Background: Fine needle aspiration cytology (FNAC) is an important part of triple
assessment in the diagnosis of malignant breast lesions.
Aim: To study
the pattern of breast malignancy on
FNAC in a tertiary care center of District Gujrat, Punjab.
Methods: It was
a retrospective, cross-sectional study of
the malignant lesions reported with fine needle aspiration cytology of breast
lesions conducted in the Department of Pathology, Nawaz Sharif Medical College,
University of Gujrat, Pakistan. The sampling was done in Aziz Bhatti Shaheed
Teaching Hospital and a private hospital in Gujrat from January 1, 2015 to
September 30, 2018 (3 years and 9 months). FNAC of 1409 breast lumps were done
by standard procedure; smears were prepared and stained with H&E, Giemsa
and pap for evaluation.
Results: Mean age
of the patients is 50.4 years. A total of 462 (32.8%) cases were diagnosed of
having malignancy. Fifth decade was on top of all with 27.7% of the cases with
malignancy. Sixth decade was next in frequency with 24.5% of cases. Ductal
carcinoma was the most frequently reported malignancy comprising 68% of the
patients. Ipsilateral axillary lymph node metastasis was observed in 92 (19.9%)
of our patients.
There is a high incidence for breast cancer
in our region with ductal carcinoma being the most common one. Significant no
of cases presented with axillary lymph node metastasis. So there is a need for
awareness about this cancer among the people as early detection leads to good
Keywords: FNAC, ductal carcinoma, breast malignancies