CORRELATION BETWEEN RADIOLOGICAL AND CYTOLOGICAL AS WELL AS HISTOPATHOLOGICAL FINDINGS OF BREAST LUMP/MASS

Abstract

Background: Carcinoma of breast is the most common malignancy diagnosed in women worldwide. Pathological diagnosis of the breast lump is established using ne needle aspiration cytology (FNAC), core needle biopsy or surgical biopsy. Ultrasonography (USG) and mammography are the important tools in early detection, prompt treatment and favourable outcome leading to increased survival rate in younger females. FNAC is safe, least invasive and inexpensive. However, it is plagued by high false negative rates and insufciency rates .Correlation of the pathologic result with the imaging ndings after biopsy is found to be useful to validate the biopsy result and to offer subsequent management. To correlateAim: radiological, cytological as well as histopathological nding of breast mass/lump. A total of 74 patients with suspiciousMaterial And Methods breast mass were evaluated with cytology and sonomammography. A correlation was done between cytology, sonomammography and histopathology results individually and combined, taking histopathology as gold standard with ndings recorded as benign, suspicious or malignancy. Suspicious cases were those, which fell in BIRADS IV category. Correlation that was established between FNAC, BIRADSResults: by USG and Mammography there was Near Perfect agreement between these methods, and this agreement was statistically signicant(p = <0.001). A near perfect agreement was also established between BIRADS established by USG and Mammography complementing each other. Conclusions: Through our study it has been well established that the FNAC, Mammography BIRADS and USG BIRADS can very well complement the Biopsy ndings of the breast mass which is considered to be the gold standard.