Correlation between bi-rads categories and cytological findings of breast lesions

Abstract

The Triple Assessment in breast lump diagnosis includes a combined approach by clinical examination, mammosonography and Fine Needle Aspiration Cytology. Correlation between BI-RADS categories & cytological findings are useful approach to establish an accurate preoperative diagnosis and for planning treatment. The present study included 100 patients with palpable breast lesions. Detailed history of patients and mammosonography findings (BI-RADS category) were noted. Fine Needle Aspiration Cytology (FNAC) smears were stained by Pap stain, H & E stain and Giemsa stain. Microscopic examination & reporting were done in correlation with BI-RADS categories. In present study majority of patients were between 41-50 years age with right side predominance. In FNAC findings, 45 patients had malignant lesions (predominantly Ductal carcinoma) & 55 patients had benign lesions (predominantly Fibroadenoma). It showed overall 93% concordance with BI-RADS categories.

Association of the International Academy of Cytology category with the Breast Imaging Reporting and Data System score in relation to the diagnostic accuracy for breast lumps

“…The malignant cases were mainly ductal carcinoma. On FNAC, fibroadenoma (41%) was more common among the benign lesions and ductal carcinoma (92%) among the malignant lesions, comparable with the study findings by Umat et al 12 . The IAC established a comprehensive and standardized approach to FNAC data reporting.…”