A STANDARDIZED IAC REPORTING SYSTEM ON BREAST LESIONS IN TERTIARY HEALTH CARE CENTER OF FAISALABAD: A CASE SERIES

Abstract

Background: International academy of cytology (IAC) has established a structured, comprehensive and standardized coding system to segregate the breast lesions into categorically 5 groups C1-5 (C1-Insufficient, C2-Benign, C3-Equivocal/ open to more than one interpretation, C4- Suspicious & C5- Malignant) to approach a uniform and unanimous diagnostic criterion of reporting on cytology. The aim of our analysis in the case series is to classify our available data of breast lesions into different categories as per IAC classification.

Method: All routine FNAC done in the breast clinic of Madina Teaching Hospital from June 2014 to June 2023 were included in the study.

Results: A total of 718 cases were included in the study, varying in age from 11 to 69 years. Out of all the FNACs done, the percentage of C1 cases was 0.41 % (3), C2 cases was 62.5% (449), C3 cases was 5.7 % (41), C4 cases was 7.1 % (51) and C5 cases was 24.2% (174)

Conclusion:  Cytological categorization based on structured reporting system utilized internationally, will augment the diagnostic uniformity amongst medical practitioners and use of FNAC for diagnosing breast lesions can help prevent redundant surgery and strain to the patient.