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Reliability of fine needle aspiration biopsy in diagnosis of breast lump

Background: breast cancer is commonest cancer globally and the 1st cancer in Iraq among females, its management and prognosis depend on early diagnosis, the traditional method was excisional biopsy which is expensive and invasive leading to delayed diagnosis, FNAB is cheap nom invasive more acceptable to women, Aim of the study: to test the reliability of FNAB in preoperative diagnosis of breast lump.

Methodology: This is a retrospective study of 204 cases, 102 breast cancer cases and 102 benign breast lesions, taken between Jan. 2017 – Nov. 2017. The sample taken from the breast cancer early detection center in  Al-Alwiyaa maternity teaching hospital, during the year 2017

Results: Invasive ductal carcinoma (IDC) was found among  82(80.4%) of malignant cases, ILC was 14(13.7%) , fibroadenoma was the most common  benign lesions 51(50%), The absolute sensitivity was 96% , specificity 100%, with 4% false negative the accuracy was 98%. The complete sensitivity was 96%, and specificity was 83%, with 4% false negative and 17% false positive cases, the accuracy was 90%,

Conclusion and recommendation: fine-needle aspiration biopsy (FNAB) is accurate for breast lump diagnosis. With high sensitivity and specificity. FNAB is a good screening method and help in an improvement of treatment planning

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Publication Date
Thu Jan 30 2020
Journal Name
Al-kindy College Medical Journal
Accuracy of Fine Needle Aspiration Biopsy (F.N.A.B) in Diagnosis of Breast Lump

Background: Breast cancer is the first one among Iraqi females. Most of them present later for diagnosis. Early detection center in tertiary hospital practice uses FNAB for early diagnosis. Publications on accuracy of this detection are scarce.

Objective:  To test the accuracy of FNAB in breast lump diagnosis.

Methods: Diagnostic test accuracy study, on 204 women with breast lump, attending the oncology department in 2017.

Results: Fine-needle aspiration biopsy diagnosis of histologically malignant cases were, malignant in 89 (87.3%), suspicious of malignancy in 5 (4.9%), and benign in 4 (3.9%). Complete sensitivity was 87.3%, and specificity

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Publication Date
Tue Jan 02 2007
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Fine needle aspiration cytology of breast lesions: Diagnostic values

Back ground:Fine needle aspiration (FNA) is indicated in the exploration of superficial and deep masses. The accuracy of this procedure differs in various studies, and according to the organ explored. Palpable mammary masses of concern to the patient or clinician should be aspirated, regardless of imaging findings.
Objective: The present study aimed at evaluation of cytological results of FNA of different palpable breast lesions, using histopathological diagnosis as the gold standard for final diagnosis.
Patients & Methods: This prospective study includes 289 females with palpable breast lesions. FNA aspiration was conducted in a private out patient clinic during the period of 1994-2004. The cytolo

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Publication Date
Sun Apr 03 2011
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Breast lesion during lactation diagnosed by fine needle aspiration cytology

Background: The breast function as a secretory gland during pregnancy and lactation due to the interaction of estrogen, progesterone and other pituitary hormones.

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Publication Date
Wed Oct 01 2014
Journal Name
Journal Of The Faculty Of Medicine Baghdad
The role of Tru-cut needle biopsy in the diagnosis of palpable breast masses.

Background: Breast Lump Is The Second Most Common Presenting Symptom, After Breast Pain, To The Breast Clinic. Tru-Cut Needle Biopsy Provides Enough Tissue For Histopathological Diagnosis And Is Considered A Reliable Method For Establishing Preoperative Tissue Diagnosis.

Objectives: To Compare The Results Of Fine Needle Aspiration Cytology (FNAC), Tru-Cut Needle Biopsy With Excisional Biopsy In Detecting Breast Cancer In Palpable Breast Masses.

