Clinicocytopathological study of breast lump in the non-malignant categories

Abstract

Background: Benign breast lesions are common clinical presentation in women. The early detection and diagnosis play an important role in the treatment of various breast lesions.
Aims and Objectives: The aim is to study various cytological changes in non-malignant breast lesions and its clinical correlation.
Materials and Methods: This is prospective, observational, analytical study in a consecutive 50 cases of breast lump at tertiary care hospital.
Results: A total of 50 breast lumps were studied for fine-needle aspiration cytology (FNAC). Among which, 48 patients were female and 2 were male. The age range was from 15 to 62 years. The common age group affected was in 21–30 years of age. The most common clinical presentation was breast lump followed by pain in the breast. The left side breast was more affected (56%) than the right side. Among non-malignant breast lesions, fibroadenoma (48%) was common diagnosis, followed by mastitis (28%), fibrocystic change (10%), papilloma (4%), gynecomastia (4%), lipoma (2%), simple cyst (2%), and benign phyllodes (2%). The cytological diagnosiswas correlated with histopathology which showed accuracy in 91.66%.
Conclusion: In our study, benign breast lesion of fibroadenoma was the most common benign breast lesion and the younger age group 21–30 years was found most commonly affected. FNAC is also very useful in diagnosing inflammatory lesions so that they can be treated as early as possible.