Detection of Breast Lumps with Fine Needle Aspiration Cytology: Experience of 50 Cases in Bangladesh

Authors

  • Md Abdul Quddus Professor & Head, Department of Surgery, Ad-din Barrister Rafique Ul Huq Hospital & Bashundhara Medical College Dhaka https://orcid.org/0009-0002-2687-0744
  • Nusrat Jahan Residential Medical Officer, Department of Surgery, Popular Medical College Hospital, Dhaka https://orcid.org/0009-0001-7392-7494
  • SM Syeed-Ul-Alam Assistant Professor, Department of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka https://orcid.org/0009-0003-8639-6033
  • Semonty Jahan Public Health Researcher, BRAC James P Grant School of Public Health, Dhaka https://orcid.org/0009-0001-3882-5791
  • Adneen Moureen Advisor, TB New Technologies and Diagnostics (Bangladesh), STAR Fellowship Project, Public Health Institute, United States Agency for International Development, National Tuberculosis Control Program (NTP), Directorate General of Health Services, Dhaka, Bangladesh & Former Head & Professor, Department of Microbiology, International Medical College, Gajipur https://orcid.org/0000-0001-8732-6481

DOI:

https://doi.org/10.3329/jcamr.v10i2.73336

Keywords:

Breast lumps, fine needle aspiration cytology, FNAC

Abstract

Background: Detection of breast lump is very crucial.

Objective: This study was carried out to evaluate the effectiveness of FNAC as a diagnostic method for breast lump.

Methodology: This cross sectional study was conducted among 50 women with breast lump at Popular Medical College Hospital, Dhaka, Dhaka Medical College Hospital and Ad-Din Barrister Rafique Ul Huq Hospital, Dhaka during the period of November 2021 to April 2022. This study was conducted using convenient type of non-probability sampling technique. Data were collected by face to face interview, clinical examination and findings of both cytological and histopathological examination.

Results: The study revealed the most benign breast lesion (89.45%) were below the age of 40 years and most of the breast cancer (91.2%) were above the age of 40 years. The study showed that 29 cases (58.0%) were diagnosed as benign clinically but cytologically 30(60.0%) cases were benign. Clinically 14(27.0%) cases were malignant but cytologically 13(26.0%) cases malignant. Clinical diagnosis of 8(7.5%) cases were uncertain, whereas cytologically 2(4.0%) cases were suspicious of malignancy and 1(2.0%) case was atypical. The comparison study between cyological and final histopathological diagnosis showed that out of 28 benign lesions diagnosed cytologically among which only 2 cases were found malignant histologically like false negative 2 (7.20%). 13 malignant cases were diagnosed cytologically which were confirmed histologically like no false positive was found. The study found that sensitivity of FNAC 85.3% of the presence of breast cancer and specificity 100.0% for absence of breast cancer. They also showed that the negative predictive value of FNAC for benign breast lump was 93.5% and positive predictive value for malignant breast lump was 100.0% and the overall diagnostic accuracy was 95.40%.

Conclusion: In conclusion, FNAC can be used as a diagnostic method in the management of breast lump which has reasonable sensitivity and specificity.

Journal of Current and Advance Medical Research, July 2023;10(2):65-69

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Published

2024-06-20

How to Cite

Quddus, M. A., Jahan, N. . ., Syeed-Ul-Alam, S. . ., Jahan, S. . ., & Moureen, A. . . (2024). Detection of Breast Lumps with Fine Needle Aspiration Cytology: Experience of 50 Cases in Bangladesh. Journal of Current and Advance Medical Research, 10(2), 65–69. https://doi.org/10.3329/jcamr.v10i2.73336

Issue

Vol. 10 No. 2 (2023)

Section

Original Articles

License

Copyright (c) 2023 Md Abdul Quddus, Nusrat Jahan, SM Syeed-Ul-Alam, Semonty Jahan, Adneen Moureen

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