Fine needle aspiration cytology versus trucut biopsy in the diagnosis of breast cancer: a comparative study

Shashirekha C. A.; Rahul Singh R.; Ravikiran H. R.; Sreeramulu P. N.; Krishna Prasad

doi:10.18203/2349-2902.isj20174893

Authors

Shashirekha C. A. Department of General Surgery, Sri Devaraj Urs Medical College and Research Institute, Tamaka, Kolar District, Karnataka, India
Rahul Singh R. Department of General Surgery, Sri Devaraj Urs Medical College and Research Institute, Tamaka, Kolar District, Karnataka, India
Ravikiran H. R. Department of General Surgery, Sri Devaraj Urs Medical College and Research Institute, Tamaka, Kolar District, Karnataka, India
Sreeramulu P. N. Department of General Surgery, Sri Devaraj Urs Medical College and Research Institute, Tamaka, Kolar District, Karnataka, India
Krishna Prasad Department of General Surgery, Sri Devaraj Urs Medical College and Research Institute, Tamaka, Kolar District, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20174893

Keywords:

Breast lump, FNAC, Mammography, Malignancy, Trucut biopsy, Tissue diagnosis

Abstract

Background: Most diseases of the breast present as a palpable mass. The majority of breast lesions are not malignant, and most benign lesions do not progress to cancer; however, the accuracy of diagnosis can be increased by a combination of preoperative tests like physical examination, mammography, fine-needle aspiration cytology (FNAC), and Trucut needle biopsy (TGNB) or core needle biopsy (CNB). FNAC has grown in popularity and became the first initial used procedure after history taking and clinical examination for diagnosis of solid and cystic breast lumps. This study was designated to investigate the accuracy of FNAC in comparison to TCNB for diagnosis of breast masses, Design: Retrospective Study.

Methods: In this study, 62 patients having breast lumps were studied during the period from January 2014 to January 2017 in terms of FNAC and Trucut Biopsy and were compared with tissue diagnosis. Variables like age, marital status, duration, size, menstrual status and site were analyzed using statistical analysis.

Results: Out of 62 patients with breast lump, 32 were diagnosed with Benign Breast lesions, and 30 with malignant lesions. Sensitivity of FNAC and TRUCUT biopsy were 84.34% and 97.1% respectively. TRUCUT was more accurate when compared to FNAC.

Conclusions: Both FNAC and Core Needle Biopsy are complimentary to each other and are useful in diagnosis of breast lesions.

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References

Masood S, frykberg ER, Mclellan GL. Prospective evaluation of radiologically directed fine- needle aspiration biopsy of non-palpable breast lesions. Cancer. 1990;66:1480-7.

Muhammad E. validity of fine needle aspiration cytology in diagnosis of breast lumps in upper, Egypt. J Med Lab Sci. 2012;21(1):69-81.

Patel JJ, Gartell PC, Smallwood JA. Fine needle aspiration cytology of breast masses: an evaluation of its accuracy and reasons for diagnostic failure. Ann R Coll Surg Engl. 1987;69:156-9.

Joulaee A, Kalantari M, Kadivar M, Joulaee S, Bahrani N, Mangual M, et al. Trucut biopsy of breast lesions: the first step toward international standards in developing countries. European J Cancer. 2012;48:648-54.

Willems Sm, van Deurzen CHM, van Diest PJ. Diagnosis of breast lesions: fine-needle aspiration cytology or core needle biopsy? a review. 2012;65(4):287-92.

Memom F, Qureshi S. Sensitivity of fine needle aspiration versus core biopsy in the diagnosis of palpable and clinically suspicious breast lesions. Pakistan J Surg. 2009;25(3):214-7.

Bukhari MH, Arshad M, Jamal S, Niazi S, Bashir S, Bakhshi IM. Use of fine-needle aspiration in the evaluation of breast lumps. Pathology research international. 2011:2011.

Pinder SE, Elston CW, Ellis IO. The role of preoperative diagnosis in breast cancer. Histopathol. 1996;28:563-6.