Journal of Cytology
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Year : 2005  |  Volume : 22  |  Issue : 1  |  Page : 19-22

Aspiration smear pattern as a predictor of biological behaviour in breast carcinoma

1 Lecturer, Department of Pathology, SCB Medical College, Cuttack, India
2 Professor, Department of Pathology, SCB Medical College, Cuttack, India

Correspondence Address:
A Dash
Lecturer, Department of Pathology, SCB Medical College, Cuttack-753 007
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Source of Support: None, Conflict of Interest: None

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Assessment of the biological aggressiveness of cancer without removing it would be valuable. Cytologic nuclear grading is considered one of the most important prognostic factors in breast cancer. In the present study, we have tried to assess the cytologic grade in FNA smears of breast cancer and compared it with histologic grade to evaluate its reproducibility. Fine needle aspirates from 93 patients of infiltrating duct carcinoma, not otherwise specified , of breast were obtained and stained with Papanicoloaou and H&E stains. They were graded by the scoring system established by Taniguchi et al. The cytologic grade was correlated with histologic grade and lymph node status. Positive correlation between cytologic and histologic grade was seen in 77.4% of cases. Forty-six percent of lymphnodes were found to be positive showing metastatic deposits. Nuclear grade can be used as a key prognostic factor and predictor of tumor aggressiveness in FNA smears of breast carcinoma. It is easily performed and should be included in reports of breast cancer.

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