the effective health care to the patients with breast lesions.