Fine Needle Aspiration Cytology- A pre-operative diagnostic modality in Breast Lump- A review of 287 cases in a Tertiary Care Hospital

  • Maryyam Rehan Final year medical student, Rawalpindi Medical University
  • Maryam Qaiser Final year medical student, Rawalpindi Medical University.
  • Ammara Ijaz Assistant Professor, Pathology Department, Holy Family Hospital.
Keywords: Breast cancer, Fibroadenoma, Breast lump, FNAC

Abstract

Background: FNAC is used as a pre-operative diagnostic modality because it helps us to identify the type of lesion, it also helps us to diagnose the type of breast cancer. Breast cancer is among the most prevalent malignant tumors, it is one of the leading cause of cancer related deaths. Physical examination is aided by FNAC to reach an appropriate diagnosis. This study is carried out to find out the frequency of distribution of different types of palpable breast lesions with the help of FNAC technique
Materials and Methods: This is a retrospective study in which FNAC was carried out on 278 female patients presenting with breast lump or mass. We recorded the age of the patients, site and size of lesion along with lymph node involvement.
Results: The age group ranged from 14-85 years of age with a mean of 30.54. The most common finding in the FNAC turned out to be fibroadenoma 33.8% (97 cases). Next to fibroadenoma was fibrocystic disease/change 15.3% (44 cases). Malignancy was reported in 10.5% (30 cases). Other inflammatory lesions involved abscess 11.5% (33), mastitis 2.8% (8), fat necrosis 0.3% (1).
Conclusion: FNAC is found to be a highly cost effective, simple and accurate method. It is less traumatic and easily available procedure and carried out in the outpatient departments. It can be used as a diagnostic modality in breast lumps to guide about the proper intervention and prevent from mortality and morbidity. It can also be used as a screening procedure.

Published
2019-02-18
How to Cite
1.
Rehan M, Qaiser M, Ijaz A. Fine Needle Aspiration Cytology- A pre-operative diagnostic modality in Breast Lump- A review of 287 cases in a Tertiary Care Hospital. JRMC [Internet]. 18Feb.2019 [cited 25Oct.2020];23(S-1):12-7. Available from: https://www.journalrmc.com/index.php/JRMC/article/view/1028