To correlate cytological findings with histopathological findings and to determine the accuracy of FNAC in the diagnosis of breast lesions

Abstract

Aim: To determine the accuracy of FNAC in the diagnosis of breast lesions.

Materials and Methods: This retrospective study was carried out in the Department of Pathology, Jawaharlal Nehru Medical College and Hospital Bhagalpur, Bihar, India from march 2018 to December 2018. Total 200 all cases of breast lump FNAC in which cytological impression could be given were included in the study. The patterns evaluated were biphasic, inflammatory, fluid rich, epithelial cell rich, spindle cell rich, small round cell rich and pleomorphic. Results: The accuracy of present study in diagnosing breast neoplasms is 97.5% .The specificity of 99% and the sensitivity of 96%. Conclusion: Systematic pattern analysis and systematic categorisation of the breast lesions as per patterns, assists the cytopathologists to reach the final impression. Each pattern has its own implications for management and has a variable risk of malignancy.

Keywords: FNAC, Breast cancer, accuracy, histopathology