Abstract :
Introduction: Breast lesions are leading cause of morbidity and mortality in women worldwide. Fine
Needle Aspiration (FNA) is an affordable, minimally invasive and rapid method. It is gaining importance
as a preoperative procedure to distinguish benign and malignant breast lesions. Thus unnecessary invasive
procedures can be avoided. This study is undertaken to explore utility and accuracy of FNA in various
breast pathologies.
Objectives: 1) To study cytology of various breast lesions, 2) To correlate cytological diagnosis with
histopathological diagnosis wherever possible, 3) To study sensitivity, specificity and accuracy of FNA in
breast lesions
Materials and Methods: A two year prospective study was carried out from November 2017 to
November 2019 at Department of Pathology, JJM Medical College – Davangere. This study included
patients with breast lesions referred for FNA. FNA was done. Cytomorphological features were studied.
Cytomorphological diagnosis was correlated with histopathological diagnosis wherever possible.
Results: Out of 425 patients with suspected breast lesions, cyto-histo morphological correlation was
possible in 331 cases. Cytology histology concordance was 94.4%. This study has sensitivity of 90.1%,
specificity of 96.5% and accuracy of 94.1%.
Conclusion: FNA is highly simple, safe and effective technique. It should be an essential component in
preoperative diagnosis of breast lesions.
Keyword :
Breast, Fine Needle Aspiration Cytology, Classification.