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Prospective cohort study assesses diagnosis of breast lesions through fine needle aspiration cytology and imaging.
A BSTRACT Background: Breast lumps are becoming more common lesions among the women visiting surgical clinics in both developed and developing nations due to the growing awareness in general population. Fine needle aspiration cytology (FNAC) is a simple, relatively accurate, non-invasive and cost-effective method of diagnosing breast pathologies. The triple assessment which includes aspiration cytology, breast imaging, and clinical examination, is a fundamental method that is applied for evaluating breast lesions and has been proven accurate in the preliminary diagnosis of breast lumps. Methods: This prospective cohort study was carried out on 103 patients between July 2022 to March 2024. Diagnosis was made by cytology examination in patients with palpable breast lump and further correlated with clinical examination, mammography/USG features, and histological diagnosis. Results: A total of 103 patients were included in the study, of whom 96 (93.20%) were females and 7 (6.80%) were males. The most common age group varied from 21 to 30 yrs with a total number of 38 (36.89%) cases followed by the 31–40 yrs age group, 29 (28.15%). Fibroadenoma (51.45%) was the most common lesion followed by fibrocytic change (17.47%) on FNA smears. 49 FNA-diagnosed histopathology specimens were received for histopathological examination, out of which four (11.32%) cases showed discordance. Conclusion: FNAC in correlation with clinical, radiological, and histopathological diagnosis provides definitive diagnosis and prompt management of the patient.
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Bharadwaj et al. (2025) studied this question.
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