Reliability of Fine Needle Aspiration Cytology (FNAC) for Diagnosis of Breast Lumps Using Triple Test Assessment
Humera Shahzad, Noshaba Rahat, Muhammad Anwer, Amtul Qudos, Marvi Umair,Tahir Mukhtar Sayed
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ABSTRACT
Objective: The aim of this study
was to correlate the Fine Needle Aspiration Cytology (FNAC) diagnosis of breast
lumps with clinical examination and breast imaging (ultrasound and mammogram)
and to assess the reliability of FNAC to differentiate between benign and
malignant lesions of breast in available histopathological specimen
Materials and Methods: This is a
retrospective study of FNAC of breast lumps done in pathology department BMSI
from 1st January to 30thJune, 2019
Results: From 950 FNAC cases,
FNAC of palpable breast lump constituted 115(12. 3%).fibro adenoma was most
common diagnosis 25 cases (25.4%) among the younger age group with mean age
25.6years. 51 cases were diagnosed as suspicious, atypical or malignant on FNAC
showed average age 45 years. Two cases with suspicion of phyllodes tumor on ultrasound
was confirmed on FNAC
Conclusion: FNAC in association
with clinical assessment and breast imaging (Ultrasound and Mammogram) is
helpful for surgery planning and further management of breast lump.
Keywords: Fine Needle Aspiration Cytology, mammogram,
malignant phyllodes