THE ROLE OF CORE NEEDLE BIOPSY IN BREAST LUMP WITH HISTOPATHOLOGY FINDINGS

Dr. Rebeka Sultana*, Dr. Rukhshana Akhter Jahan, Dr. Mst. Fatema Khatun, Dr. Tanzila Subrina Rahman, Dr. Mst. Tanjila Momotaj

ABSTRACT

Objective: In this study our main goal is to evaluate the role of Core needle biopsy in breast lump with histopathology findings. Method: This cross sectional study was conducted at tertiary medical college hospital and private diagnostic center where 100 patients attending the surgery outpatient department (OPD) for breast pathology. A detailed clinical history and examination was done using a standardized proforma. Patients with a positive clinical examination (palpable breast lump/nodularity) were subjected to CNB. Results: During the study, majority belong 41-50-year age group and lesions ranged in size from 1 cm to 14 cm. Majority 56% had breast lumps more than 5 cm in size and 89% had a single lump. In addition, according to cytology Finding of Breast Lump on CNB benign (B2) cases were 36% where Fibroadenoma cases were 10%, Benign breast lesion 9%, Fibrocystic change in 6% where as malignant cases were found in 50% cases where majority, 33% cases were Infiltrating ductal carcinoma. However, after final histopathological examination, actual malignant cases were 48%. Though significant correlation was noticed, 0.001. Conclusion: To conclude, taking into account the benefits and outcomes, we argue that CNB should be preferred for the diagnosis of breast lumps. However higher sample size is needed for better outcome.

Keywords: Core needle biopsy (CNB), breast cancer, B1(Unsatisfactory/normal tissue only), B2 (Benign), B3 (Benign, but of uncertain malignant potential), B4 (Suspicious of malignancy), B5 (Malignant).