ROLE OF FNAC IN THE DIAGNOSIS OF BREAST MASSES & ITS CORRELATION WITH HISTOPATHOLOGY

Dr Chandrahas Kant Choudhary; Dr Deepali Gupta; Dr Ankita Baghel

Volume : VII, Issue : XII, December - 2018

ROLE OF FNAC IN THE DIAGNOSIS OF BREAST MASSES & ITS CORRELATION WITH HISTOPATHOLOGY

Dr Chandrahas Kant Choudhary, Dr Deepali Gupta, Dr Ankita Baghel

Abstract :

Background–

A very rapid tentative diagnosis can be done by FNAC with a cost effective and fairly accurate with excellent patient acceptance without any morbidity and mortality. Hence a quick treatment plan can be achieved without even biopsy in most of the cases.

Aim of the Study–

To evaluate the accuracy % of FNAC as a diagnostic tool in the east lumps after correlating it to the histopathological diagnosises.

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Material & Methods–

The present study was conducted in the histopathology department of the central laboratory FHMC hospital between September 2017 to September 2018. During this period 191 cases of east lumps were evaluated by FNAC and 103 cases were subjected to histopathology correlation.

Result–

FNAC of 103 benign and 38 malignant cases were studied. Fioadenoma followed by fiocytic disease were most common in benign east lesions and invasive ductal carcinoma, NST was most common among malignant east lesions. Cytohistological correlation was done in 103 cases 64 benign and 39 malignant of which one was found to be false negative. Accuracy was 99.02%. A detailed comparative analyses with other authors‘ study was also done.

Conclusion–

FNAC plays a main role to provide rapid and accurate diagnosis in OPD itself so that definite management decisions can be made straightaway. Diagnostic errors with subsequent inappropriate clinical decisions can be best avoided if clinician use the Triple diagnostic procedure of clinical examination, mammography and FNAC which increase the accuracy for diagnosis of east carcinomas.