Evaluation of Fine Needle Aspiration Cytology of Male Breast Lesions in Males - A 6 Years Study

Shobhagini Nayak; Madhusmita Nayak

Volume : VIII, Issue : II, February - 2019

Evaluation of Fine Needle Aspiration Cytology of Male Breast Lesions in Males - A 6 Years Study

Shobhagini Nayak, Madhusmita Nayak

Abstract :

FNAC is widely used method in the management of east lesions in women as well as men. Male east lesions encompass an important domain to be ought into focus to create awareness in society. Gynaecomastia has topped the list of lesions of male east that may undergo malignant change. Method: Data of all patients who underwent FNAC of east lumps in our institution were reviewed from medical records. In a period of 6 years, 82 male east lesions were evaluated, categorized as: C1 (Inadequate/ Insufficient); C2 (Benign); C3 (Atypical/ Indeterminate); C4 (Suspicious/ probably malignant); C5 (Malignant). Further correlated by histological correlation. Results: Age group of patient ranged from 14 years to 75 years with a mean age of 40 years. Among 82 cases diagnostic aspirates obtained in 78 cases and unsatisfactory obtained in 4 cases. 74 cases were benign including Gynaecomastia (65), Inflammatory (2), Epidermoid cyst (3), Lipoma (4). Mild atypia and rich cellularity were observed in some cases of Gynaecomastia. 74 patients had unilateral east lesion and 4 had bilateral east nodule. Cytologicaly 51 cases of gynaecomastia were showing features of predominantly glandular pattern, 9 cases predominantly stromal, 03 were of mild atypia and 02 no. of cases showing apocrine change. 04 cases were diagnosed to be malignant cytologicaly. Conclusion: FNAC of male east is a cost effective, reliable and sensitive method for early screening and diagnosis of lesions, So that it can avoid unnecessary complications or surgeries.