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CYTOHISTOLOGICAL STUDY OF BREAST LESIONS WITH SONOMAMMOGRAPHIC CORRELATION
Doaa Jasim Hamad* and Mohsin Sahib
Introduction: Breast cancer, an epithelial malignancy with the ability to attack regionally and remotely, is one of the leading causes of malignancy and the second most common cause of death in women worldwide. It usually presents as a lump or as nipple discharge. The breast is a dynamic structure that changes during sexual life, including the periodic changes that occur during menstruation. It's estimated that about 30% of newly diagnosed cancers in women will be breast cancers. The goal of this research is to find out if the results of radiological and cytological exams of breast lesions match the final histological diagnosis. So, this will cut down on the number of unnecessary diagnostic procedures and/or bring attention to the critical need to treat malignant lesions quickly and early. Method: Cross sectional retrospective study on 72 females have breast lesions. All cases who undergo breast FNA, ultrasound, mammography and histology were included in this study. Other parameters of this study are age, site, position and quadrant of the lesion. Results: Mean age of females are [47.96 ± 11] years, [34.7%] of females in age group 40-49 years and [30.6%] of them in age group 50-59%. [56.9%] of females have left breast mass while [40.3%] have right breast mass. [34.7%] of females the mass at left upper quadrant while [27.8%] of them at right lower quadrant. [50%] of females diagnosed C5 grade on cytology, [31.9%] of females diagnosed IV grade on ultrasound, [40.3%] of females diagnosed IV grade on mammogram, most of females have mammary carcinoma, then fibro adenoma, and then fibrocystic changes in histopathological diagnosis, the cytological diagnosed as following: females have mammary carcinoma, females have fibro adenoma, and females have fibrocystic changes. Conclusion: In this study, the most common breast lesion is mammary carcinoma. The cytology was 100% specific, sensitive and accurate in detecting breast lesion. In correlation to cytology, ultrasound and mammogram were useful in the detection of breast lesion.[Full Text Article]