TO GRADE BREAST CARCINOMAS ACCORDING TO MODIFIED BLOOM RICHARDSON GRADING SYSTEM IN LUMPECTOMY AND MASTECTOMY SPECIMENS.

The study was conducted in the Department of Surgical Pathology, Patliputra Medical College and Hospital, Dhanbad. Cytological study of breast lumps was done. All patients who were clinically suspected of having breast carcinoma were subjected to FNAC of breast lump under aseptic precautions after explaining the procedure, its potential complications and taking written consent. Local examination was done and details were recorded as per proforma. FNAC was performed by following technique. It is a useful parameter to be taken into consideration when selecting mode of therapy for breast carcinoma and to predict the tumor behavior. Cytological grading is especially useful in low resource settings, where core biopsy is not routinely performed for diagnosis of breast carcinoma. The cyto-prognostic grading helps in identifying fast growing tumors (Grade III& II). Such tumors are more likely to respond to chemotherapy than the low grade, slow growing tumors, which are better suited to pre-treatment with tamoxifen. Therefore, assessment of biological aggressiveness by cytological grading without removing the tumor is valuable approach. Keywords: Robinson’s Grade, Breast, Carcinoma & Cytological Aspirates.