Abdul Rauf, Warda Hussain, Sohaib Shahid

Pattern of Malignant Breast Disease on FNAC

Abdul Rauf, Warda Hussain, Sohaib Shahid




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.

Conclusion:  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 prognosis.

Keywords:  FNAC, ductal carcinoma, breast malignancies

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