Cytomorphological classification of Breast lesion on basis of International Academy of Cytology (IAC) Standardized Reporting System in Tertiary health care hospital

Abstract

Introduction: International Academy of Cytology (IAC) standardized syatem is established for breast fine-needle aspiration cytology (FNAC) reporting. They have five categories devided into C1 to C5. (C1-Insufficient material, C2-Benign lesion, C3- Atypical, C4-Suspicious & C5-Malignant lesion). Aims and Objectives: The aim of our study was categorize breast lesions according to International Academy of Cytology (IAC) standardized reporting system. Materials and Methods: The present study was done during the period between January 2019 and December 2020 in the department of pathology VBCH, Silvassa. 10ml/5ml syringe and 23 gauge needles were used and two types of smears made. 1)Wet smears were stained by H& Eosin stain and 2)dry smears were stained by Giemsa stain. Results: A total 275 cases of Breast were included in the study with 269 (97.82 %) females and 06 (2.18 %) males.We had a wide age group patient ranging from 11 years to 79 years. Most of the cases (60.5%) were in age group of 2nd and 3rd decade, with a predominance of right sided breast lesions.58 (21.09%) malignant (C5), 192 (69.81%) were benign (C2), 09 cases (2.91%) were benign lesions but having nuclear atypia (C3) , 04 cases (1.45%) were suspicious for malignancy (C4) and 12 cases(4.36%). were unsatisfactory for evaluation (C1) . Conclusion: Fine needle aspiration is cost effective, rapid, simple and highly sensitive diagnostic tool. IAC standardized reporting system for breast cytology enhance the diagnostic accuracy of FNAC.