Fine Needle Aspiration Cytology of Pediatric and Adolescent Breast Lesions
DOI:
https://doi.org/10.21276/apalm.2095Keywords:
Benign breast lesions, Fine needle aspiration cytology, Histopathology, Paediatric breast lesion.Abstract
Background: The spectrum of breast lesions in paediatric and adolescent age groups varies distinctly from that of adult breast lesions, in that it is rare and overwhelmingly benign. Histopathological examination being the gold standard in managing these cases, FNAC can be used for the accurate diagnosis in most cases. Aim of the study was to assess spectrum of breast lesions in paediatric and adolescent age groups on fine needle aspiration cytology (FNAC) and to correlate with histopathologic findings.
Methods: This is a 12 year retrospective study of cases during 2004 to 2016. 48 patients of age 19 years and below, presenting to our institute with palpable breast lumps were included. FNAC along with histopathologic examination of the excised breast lumps was performed on all the cases.
Result: Majority were females, 46 cases (95.83%). Most common age group was 16 to 18 years and the most common lesion was fibroadenoma. Other lesions were benign phyllodes, tubular adenoma, hamartoma and gynaecomastia. On comparing FNAC with histopathology, concordance was seen in 45 cases (93.75%).
Conclusion: In our study all the breast lesions were benign. FNAC and histopathologic examination of these lesions aids in accurate diagnosis and their management.
References
2. Chung E, Cube R, Hall G, González C, Stocker J, Glassman L. Breast Masses in Children and Adolescents: Radiologic-Pathologic Correlation1. RadioGraphics. 2009; 29(3):907-31.
3. Greydanus DE, Matytsina L, Gains M. Breast disorders in children and adolescents. Prim Care 2006; 33:455–502.
4. Siegel MJ. Chest. In: Siegel MJ, ed. Pediatric sonography. 3rd ed. Philadelphia, Pa: Lippincott Williams & Williams, 2002; 201–211.
5. Shannon C, Smith IE. Breast cancer in adolescents and young women. Eur J Cancer 2003; 39:2632-42.
6. Tea M-K, Asseryanis E, Kroiss R, et al. Surgical breast lesions in adolescent females. Pediatr Surg Int 2009; 25:73-75.
7. Devi G, Datta B, Medhi K, Goswami R, Baruah D. Pattern of Benign Breast Lesions on Fine Needle Aspiration Cytology. Indian journal of research. 2016;5(5):484-87.
8. Kapila K, Pathan S, Al-Mosawy F, George S, Haji B, Al-Ayadhy B. Fine Needle Aspiration Cytology of Breast Masses in Children and Adolescents. Acta Cytologica. 2008;52(6):681-86.
9. Knell J, Koning J, Grabowski J. Analysis of surgically excised breast masses in 119 pediatric patients. Pediatr Surg Int. 2015; 32(1):93-96.
10. Singh A, Haritwal A and Murali BM. Pattern of Breast Lumps and Diagnostic Accuracy of Fine Needle Aspiration Cytology: A Hospital Based Study From Pondicherry, India. The Internet J of Pathol 2011; 11(2):1-6.
11. Kaneda H, Mack J, Kasales C, Schetter S. Pediatric and Adolescent Breast Masses: A Review of Pathophysiology, Imaging, Diagnosis, and Treatment. American Journal of Roentgenology 2013; 200(2):204-12.
12. Zhang R, Bevan S, Sun P, Jim Z Lu, Peng. Unusual Presentation of Multiple Fibroadenomas in Bilateral Breasts and Axillary Accessory Breast. Breast cancer: basic and clinical research 2012; 6(1):95-99.
13. Tiwari M. Role of fine needle aspiration cytology in diagnosis of breast lumps. Kathmandu University Medical Journal 2007; 5(2): 215-17.
14. . Chandanwale, S Rajpal M, Jadhav P, Sood S, Gupta K , Gupta N “.Pattern of benign breast lesions on FNAC in consecutive 100 cases, Int J Pharm Bio Sci 2013;3(4):129-138.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2018 Anjali K Rao, Parinitha S Sangam, Dinesh Udipi Shastri
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access at http://opcit.eprints.org/oacitation-biblio.html).
