Spectrum of male breast lesions diagnosed by fine needle aspiration cytology: A 5-year experience at a tertiary care rural hospital in central India

Background: Breast cancer is one of the most common malignancies in women worldwide (22%) and India ranks the second after cervical cancer. The diagnostic accuracy of FNAC increases to 99% when it is combined with clinical and radiological examination. In this study, authors plan to correlate the cytological findings with histopathological examinations for breast lesions and determine the accuracy of fine needle aspiration cytology in the diagnosis of breast lesions.Methods: It is a retrospective study carried out in the Department of Pathology at a Tertiary Care Hospital. All the FNAC results of breast lesions during the one year period were collected. Gauge needle maximum of 3 passes were made and the slides were fixed in 70-80% alcohol and stained with routine haematoxylin and eosin stain.Results: Among 200 patients, 197 were females and 3 were males. Benign breast lesions were found in 158 cases; among which fibroadenoma was the commonest lesion. Malignancy was observed in 25 cases. Two cases of phyllodes tumour were incorrectly reported as fibroadenoma on cytology. Of 12 cases which were diagnosed to have atypical lesions, 4 cases were papillary neoplasm, and 8 cases were atypical ductal hyperplasia.Conclusions: This study concludes that breast FNAC is a reliable, easy, cheap and effective procedure for the diagnosis. It reduces the need of core needle biopsies and very well correlated with histopathological examination. FNAC differentiates non neoplastic from the neoplastic by which it reduces the patient’s anxiety and helps the surgeons in planning the mode of treatment.

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Study of Breast Lesions in a Tertiary Care Centre : A Retrospective Study

Med Phoenix ◽

10.3126/medphoenix.v2i1.18387 ◽

2017 ◽

Vol 2 (1) ◽

pp. 48-51 ◽

Cited By ~ 1

Author(s):

Anand Kumar Chaurasiya ◽

Amit Kumar Patel ◽

Tarannum Khatun ◽

Debnarayan Jana ◽

Pramod Kumar Sarraf

Keyword(s):

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Tertiary Care ◽

Needle Aspiration ◽

Breast Lesions ◽

Aspiration Cytology ◽

Fine Needle ◽

Ductal Hyperplasia ◽

Needle Aspiration Cytology ◽

One Year

Background: To study the prevalence of various type of breast lesions in a tertiary care centre.Methods : The period of study was one year , from 1st January 2015 to 31st December 2015. Patients with breast lesions who came to department of pathology for Fine needle aspiration cytology were included in the study. There were 55 patients who came to the department for Fine needle aspiration cytology during one year period. Information pertaining to patients were taken from the medical record section and department of pathology of National medical college.Results: Out of 55 cases 17 patients (9.35%) were diagnosed with fibroadenosis, which was the highest followed by fibroadenoma (12 cases- 6.6%). Ductal hyperplasia was the least diagnosed disorder which was seen in only one patient (0.5%). Carcinoma of breast was diagnosed in three patients (1.65%). There were three (1.65%) male patients with breast lesions who were diagnosed with gynaecomastia.Conclusion: This study revealed that fibroadenosis was the most common disorder among the patients who came for fine needle aspiration cytology of the breast.Med Phoenix Vol.2(1) July 2017, 48-51

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