Comparison of the diagnostic accuracy of FNAC and BIOPSY in the diagnosis of a palpable breast lump

Padhy Biren; Khan Perwez Alam; Hansa Jagdish

Volume : V, Issue : XII, December - 2016

Comparison of the diagnostic accuracy of FNAC and BIOPSY in the diagnosis of a palpable breast lump

Padhy Biren, Khan Perwez Alam, Hansa Jagdish

Abstract :

OBJECTIVE: To study and compare the results of FNAC of east lumps preoperatively with that of the post operative histopathological examination and analyse the accuracy of FNAC in their diagnosis

DESIGN: The study conducted was prospective (Canadian Task Force Classification II-I)

PATIENTS: The present study included 200 patients who presented with east lumps and admitted to the surgery department of IMS Medical College & SUM Hospital, Bhubaneswar and who underwent FNAC and subsequent east lump excision as per their nature. The period of study was from October 2014 to September 2016 over a 2 year period.

MEASUREMENTS AND MAIN RESULTS: Patient average age was 40.5 yrs. The female to male ratio was 32.3: 1 with a female preponderence.The majority of the lumps were benign and premenopausal. FNAC gave 71% lumps to be benign and 29% as malignant. Histopathology confirmed 65.5% to be benign 2.5% to be inflammatory and 32% to be malignant. The sensitivity and specificity in detecting malignancy was 90.6% and 100% respectively. The overall accuracy of FNAC was 97%.

CONCLUSION: In our experience of 200 patients who underwent FNAC and subsequent excision for their east lumps and histopathological confirmation, it was found that FNAC, though not confirmatory is a reliable screening method for diagnosis of east lumps and correlates well with histopathology. The findings in our series were more or less similar to those deduced in other series.