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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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FNAC Test Done. Looking For Advice

Hi This is regarding the FNAC test for my mother, she had the test done last week and below is the test result. THE SMEARS ARE OF LOW CELLULARITY, SHOWING MOSTLY SMALL FLAT SHEETS AND CLUSTERS OF BENIGN DUCTAL CELLS WITH MYOEPITHELIAL CELL INTERLACING. A FEW SMALL CLUSTERS SHOW CELLS WITH SLIGHTLY LARGER, IRREGULAR NUCLEI HAVING MILD PLEOMORPHISM AND SMALL NUCLEOLI. BACKGROUND SHOWS BLOOD .
Thu, 12 Jul 2012
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Pathologist and Microbiologist,  's  Response
Hi Vipul Bansal, the FNAC if done from the breast tissue then I need to know a little of history about the duration ,size of lump and age of the patient. Low cellularity from breast tissue usually favours benign lesions if taken from the right site, but as there are presence of pleomorphic cells with irregular nuclei and nucleoli as well it goes in favour of a malignant lesion. You should get the FNAC repeated or get an ultrasoound guided fnac done to get a more conclusive picture. Other option is to go for a tru-cut biopsy to rule out any malignancy. From this picture you can definitely not ignore the lump and must find a conclusive diagnosis and treatment. Take care.
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FNAC Test Done. Looking For Advice

Hi Vipul Bansal, the FNAC if done from the breast tissue then I need to know a little of history about the duration ,size of lump and age of the patient. Low cellularity from breast tissue usually favours benign lesions if taken from the right site, but as there are presence of pleomorphic cells with irregular nuclei and nucleoli as well it goes in favour of a malignant lesion. You should get the FNAC repeated or get an ultrasoound guided fnac done to get a more conclusive picture. Other option is to go for a tru-cut biopsy to rule out any malignancy. From this picture you can definitely not ignore the lump and must find a conclusive diagnosis and treatment. Take care.