Utility of Fine Needle Aspiration Cytology and Ultrasonography in Detection of Breast Cancer- A Clinical Study
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 6
Abstract
Introduction: Breast malignancy is the most widely recognized tumor in females around the world. It is likewise the guideline reason for death from malignancy among ladies internationally. The (USG-FNAC) ultrasonography-fine needle yearning cytology procedures have adequate symptomatic legitimacy files and can be utilized for early arranging of bosom disease patients. The present examination was directed to evaluate breast malignancy utilizing FNAC and USG among consider population. Material and Methods: This study was conducted in the department of general pathology in year 2015. It included 80 women with breast lump. All were subjected to ultrasound, FNAC and incisional biopsy. The FNAC was performed using a 23G needle and 10 ml syringe with an average of four to six passes with constant suction. Strong injuries with sporadic shape, unpredictable edge, non-uniform dissemination of inside echotexture, shadowing and calcifications in hypo-echoic sores are suggestive of malignancy by USG. Results: Out of 80 patients, 32 had education upto high school and 48 were illiterate. 74% had lump within 2- 6 months and 26% had more than 6 months. 54% had fever, 22% had fever, 24% had discharge from nipple, 5% had redness over breast and 3% had pain in opposite breast. Benign growth was seen in 50 (62%) patients and malignant growth was seen in 30 (38%) patients. Among benign, 90% was localized and 10% was ulcerated. In malignant, 55% was localized, 30% was ulcerated and 20% was infected fungating growth. USG had Sensitivity of 91%, specificity of 92% and PPV of 74.2% whereas FNAC had Sensitivity of 95%, specificity of 98% and PPV of 94%. Various histopathological lesions were fibroadenoma (19), fibrocystic disease (17), DCIS (6), fat necrosis (3), tuberculous mastitis (2), adenosis (1), tubular adenoma (2) and breast cancer (30). Conclusion: Early detection of breast lesions using fine needle aspiration cytology and ultrasonography is useful measure. Breast lump more than 1 month should be considered for detection and delay should be avoided as the chances of breast cancer cannot be over ruled.
Authors and Affiliations
Shashi Upreti, Dushyant Sharma
Keywords
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