FNAC AS PREOPERATIVE DIAGNOSTIC TOOL FOR NEOPLASTIC AND NON-NEOPLASTIC BREAST LESIONS: A TEACHING HOSPITAL EXPERIENCE

Abstract

Aims & objectives: Fine needle aspiration cytology is a quick, simple and accurate method for diagnosing different breast lesions. To study the role of FNAC as alternative to open surgical biopsy and accordingly to decide management of breast lump and also to study various cyto morphological patterns of breast lesions and compared them with histopathological examination, to determine the diagnostic accuracy of cytology.

Materials &methods: 293 cases of palpable breast lump patients were studied at the GMERS Medical College & General Hospital, Sola, Ahmedabad from April 2010 to august 2014. FNA for cytological examination was carried out in all of them. Biopsies for Histopathological study were received in 104 patients.

Results: Out of 293 cases studied, on cytology 211 cases were diagnosed as benign breast lesions, 29 cases were reported as atypical/suspicious morphology and 49 cases were diagnosed as malignant breast lesions. Biopsy specimen were received in 104 cases. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 94%,98.5 %,97 %,97 % and 97% respectively.

Conclusion: FNAC is simple, rapid, highly sensitive and specific, cost effective method in the evaluation of the breast lesions. It is helpful in decreasing radical and invasive surgical procedures particularly in non-neoplastic breast lesions.