Main Article Content

Abstract

BACKGROUND


Among Indian population, benign as well as malignant breast lesions are quite common. Fine needle aspiration cytology (FNAC) is frequently carried out as it is a simple, safe, reliable and time saving procedure. A short retrospective study was designed to evaluate the role of fine needle aspiration cytology (FNAC) & frequency of palpable breast lesions/lumps. Early diagnosis of breast lesions through FNAC prompts early treatment without the need for biopsy. The purpose of this study was to analyse the cytomorphological patterns of non-neoplastic and neoplastic lesions diagnosed by FNAC over a time period at a tertiary care hospital.


METHODS


This retrospective observational study was conducted as a hospital opd based procedure from June 2019 to December 2019. A total of 210 patients having breast lesions/lumps were included, among which 5 patients were excluded because of unsatisfactory FNAC aspirate. Smears were processed and their cytological evaluation was done by experienced pathologists.


RESULTS


Among all breast lesions, non-neoplastic was most commonly seen in 2nd decade of life and neoplastic in 5th decade of life. Fibroadenoma was the most common benign breast lesion followed by fibrocystic disease while among neoplastic lesions invasive ductal carcinoma was most common. Involvement of left breast was most common.


CONCLUSIONS


Benign breast diseases are quite common in younger population. Fibroadenoma is the most common benign condition among females of reporductive age group. FNAC is routinely done to separate malignant lesions from benign ones which makes it an important tool in guiding further management as it is a quick, simple, feasible, and cost-effective method.

Keywords

Breast Lesion, Fine Needle Aspiration Cytology, Fibroadenoma, Fibrocystic Disease.

Article Details

How to Cite
Pinki Pandey, Sanjeev Kumar Singh, Monisha Gupta, & Roopak Aggarwal. (2023). Cytomorphological Pattern of Neoplastic and Non-Neoplastic Breast Lesions - An Institutional Experience of a Rural Tertiary Care Center. Journal of Evolution of Medical and Dental Sciences, 12(10), 304–307. https://doi.org/10.14260/jemds.v12i10.501

References

  1. Maurya OA, Richa, Lal M, et al. Efficacy of FNAC in diagnosis of breast lumps- a retrospective study. International Journal of Research and Review 2021;8(9):13-7.
  2. Auger M, Hüttner I. Fine‐needle aspiration cytology of pleomorphic lobular carcinoma of the breast: comparison with the classic type. Cancer Cytopathology: Interdisciplinary International Journal of the American Cancer Society 1997;81(1):29-32.
  3. Panjvani SI, Parikh BJ, Parikh SB, et al. Utility of fine needle aspiration cytology in the evaluation of breast lesions. J Clin Diagn Res 2013;7(12):2777-9.
  4. Krishnaswamy U. Profile of benign breast diseases in urban India. Indian J Surg 2003;65(2):178-81.
  5. Lamb J, Anderson TJ, Dixon MJ, et al. Role of fine needle aspiration cytology in breast cancer screening. Journal of clinical Pathology 1987;40(7):705-9.
  6. Chaudhary M, Bhat P, Wankhede V, et al. Clinicopathological study of benign breast diseases a study of 50 cases. International Surgery Journal 2021;8(5):1462-5.
  7. Khanzada TW, Samad A, Sushel C. Spectrum of benign breast diseases. Pak J Med Sci 2009;25(2):265-8.
  8. Kapoor B, Kapoor M, Vaid P, et al. Epidemiology of benign breast diseases in women. Panacea J Med Sci 2020;10(3):222-6.
  9. Kulkarni SN, Kulkarni NV, Katkade P. Clinicopathological study of benign breast lesions. Scholars Journal of Applied Medical Sciences 2016;4(12D):4203-7.
  10. Pandey R, Narang R, Mehra B, et al. Pattern of benign breast diseases: a neglected entity. Europ J Pharma Med Res 2016;3(2):158-1.
  11. Shashikala V, PB SR, Victor AJ. Clinicopathological study of benign breast diseases. Int J Biomed Adv Res 2016;7(9):424-7.
  12. Siddiqui K, Rasool M. Pattern of breast diseases: Preliminary report of breast clinic. Journal of the College of Physicians and Surgeons Pakistan 2001;11(8):497-500.
  13. Abhijit S Rayte. A clinicopathological study and management of benign breast diseases in females. MedPulse Int J Surg 2018;6(3):83-6.
  14. Ahmed HG, Ali AS, Almobarak AO. Frequency of breast cancer among Sudanese patients with breast palpable lumps. Indian Journal of Cancer 2010;47(1):23-6.
  15. Akhator A. Benign breast masses in Nigeria. Nigerian Journal of Surgical Sciences 2007;17(2):105-8.
  16. Selvakumaran S, Sangma MB. Study of various benign breast diseases. Int Surg J 2017;4(1):339-43.
  17. Sangma MB, Panda K, Dasiah S. A clinico-pathological study on benign breast diseases. Journal of clinical and diagnostic research: JCDR 2013;7(3):503.
  18. Kumar KS, Anbalagan P, Udhayasankar V. Clinical study of benign breast diseases. Evolution Med Dent Sci 2017;6(02):132-5.
  19. Bukhari MH, Arshad M, Jamal S, et al. Use of fine-needle aspiration in the evaluation of breast lumps. Patholog Res Int 2011;2011:689521.
  20. Pradhan M, Dhakal HP. Study of breast lump of 2246 cases by fine needle aspiration. J Nepal Med Assoc 2008;47(172).
  21. Risaldar AA, Begum Z, Alvi U. Correlation of FNAC with Histopathology of breast lesions. IP J Diagn Pathol Oncol 2020;5(4):375-80.