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Original Research Article Aims And Objectives: Breast carcinoma is the most common malignant tumor worldwide in women while it is the second most common cancer in India .Triple assessment, including clinical assessment, radiological imaging and pathological diagnosis is the most widely accepted protocol followed for diagnosis of breast lump. Fine-needle aspiration cytology (FNAC) is the most important part of triple assessment. The purpose of our study was to establish the role of FNAC in the diagnosis of breast lump and to observe any correlation of fine needle cytology with postoperative histopathology, In detecting Breast Neoplasm. Materials and methods: The study group included 70 consecutive female patients presenting with palpable breast lump during a Three year period. FNAC of patients was performed with non-aspiration technique. Smears prepared and stained with Giemsa stain and examined for cytological diagnosis. Routine Histopathological examination was performed on available surgical biopsy specimens to correlate cytological and Histopathological diagnosis. Results: A total of 70 cases were included. Out of 70 adequate samples 24 were benign, 46 were malignant. Fibroadenoma accounted for maximum number of cases, and infiltrating duct carcinoma was most common malignant lesion in our study. Histopathological correlation was obtained. Among these 26 were benign and 44 were malignant. All 24 cases were confirmed as benign on Histopathological Examination. 44 cytologically diagnosed malignant cases were confirmed as malignant on subsequent Histopathological examinations, but 2 cases were diagnosed on FNAC as malignant, were Benign on Histopathological examination. Conclusion: The most common benign tumor in the present study was fibroadenoma and the most common malignant tumor was infiltrating duct carcinoma. Our study showed 4% false positivity and the false negative rate was 0% Our study showed a sensitivity of 100% and specificity of 100%.

A Study of Role of FNAC in Palpable Breast Lump in Breast Carcinoma, 3 year Prospective Study