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Fine Needle Aspiration (FNA) is a well-established and widely accepted procedure in the evaluation of breast masses. Fine needle aspiration cytology can be performed as an OPD procedure. It is less traumatic to the patient as compared to surgical biopsy, is cost effective, and can provide rapid results on the same day. Therefore, it can be used as an initial diagnostic procedure for male breast lesions. The aim of our study was to determine the efficacy of Fine-Needle Aspiration Cytology (FNAC) in the diagnosis of male breast lesions and categorization of these lesions as per IAC Categories.METHODSThe present study included 50 cases of male breast lesions presented in the department of the pathology. Fine-Needle Aspiration Cytology (FNAC) was done and slides were stained with MGG and PAP. Findings were analysed by two pathologists independently. Cyto-histological correlation was done in cases wherever possible. Sensitivity and specificity were calculated.RESULTSA total of 50 cases of male breast lesions which had undergone FNAC was analysed in this study. Histopathological examination was available in 10 cases. Gynecomastia C2 (88%) was found to be the most common entity followed by acute on chronic suppurative pathology (4%). There was no false positive or false negative finding. FNAC had a sensitivity and specificity and diagnostic accuracy of 100% for male breast lesions.CONCLUSIONSFNAC is the excellent sensitive and specific diagnostic tool for the assessment of breast lesions in males. Hence, we strongly recommend the use of FNAC as the first-line investigation in the clinical evaluation of male breast lumps.
RESUMO
ackground: A retrospective study of 100 cases of hysterectomies was conducted in Dept. of Pathology, GovernmentMedical College, Patiala. Methods:Clinical and histopathological data were collected and correlation made. Maximum number of patients who underwent hysterectomy were in the age-group of 41-50 years. Results: The median age came out to be 47 yrs. Abnormal uterine bleeding was the most common complaint (82%). Main indication of hysterectomy was fibroid(63%) followed by prolapse (14%) and adenomyosis (12%). Histopathological correlations were made with the clinical findings. On histopathology, leiomyoma was the most common diagnosis followed by atrophic endometrium and adenomyosis. Conclusion: Correlation between clinical and histopathological diagnosis was very good. But still, histopathology remains the mainstay of establishing the confirmatory diagnosis and for histological subtyping of malignancies.
RESUMO
Background: The objective was to study adenomyosis and leiomyoma as the cause of abnormal uterine bleeding in hysterectomy specimens. Methods: This was a study carried out on 100 hysterectomy specimens, of subjects who presented to the department of Obstetrics and Gynaecology at Government Medical College, Patiala with the complaint of abnormal uterine bleeding. Data including age, parity, symptoms and clinical indication for hysterectomy was collected for the study and the histopathological findings were recorded. The specimens were well grossed and stained with hematoxylin and eosin and examined microscopically.Results: Women in the perimenopausal age (41-50 years) accounted for the highest number of cases (35, 44.30%) presenting with symptoms of AUB. In this age group leiomyoma was found to be the commonest cause of AUB (19, 54.28%). The most common symptom was heavy menstrual bleeding. Clinical, radiological and pathological evaluation correlated well with the diagnosis of leiomyoma but was of little help in diagnosing adenomyosis. Conclusion: Hence, adenomyosis still remains a clinical challenge and should be kept in mind by the clinician as well as the pathologist in women presenting with AUB.