Pattern Of Breast Lumps And Diagnostic Accuracy Of Fine Needle Aspiration Cytology; A Hospital Based Study From Pondicherry, India

Introduction Breast cancer is the second most common cancer in women. FNAC is simple, rapid and safe method to diagnose breast lumps. FNAC has high sensitivity, specificity and accuracy.Objectives The aim of study was to correlate the FNAC diagnosis with histopathology and to find out the pattern of breast lump, sensitivity and specificity of FNAC in diagnosis of breast lumps in our institution. Method The present study was done in department of Pathology of Sri Venkateshwara Medical college Hospital and research Centre, Pondicherry, India from June 2008 to May 2010. The FNAC was done in 102 cases and histopathology was available in 77 (75.49%) cases for correlation with cytology.ResultsThe result shows 3.92% cases were male while 96.08% female. Age of the patient was range from 1652 years with mean age of 30 years. In our study fibroadenoma was most common benign lesion in the breast which account 45.09% of the total breast lesion, and 89.1% seen in the age group of 10-30 yrs. Study includes 9(8.82%) cases of malignancy with mean age of 46 years. The sensitivity and specificity for malignancy were found to be 84.6% and100% respectively.ConclusionFNAC is highly sensitive and specific technique for diagnosis of most of the breast lumps. FNAC can be used preoperatively to avoid unnecessary surgery and discomfort during open biopsy.