Cytomorphological Evaluation of Palpable Breast Lump in Third Decade Females

• Main Authors: Kuldeep Singh, Savita Singh
• Format: Article
• Language: English
• Published: JCDR Research and Publications Pvt. Ltd. 2020-10-01
• Series: National Journal of Laboratory Medicine
• Subjects: benign lesion; fibroadenoma; fibrocystic diseases; lactational changes; medullary carcinoma
• Online Access: http://www.njlm.net/articles/PDF/2428/45207_CE[Ra1]_F(SHU)_PF1(AB_SHU)_PFA(AB_SHU)_PN(SHU)_PF2(MG_OM).pdf

Introduction: Palpable breast lumps are common problem in females, which can be benign or malignant. The most common cancer after cervical cancer is breast cancer. Fine Needle Aspiration Cytology (FNAC) is a simple, rapid, reliable and costbeneficial procedure to make early diagnosis and planning of treatment modalities. Aim: To study the spectrum of various breast lesions on cytomorphology in third decade females and correlation of cytomorphological and clinical features. Materials and Methods: This was a two-year prospective study from January 2018 to January 2020 in Rama Medical College Kanpur, including 200 FNAC samples aspirated from palpable breast lumps. Physical examination of breast lumps was done by palpation. Diagnosis was made based on the cytomorphological criteria and clinical assessment for diagnosis of diseases. Result: On cytomorphological study of 200 breast lump aspirates in females, 52 (26%) were inflammatory lesions, 123 (61.5%) benign, 13 (6.5%) were atypical/probably benign, 02 (1%) malignant and 10 (5%) were unsatisfactory. The most common benign lesion in the present study was fibroadenoma 60 (48.8%), and the most common malignant lesion was medullary carcinoma 02 (100%) cases. Conclusion: FNAC is a rapid and reliable tool to provide effective diagnosis in palpable breast lumps. It should be used as routine diagnostic procedure to provide early diagnosis and treatment to the patients with breast lesions.