ABSTRACT
Introduction: Breast or mammary gland is under the influence of hormones resulting in physiological changes throughout reproductive life and thereafter various structures give rise to different lesions. FNAC can be used as an OPD procedure in diagnosis of breast lesions without the need to hospitalize the patient. AIM: To study the spectrum of breast lesions. Methods: Breast Lump is the commonest presenting symptom in various types of Breast lesions ranging from inflammation to carcinoma. Result : The most common lesion encountered in our study on FNAC was fibroadenoma (47.07%) followed by benign proliferative mammary lesion (Commonly fibrocystic disease) 29.47%. Tuberculous mastitis was 11%. Malignancy was 11.19%. Conclusion: Benign breast lesions form the bulk in this study and fibroadenoma is the most common lesion. FNAC is useful and reliable in early diagnosis of neoplastic and non-neoplastic lesions avoiding the need of biopsy. It has an important role in rural and semi-urban areas with fewer facilities and for the poor.
ABSTRACT
Background: FNAC has been considered as gold standard technique to diagnose various thyroid gland lesions. As Thyroid gland is superficial in location it is easily approachable for direct physical examination, cytological evaluation & histopathological study. The main objective of FNAC of thyroid is to categorize patients who need surgery for neoplastic disorder from those having functional or inflammatory abnormality requiring a clinical follow up & medical treatment. Aims & Objectives: To study cytomorphological features of thyroid enlargement & palpable lesions of thyroid. To correlate cytomorphological features of thyroid lesions with histopathological features wherever possible. Methods: The present study was conducted in Department of Clinical Pathology, Lok Nayak Jai Prakash Narayan Hospital. Around 150 cases of thyroid lesions were enrolled during the period 3 years (March 2014-February 2017). All relevant clinical profile of these cases was taken from case records. Results: In the present study, a total of 150 cases of thyroid swellings were categorized under TBSRTC. Of which maximum cases were seen of benign etiology i.e. colloid goitre more commonly affecting middle age group i.e. 31-45yrs with female preponderance. As sensitivity & specificity of FNAC was considered, in benign Sensitivity & specificity was reported to be 96% & 100% respectively. Whereas, in malignant lesions both were found to be 100%. Conclusions: The conclusion drawn from this study implicates FNAC as a useful primary investigative modality for evaluation of palpable thyroid lesions. It also helps in distinguishing lesions based on the clinical management required.