Clinical Study

Cytological and Pathological Correlation of FNAC in Assessing Breast Lumps and Axillary Lymph Node Swellings in a Public Sector Hospital in India

Table 2

Comparison of cytology and histopathology of breast lesions.

Type of lesionNo. of cases (812)Patients with histological correlation (727)

(A) Benign lesions with no risk of cancer83 (10.2%)12
(1) Inflammatory breast lesions27 (3.3%)
 (a) Breast abscess5 (0.6%)
 (b) Granulomatous mastitis12 (1.4%)2
 (c) Fat necrosis5 (0.6%)
 (d) Periductal mastitis/duct ectasia5 (0.6%)
(2) Nonproliferative breast disorder40 (4.9%)
 (a) Simple cyst10 (1.2%)
 (b) Fibrocystic change 30 (3.6%)10
(3) Miscellaneous breast lesions16 (1.9%)
 (a) Galactocele2
 (b) Lipoma3
 (c) Gynaecomastia2
 (d) Axillary breast tissue3
 (e) Suture granuloma2
 (f) Hamartoma2
 (g) Diabetic mastopathy1
 (h) Radiotherapy induced mastitis1

(B) Benign lesions with mild to moderate risk of cancer258 (31.7%)248
(1) Proliferative breast disease without atypia231 (28.4%)221
 (a) Fibrocystic disease without atypia (Moderate epithelial hyperplasia and adenosis)121 (14.9%)111
 (b) Fibroadenoma98 (12%)98 (2 cases turned as phyllodes)
 (c) Phyllodes tumor Figure 312 (1.4%)12
(2) Proliferative breast disorder with Atypia27  (3.3%)27
 (a) Atypical ductal hyperplasia15 (1.8%)15 (5 cases turned as carcinoma)
 (b) Papillary neoplasm12 (1.4%)12 (10 cases papilloma, 2 cases papillary carcinoma)

(C) Suspicious and malignant lesions 463  (57%)463
(1) Suspicious 12 (1.4%)12
(2) Carcinoma449 (55.2%)449
(3) Malignant myoepithelioma11
(4) Metastatic adenocarcinoma11

(D) Unsatisfactory 84 (1 case invasive ductal carcinoma)