COMPARISON AND ANALYSIS OF FNAC AND FROZEN SECTION IN THE DIAGNOSIS OF BREAST LESIONS

Dr.Dhananjay Prasad, Dr.Vijay Tote, Dr Brajendra kumar

Abstract


Aspiration of a palpable mammary tumor is a definitive                                                      procedure with results  equivalent to frozen section and eqaually suitable for   choosing and undertaking definitive therapy ; yet the need for frozen section evaluation is felt in the following situation :1.The aspirate is scanty  or acellular due to desmoplastic reaction or due to extensive necrosis.2.The tumor is of low cytologic grade.3.The lesion is either a lobular carcinoma or a lymphoma, and distinction between the two is difficult but therapeutically important.4.Evaluation of lumpectomy margins.Frozen section is an invaluable intra-operative tool for evaluation of breast lumps.The aim of this study was to calculate the overall accuracy, false positivity, false negativity for frozen section of breast lumps,to analyze the causes of discrepancies, and  compare the data with that of published literature on frozen section of breast lumps. Frozen section  has a role despite the raging popularity of aspiration cytology in the following settings: (1) Difficult cytology (2) Evaluation of lumpectomy margins. (3) Intra-operative nodal status.


Keywords


Frozen section,FNAC, Breast, Accuracy, Utility, Diagnosis.

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References


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