DIAGNOSTIC PERFORMANCE OF FINE NEEDLE ASPIRATION CYTOLOGY (FNAC) IN THE DIAGNOSIS OF BREAST LUMPS
Abstract
Objective: The aim of the study was to evaluate the diagnostic performance of fine needle aspiration cytology in the diagnosis of breast lumps. Methods: All patients who underwent FNA breast lumps at Rehman Medical Institute, Peshawar during 2006 to 2008 were included in this descriptive cross-sectional study. The FNA procedure was performed & interpreted by experienced cyto-pathologists. FNAC of 102 breast lumps were analysed. Results: The age range of the patients was 15-80 years (mean 38.11 years). Inadequate cases were 2.94%, malignant 30.39%, atypical/suspicious of malignancy 6.86%, and benign 59.80%. Malignant lesions predominated in the 5th and 6th and benign in the 3rd and 4th decades of life. Conclusion: FNAC of breast is simple, cost-effective and less traumatic method for diagnosis of breast lumps. Combined with physical examination and imaging studies, it is a highly sensitive diagnostic tool and can reduce the need for open biopsy.
Keywords: FNAC, Breast lumps, Breast cancer, Breast, Diagnosis, CytologyReferences
Curling M. Fine needle aspiration of breast lesions. Practitioner 1985;229:221-3.
Haagesen CD. Disease of the breast. 3rd ed. Philadelphia: WB Saunders Company; 1986.
The Royal College of Pathologist working group for Breast Screening Pathology. Guidelines for Pathologist. NHSBP Publication No 2. Sheffield: NHS Breast screening Programme; 1989.
Qasim M, Ali J, Akbar SA, Mustafa S. Lump breast; Role of FNAC in diagnosis. Professional Med J 2009;16(2):2358.
Tiwari M. Role of fine needle aspiration cytology in diagnosis of breast lumps. Kathmandu Uni Med J 2007;5(2):215-7.
Hussain MT. Comparison of FNAC with excision biopsy of breast lump. J Coll Physicians Surg Pak 2005;15:211-4.
Naggada HA, Tahir MB, Musa AB, Gali BM, Mayun AA, Pindiga UH, et al. Correlation between histo-pathologic and fine needle aspiration cytology diagnosis of palpable breast lesions. A five review. Afr J Med Sci 2007;36:295-8.
Kocjan G. Needle aspiration cytology of the breast: Current perspective on the role in diagnosis and management. Acta Med Croatica 2008;62(4):391-401. [Article in Croatian]
Pradhan M, Dhakal HP. Study of breast lump of 2246 cases by Fine needle aspiration. J Nepal Med Assoc 2008;47(172):205-9.
Medina-Franco H, Abarca Perez L, Cortes-Gonzalez, Soto-Germes S, Ulloa JA, Uribe N. Fine needle aspiration biopsy of breast lesions: institutional experience. Rev Invest Clin 2005;57(3):394-8. [Article in Spanish]
Yeoh GPS, Chan KW. Fine needle aspiration of breast masses: an analysis of 1533 cases in private practice. Hong Kong Med J 1998;4:283-7.
Orell SR, Sterrett GF, Walter MN, Whitaker D. The breast manual and atlas of fine needle aspiration cytology. Edinburgh: Churchill Livingstone; 2005.p. 170.
Suen MWM, Chan MKM. The role of fine needle aspiration cytology in the diagnosis of breast lesions. Hong Kong Med J 1996;2:62-7.
Nguansangiam S, Jesdapatarakul S, Tangjitgamol S. Accuracy of fine needle aspiration cytology from breast masses in Thailand. Asian Pacific J Cancer Prev 2009;10:623-6.
Ahmed I, Nazir R, Chaudhry MY, Kundi S. Triple assessment of breast lump. J Coll Physcians Surg Pak 2007;17:535-8.
Jayaram G, Gupta M. Fine needle aspiration cytology of benign breast lumps: a review of experience with 651 cases. Malaysian J Pathol 1994;16(1):29-38.
Zuk JA, Maudsley G, Zakhour HD. Rapid reporting on fine needle aspiration of breast lumps in out patients. J Clin Pathol 1989;42:906-11.
Ariga R, Bloom K, Reddy VB, Kluskens L, francescath D, Dowlat K, et al. Fine needle aspiration of clinically suspicious palpable breast masses with histopathologic correlation. Ann J Surg 2002;184:410-3.
Boerner S, Fornage BD, Singletary E, Sneige N. Ultrasound guided fine needle aspiration of non-palpable breast lesion; a review of 1,885 FNA cases using the national cancer institute supported recommendation on the uniform approach to breast FNA. Cancer 1999;87:19-24.
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.