Dr Mahwish Kulsoom, Dr Ameena Zahid, Dr Ammara Tahir
Objective: To assess the accuracy of diagnostic cytology of fine needle aspiration [FNAC] in patients with a palpable breast lump by taking histopathology as a gold standard. Study project: A Cross-sectional examination. Setting: -General Surgery Department, Nishtar Hospital, Multan for one-year duration from March 2019 to March 2020. Material and methods: All patients aged 30-55 years who presented a breast lump with a recent onset that meet the criteria for excluding inclusion have been allowed. A total of 74 patients were included in the study. Results: - Most of the 40 patients were observed in the age group 41-50 years. Pathologists were unable to make a diagnosis in 10 shifts. Histopathological reports showed that 50 lesions out of 74 were mild because 24 were malignant. Of the mild 22 lesions were Fibroadenoma, 18 were fibrocystic diseases, 8 were chronic pyogenic mastitis and two cases of tuberculosis were diagnosed. In 24 cases of malignancy, 13 cases of invasive ductal cancer and 11 cases of intra-wire cancer were reported. Conclusion: FNAC is a patient-friendly, easy, reliable, repeatable and simple diagnostic test. According to an expert pathologist, FNAC diagnostic accuracy is very high. Keywords: Cytology of thin needle aspiration, fibroadenoma, pyogenic mastitis.