Feasibility of Masood's cytological index for screening breast lesions in low resource setting.

Authors:
Arshdeep Kaur
Arshdeep Kaur
AB Shetty Memorial Institute of Dental Sciences
India
Pavneet Kaur Selhi
Pavneet Kaur Selhi
Dayanand Medical College and Hospital
Ludhiana | India
Ruchita Tyagi
Ruchita Tyagi
Post Graduate Institute of Medical Education and Research
India
Harpreet Kaur
Harpreet Kaur
Panjab University
Chandigarh | India
Neena Sood
Neena Sood
Dayanand Medical College and Hospital
India

Breast J 2019 May 10;25(3):434-438. Epub 2019 Apr 10.

Department of Pathology, Dayanand Medical College & Hospital, Ludhiana, India.

Fine needle aspiration cytology has long been an accepted diagnostic modality in combination with physical examination and mammography to investigate breast lesions. In the present era, more proficient methods such as stereotactic mammographically guided breast biopsy is the preferred choice, however, in low resource setting, FNAC still remains the most cost effective and sampling modality to diagnose breast cancer. With the intention to evaluate the efficacy and limitations of FNAC in evaluation of breast lesions in low resource setting, we employed the Masood's cytological staging system to stratify the breast lesions and correlate them with histopathology wherever possible. All breast lesions aspirates were analyzed and classified according to the Masood's cytological scoring system and correlated with histopathological findings wherever adequate material was available. A total of 776 patients were studied of which 23 aspirates were unsatisfactory, 120 aspirates were categorized as inflammatory breast disease. Six hundred and thirty-three cases were classified according to Masood's cytological system. Nonproliferative breast diseases (Group I) encompassed maximum cases with 55% followed by carcinoma in situ and invasive cancers (Group IV) with 39% and proliferative breast disease without atypia (Group II) and with atypia (Group III) which had equal number of cases constituting 2.4% each. Cyto-histopathological correlation done in 102 cases revealed 100% concordance in group IV and 75% concordance in group III while it could not be performed in Group I and II as no histopathological specimen was available in those patients. Masood Cytological grading for breast aspirates is a reliable and an easily reproducible system which can be used to formulate appropriate treatment protocols in cases presenting with breast lesions.

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http://dx.doi.org/10.1111/tbj.13239DOI Listing
May 2019
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References

(Supplied by CrossRef)
Correlation between histopathologic and fine needle aspiration cytology diagnosis of palpable breast lesions: a five‚Äźreview
Nggada HA et al.
Afr J Med Sci 2007
Value of scoring system in classification of proliferative breast disease on fine needle aspiration cytology
Mridha AR et al.
Indian J Pathol Microbiol 2006

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