Reliability of Fine Needle Aspiration Cytology (FNAC) for Diagnosis of Breast Lumps Using Triple Test Assessment

Objective: The aim of this study was to correlate the Fine Needle Aspiration Cytology (FNAC) diagnosis of breast lumps with clinical examination and breast imaging (ultrasound and mammogram) and to assess the reliability of FNAC to differentiate between benign and malignant lesions of breast in available histopathological specimen Materials and Methods: This is a retrospective study of FNAC of breast lumps done in pathology department BMSI from 1st January to 30thJune, 2019 Results: From 950 FNAC cases, FNAC of palpable breast lump constituted 115(12. 3%).fibro adenoma was most common diagnosis 25 cases (25.4%) among the younger age group with mean age 25.6years. 51 cases were diagnosed as suspicious, atypical or malignant on FNAC showed average age 45 years. Two cases with suspicion of phyllodes tumor on ultrasound was confirmed on FNAC Conclusion: FNAC in association with clinical assessment and breast imaging (Ultrasound and Mammogram) is helpful for surgery planning and further management of breast lump. Keywords: Fine Needle Aspiration Cytology, mammogram, malignant phyllodes