Role of fine needle aspiration cytology in cyclic mastalgia: an outpatient department based study

Abstract

Background:Mastalgia is one of the most common presenting symptoms of benign breast diseases, which may be cyclical or continuous. Mastalgia is the commonest breast symptom presenting in surgical clinics. FNAC has been employed in diagnosis of benign breast disease (BBD) doubts still exist upon its accuracy and reliability. However its accuracy has been compared to clinical examination and mammography in diagnosing BBD. To study cytomorphological findings in women aged 15-35 years suffering from cyclic mastalgia presenting to our OPD is the main objective of the present study.

Methods: Women 94 in number age between 15 years-35 years of attending the outpatient department with complain of pain in breast were initially included in the study.  Out of this 72 cases were deemed fit for study as they fulfilled the criteria mentioned in material and method.

Results:We found that fibroadenosis alone constitutes 58.3% of all cases of cyclical mastalgia and is the most common cause of cyclical mastalgia in women presenting to OPD.

Conclusions:Fibroadenosis is most common cause of cyclical mastalgia in women aged 15-35 years which is due to Hormonal disturbances unlike non-cyclical mastalgia.