Results: This Study Shows That Tru-Cut Needle Biopsy Is Superior To FNAC In Confirming Breast Cancer In Palpable Breast Masses With Suspicion Of Malignancy And It Can Give Definitive Histopathological Diagnosis Of The Lesion With L

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Publication Date
Wed Oct 01 2008
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Male Breast Lesions: A review of 124 cases diagnosed by Fine Needle Aspiration Cytology

Background:Gynecomastia and breast cancer are the two most common diseases of the male breast. Most other diseases found in male breast arise from the skin and subcutaneous tissues. Male breast cancer is relatively rare, in contrast to gynecomastia, which is relatively common.
Objectives: The aim of this report is to determine the prevalence of the different breast lesions among males; based upon the findings of fine needle aspiration cytology .
Patients and method:This study was carried out within the Main Referral Training Center for Early Detection of Breast Tumors, Medical City Teaching Hospital, Baghdad (from the
beginning of January 2003 till the end of November 2007). One hundred twenty four males&nbsp

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Publication Date
Sun Apr 30 2023
Journal Name
Al-kindy College Medical Journal
Ultrasound Guided Core Needle Biopsy in The Diagnosis of Suspicious Breast Lesions: Radiologist’s perspectives

Background: Ultrasound guided core needle biopsy is becoming a gold standard in the work up of suspicious breast lesion. In Iraq, radiologists are not taking the lead in core needle biopsy performance.

Objectives: To evaluate the radiologist performance of core needle biopsy highlighting the precession and accuracy of the procedure, the concordance of ultrasound and histopathology, and identifying challenges facing the radiologist during the procedure.

Subjects and Methods: A prospective study involving a total of 50 patients with ultrasound (US) BIRADS IV or V.  Ultrasound guided core needle biopsy was performed for each patient. Surgical pathol

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Publication Date
Sun Jul 01 2012
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Percutaneous needle aspiration of breast abscesses

Background:Breast abscesses could be successfully treated by percutaneous aspiration of pus and irrigation of the cavity with saline solution.
Objective:To assess the feasibility and effectiveness of percutaneous needle aspiration of breast abscesses under local anesthesia in the outpatient clinic.
Patient and methods:A prospective study of forty three women with breast abscesses attended outpatient clinic at Tikrit teaching hospital and privit clinic for the period from January 2008 to January 2010.All patients had preliminary breast ultrasoundexamination. Percutaneous needle aspiration of pus under local anesthesia was done ,followed by systemic antibiotics. Repeated aspiration was carried out later when deemed necessary and foll

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Publication Date
Sun Apr 03 2016
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Fine Needle Aspiration Cytology of Lung Masses, benefits, precautions and complications.

Background: Pulmonary masses represent a great challenge for diagnosis. Fine Needle Aspiration Cytology (FNAC) is one of the diagnostic methods which was used since long time.
Objectives: To concern on Fine Needle Aspiration Cytology of pulmonary masses regarding benefits, precautions and patient’s preparation to avoid possible complications.
Patients and Methods: A prospective study is carried out from December 2008 to July 2015 on 45 patients presented with pulmonary masses to the Department of the thoracic and vascular surgery at Al-Yarmook teaching hospital and from the private sector. A Fine Needle Aspiration Cytology was done for them under local anesthesia as an outpatient procedure.
Results: 40 patients (88.9%) got acc

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Publication Date
Wed Jul 01 2009
Journal Name
Journal Of The Faculty Of Medicine Baghdad
fine needle aspiration cytology and ultrasonography in the management of solitary thyroid nodule

Background: the incidencies of clinically palpable thyroide nodules are 4% to 7% 

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Publication Date
Sun Apr 01 2012
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Accuracy and safety of CT guided transthoracic needle biopsy

Background:Image guided transthoracic needle biopsy (TTNB) has great diagnostic value for the definitive characterization of lung lesions and is an established primary procedure to diagnose pulmonary nodules. It is traditionally performed as an outpatient procedure. It is safe, accurate, sensitive, and can obviate surgical procedure.
Objective: to assess the accuracy and safety of CT-guided TTNB in Baghdad Teaching Hospital 
Patients & Methods: From December 2009 to September 2011, we conducted a prospective study of 43 consecutive outpatient and inpatient lung biopsies. An informed consent was obtained from the patients. No sedation is required. All biopsies were performed using CT guidance withou

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