Histological Outcome of Needle Core Biopsies in Breast Lesions and Advantage of Using Reporting Categories of Royal College of Pathologists, London (UK)

Authors

  • Tariq Sarfraz Department of Pathology, Foundation University Medical College, Islamabad Pakistan
  • Saba Aneeqa Department of Pathology, Foundation University Medical College, Islamabad Pakistan
  • Humaira Tariq Department of Obs & Gynae, Combined Military Hospital/ National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Yasmin Wahid Department of Pathology, Foundation University Medical College, Islamabad Pakistan
  • Rehana Ramzan Department of Pathology, Foundation University Medical College, Islamabad Pakistan
  • Tania Khattak Department of Pathology, Foundation University Medical College, Islamabad Pakistan
  • Salma Afzal Department of Pathology, Foundation University Medical College, Islamabad Pakistan
  • Rubina Riaz Department of Pathology, Foundation University Medical College, Islamabad Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i4.9233

Keywords:

Benign, Breast lump, Malignant, Needle core biopsy, Reporting categories

Abstract

Objective: To determine the frequency of various categories of lesions in needle core biopsies done in breast lumps and the utility of using the reporting categories (B1 – B5) of the Royal College of Pathologists London (United Kingdom).

Study Design: Cross-sectional study.

Place and Duration of Study: Department of Histopathology, Foundation University Medical College, Islamabad Pakistan, from Jan to Dec 2021.

Methodology: The study included one hundred cases of needle core biopsies done on breast lumps. After processing the tissue, the slides were made and stained with Hematoxylin and Eosin. Microscopic evaluation was done by the consultant Histopathologist. The frequency of various breast lesions was analyzed, and they were categorized into different ‘B’ categories according to Royal College of Pathologists guidelines.

Results: The lesions included in B1 category (Normal tissue) comprised five cases (5%), B2 category (Benign) twenty cases (20%), B3 category (Uncertain malignant potential) twelve cases (12%), B4 category (Suspicious for malignancy) three cases (3%) and B5 category (Malignant) sixty cases (60%).

Conclusion: Reporting of needle core biopsies, according to the reporting categories of the Royal College of Pathologists, London (B1–B5), gives a precise diagnosis of most lesions and provides the clinician with a clear road map for further management. B5 Category (Malignant) lesions are needle core biopsies' most common histological outcomes.

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Published

31-08-2023

Issue

Section

Original Articles

How to Cite

1.
Sarfraz T, Aneeqa S, Tariq H, Wahid Y, Ramzan R, Khattak T, et al. Histological Outcome of Needle Core Biopsies in Breast Lesions and Advantage of Using Reporting Categories of Royal College of Pathologists, London (UK). