Diagnostic Accuracy of Fine Needle Aspiration Cytology of Breast Lump in Rural Population of Western U.P

Breast lump is a very common presentation in surgery and gynae OPD with increasing awareness in patients. Breast cancer is second most common cancer in Indian women. FNAC is simple, safe and rapid method for diagnosing breast lumps. FNAC has high sensitivity, specificity and accuracy. Aim of this study was to correlate FNAC findings with histopathology and determine sensitivity and specificity of FNAC in our set up. This retrospective study of FNAC of breast, done in the department of Pathology of Saraswathi Institute of Medical Sciences, Hapur from Jan2009 to Dec 2010. SIMS caters rural population of Hapur and surrounding districts of western U.P. FNAC findings were correlated with Histopathological data available in the department. FNAC was done in 104 cases with Histopathology in 50 cases for correlation with cytology. FNAC of breast constituted 12% of all FNAC. Age of the patients ranged from 15yrs to 65yrs with mean age of 33 years. Fibroadenoma was the most common diagnosis on FNAC, which accounts 46.15% of total breast lesion. Malignancy was diagnosed in 10.57% of cases.So, conclusion is derived that FNAC is highly sensitive and specific technique for the diagnosis of breast lump. As FNAC is simple, rapid and less expensive it should be used routinely for diagnosing breast lumps.