Reduction of the surgical excision rate in benign breast disease using fine needle aspiration cytology with immediate reporting

All breast lesions are not malignant, and all the benign lesions do not progress to cancer; however the accuracy of diagnosis can be increased by a combination of preoperative tests. About 30% of women suffer from breast disease in their lifetime. The main objectives are to explore the role of FNAC in diagnosis of breast disease at different ages. Fine needle aspiration cytology (FNAC) has become a critical component in the investigation of palpable breast masses. Total 208 cases included in this study at Comilla. The data was formulated and analyzed by SPSS-12. 79(37.98%) cases were at the age of 21-30 years and next one was 11-20 years which was 48(23.07%). Among them 40(19.23%) cases were malignant and 168(80.77%) cases were benign in nature. The incidence of malignancy was increased with relation to age. As the age is more chance of malignancy is more. In benign types fibroadenoma was the common disease then the duct cell carcinoma, fibrocystic change, suppurative inflammation respectively. The findings were 43.75%, 19.23%, 18.27% and 8.65%.In conclusion, fine needle aspiration cytology, for diagnosis of breast lump can reduce the number of open biopsy and surgery. DOI: http://dx.doi.org/10.3329/jbcps.v30i3.12462 J Bangladesh Coll Phys Surg 2012; 30: 137-140

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FINE NEEDLE ASPIRATION CYTOLOGY IN BREAST DISEASE MANAGEMENT—A 4 YEAR EXPERIENCE

ANZ Journal of Surgery ◽

10.1111/j.1445-2197.1987.tb01347.x ◽

1987 ◽

Vol 57 (4) ◽

pp. 239-242 ◽

Cited By ~ 6

Author(s):

G. Hiller ◽

M. Harney ◽

S. Legg ◽

S. A. Hart

Keyword(s):

Disease Management ◽

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Breast Disease ◽

Needle Aspiration ◽

Aspiration Cytology ◽

Fine Needle ◽

Needle Aspiration Cytology

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Use of fine needle aspiration cytology with immediate reporting in the diagnosis of breast disease

British Journal of Surgery ◽

10.1002/bjs.1800750906 ◽

1988 ◽

Vol 75 (9) ◽

pp. 847-850 ◽

Cited By ~ 22

Author(s):

S. Nicholson ◽

J. R. C. Sainsbury ◽

V. Wadehra ◽

G. K. Needham ◽

J. R. Farndon

Keyword(s):

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Breast Disease ◽

Needle Aspiration ◽

Aspiration Cytology ◽

Fine Needle ◽

Needle Aspiration Cytology

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Incisional Endometriosis: Diagnosed by Fine Needle Aspiration Cytology

Journal of Laboratory Physicians ◽

10.4103/0974-2727.72216 ◽

2010 ◽

Vol 2 (02) ◽

pp. 117-120 ◽

Cited By ~ 5

Author(s):

Veda P. ◽

Srinivasaiah M.

Keyword(s):

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Rectus Sheath ◽

Surgical Excision ◽

Needle Aspiration ◽

Cesarean Sections ◽

Aspiration Cytology ◽

Fine Needle ◽

Cytological Features ◽

Needle Aspiration Cytology

ABSTRACTIncisional endometriosis (IE) is a rare entity reported in 0.03–1.08% of women following obstetric or gynecologic surgeries. Most cases reported in literature have appeared after cesarean sections and were often clinically mistaken for hernia, abscess, suture granuloma or lipoma. We hereby report a case of IE following a second trimester hysterotomy, which was diagnosed by fine needle aspiration cytology (FNAC). Our patient was 26 years old, presenting with a mass over anterior abdominal wall, associated with incapacitating pain during each menstrual cycle. FNAC showed epithelial cells, stromal cells and hemosiderin laden macrophages. Based on the typical history, clinical and cytological features, the diagnosis of IE was established. Wide surgical excision was done and the resulting rectus sheath defect was repaired. Patient was followed for 6 months during which time she was symptom free. This article also reviews the spectrum of cytological features and the rare possibility of malignant transformation that can occur in IE.

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