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Volume 8 Issue 1 (January, 2020)

Original Articles

FNAC in diagnosis of breast lump- A Prospective Study
Sandeep Kumar Goyal, Karandeep Singh, Anusuiya Sharma, Dinesh

Background- A lump in the breast results in anxiety for the patient and her family whether it may be benign or malignant. Carcinoma of the breast is the most common non-skin malignancy in women and is second only to lung cancer as a cause of cancer deaths. The development in patient education and screening programs have permitted a marked increase in the number of tumours detection, thereby increasing the use of FNAC procedures. Objective - To assess the success rate, sensitivity and specificity of FNAC in the diagnosis of breast lump. Material and Method- A hospital based prospective study and was carried out in the Department of Surgery in collaboration with the Department of Pathology at MAMC Agroha, Hisar. A total of thirty cases of breast lump presenting to the Surgery OPD were included in the study by simple random sampling. Results - All thirty cases of breast lump were from female patients. Age of the patients ranged between 28 and 67 years. Both right and left side were equally involved. Out of a total of thirty cases, 5 were diagnosed as benign on FNAC of which 4 were confirmed as benign histologically further and one was diagnosed as malignant. The remaining 25 cases were diagnosed as malignant on FNAC Hence there were a total of 5 benign cases and 25 malignant cases. FNAC showed sensitivity of 96% and a specificity of 80%. Conclusion - FNAC is a well-accepted procedure in developing countries due to its low cost, safe and affordable with rapid results, pain is minimal. Whenever there is discrepancy between clinical findings, imaging studies, FNAC can be used as the next step in assessment before definitive treatment. Key words: breast lump, FNAC, malignancy.

 
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