10Feb 2020

FNAC OF BREAST LESIONS WITH REFERENCE TO INTERNATIONAL ACADEMY OF CYTOLOGY (IAC) REPORTING SYSTEM

  • Lecturer, Department of Pathology, Govt. Medical College, Jammu.
  • Demonstrator, Department of Pathology, Govt. Medical College, Jammu.
  • Professor & Head, Department of Pathology, Govt. Medical College, Jammu.
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Introduction: International Academy of Cytology (IAC) has established a standardized approach for reporting Breast FNAC by categorizing the lesions in five tier system (C1 to C5) for diagnostic clarity, ultimately facilitating clinician?sunderstanding and use of FNAB cytology in Breast pathology. Material and Methods: Ours is a retrospective study done in the cytology section of the Department of Pathology GMC Jammu from January 2019 to January 2020. Results: A total 130 cases of Breast FNAC?s were included in the study with the maximum 111 (85.4%) females and 19 (14.6%) males. Maximum number of cases was seen in the age group of 31-40 years. CI (Insufficient/ Inadequate) lesions were found in 5 cases(3.84%), C2 (Benign) in 92 cases(70.76%), C3 (Atypical) in 8 cases(6.15%), C4 (Suspicious) in 6 cases(4.60%) and C5 (Malignant) in 21 cases(16.15%). Fibroadenoma was the commonest benign lesion found in our study in 44 cases out of 92 and Ductal Carcinoma was commonest among malignant lesions. Conclusion: FNAC is an essential component in the preoperative management of breast lesions and the IAC Yokohama system for reporting Breast FNAB cytology effectively stratifies breast lesions thus providing guidance to both cytopathologists and clinicians leading to better patient care.

  1. Field AS, Raymond WA, Rickard M, Arnold L, Brachtel EF, Chaiwun B et al. The International Academy of Cytology Yokohama System for Reporting Breast Fine-Needle Aspiration Biopsy Cytology. ActaCytologica. 2019; 63; 257?273.
  2. Mandosa P, Lacambra M, Tan PH, Tse GM. Fine Needle Aspiration Cytology of the Breast: The Nonmalignant Categories. Pathology Research International. 2011; 1-8.
  3. https://www.oncostem.com>blogJune 25, 2019.[Last accessed on 12 November, 2019]
  4. Gupta S. Breast cancer: Indian experience, data, and evidence. South Asian J Cancer. 2016; 5 (3): 85-6.
  5. Panwar H, Ingle P, Santosh T, Singh V, Bugalia A, Hussain N. FNAC of Breast Lesions with Special Reference to IAC Standardized Reporting and Comparative Study of Cytohistological Grading of Breast Carcinoma. J Cytol2020; 37: 34-9.
  6. Kamatar PV, Athanikar VS, Dinesh US. Breast Fin??e needle Aspiration Biopsy Cytology Reporting using International Academy of Cytology Yokohama System-Two Year Retrospective Study in Tertiary Care Centre in Southern India.?National Journal of Laboratory Medicine. 2019; 8 (3): 1-3.
  7. Bansal C, Pujani M, Sharma KL, Srivastava AN, Singh US. Grading systems in the cytological diagnosis of breast cancer: A review. J Can Res Ther. 2014; 10 (4); 839-45.
  8. Silverman JF, Elsheikh TM, Singh HK. The role of fine needle aspiration cytology of the breast in the core biopsy era. Pathol Case Rev. 2007; 12: 44‑8.
  9. Sunita H, Urmila T, Sharma DC. Cytomorphological Study Breast Lesions with Sonomammographic Correlation. Journal of Evolution of Medical and Dental Sciences 2015; 4 (81): 14137-14142.
  10. Bajwa R, Tariq Z. Association of fine needle aspiration cytology with tumor size in palpable breast lesions. Biomedica. 2010; 26: 124-129.
  11. Modi P, Haren O, Jignasa B. FNAC as preoperative diagnostic tool for neoplastic and non-neoplastic breast lesions: a teaching hospital experience. Indian J Med Res. 2014; 4 (4): 274-278.
  12. Georgieva RD, Obdeijn I.M, Jager A, Hooning MJ, Tilanus-Linthorst MM, Van Deurzen CH.?Breast fine-needle aspiration cytology performance in the high-risk screening population. Cancer Cytopathology. 2013; 121(10): 561?567.
  13. Utility of cytologic specimens in the evaluation of prognostic and predictive factors of breast cancer: Current issues and future directions. Diagnostic Cytopathology. 2004; 30(3): 158?165.

[Anu Gupta, Bhavneet Kour and Subhash Bhardwaj (2020); FNAC OF BREAST LESIONS WITH REFERENCE TO INTERNATIONAL ACADEMY OF CYTOLOGY (IAC) REPORTING SYSTEM Int. J. of Adv. Res. 8 (Feb). 1263-1267] (ISSN 2320-5407). www.journalijar.com

Dr Bhavneet Kour
Demonstrator, Department of Pathology, Govt. Medical College, Jammu.

DOI:

Article DOI: 10.21474/IJAR01/10575      
DOI URL: https://dx.doi.org/10.21474/IJAR01/10575

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