Background: Women are becoming more conscious of the anxiety and stress that come with it because they mistakenly believe that every breast symptom is cancer, which forces them to consult a doctor. Sometimes a clinical examination alone cannot reliably identify whether a suspicious tumour is benign or cancerous. Objectives: 1. To study the efficacy of fine needle aspiration cytology in the evaluation of breast lesions. 2. To study the age and sex profile and the spectrum of various breast lesions in the study subjects. Material & Methods: Study Design: Hospital based description study. Study area: Department of Pathology, Government Medical College, Kadapa, Andhra Pradesh. Study Period: 1 year. Study population: Patients with breast lumps referred to pathology for FNAC evaluation from various departments from hospital. Sample size: Study consisted of 100 subjects. Sampling Technique: Simple Random technique. Results: In the present study, FNAC diagnosis of 100 cases of breast lesions included 36 cases of fibroadenoma,12 cases of fibrocystic disease,2 cases of gynaecomastia,2 cases of granulomatous mastitis,11 cases of breast abscess,2 cases of phyllodes tumour,15 cases of proliferative breast disease with atypia, 20 cases of invasive ductal carcinoma NOS. Conclusion: The study emphasises the use of FNAC as a quick, affordable, and accurate diagnostic method for palpable breast lesions. The most frequent lesion in this study was fibroadenoma, with malignancy coming in second. A proficient cytopathologist, together with appropriate collection and smear preparation, can identify most non-neoplastic and neoplastic diseases on FNAC.
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