A STUDY ON FNAC FINDINGS OF BREAST LESIONS IN A TERTIARY CARE HOSPITAL OF JHARKHAND.

Dr Nidhi P A Barla; Dr Deepali Tirkey; Dr (Prof) Ratna Choudhary

Volume : VII, Issue : IX, September - 2018

A STUDY ON FNAC FINDINGS OF BREAST LESIONS IN A TERTIARY CARE HOSPITAL OF JHARKHAND.

Dr Nidhi P A Barla, Dr Deepali Tirkey, Dr Prof Ratna Choudhary

Abstract :

A one year retrospective study was done from January 2017 to December 2017 in all patients who presented with palpable east lump in pathology department, RIMS, Ranchi. Fine needle aspiration cytology was done, Smears were made and stained using Leishman/Giemsa and Haematoxylin/Eosin and they were examined under microscope for cytological diagnosis.

RESULTS:

Among 471 patients 25 cases were of males and 446 cases of female. 307 cases were benign lesions, 20 cases were suspicious of malignancy and 144 cases turned out to be of malignancy.The most common age group that presented with east lump was 21-30yrs of age i.e. 253 cases(53.71%) who mostly presented with fioadenoma.The most common age group of Carcinoma Breast was 41-50 yrs of age:There were 50 cases(34.72%) among the 144 cases in this age group and were significantly associated with each other (P<.05).Total number of bilateral cases of east cancer was 11 among which 8 belonged to age group of >50yrs (p = .002).As compared to the study conducted in 2015-2016, there has been increase in the incidence of east cancer from 28.5% to 30.57%. Among the benign conditions the most common condition is fioadenoma i.e.180 cases of 307(58.61%) and phylloides is 3 out of 307 cases all of which were benign.Among 25 cases of male east lesion one was diagnosed suspicious of malignancy and one case of carcinoma east.

CONCLUSION:The patients who presented with east lump were mostly poor and of rural background.There was lack of education and awareness among them.Now increase in incidence of east cancer is seen which is attributable to increased awareness and change in lifestyle habits.Presently FNAC is a popular technique being a part of triple test for the diagnosis of east cancer lesions, particularly east carcinomas.It has good diagnostic accuracy and it has reduced the rate of excision biopsy.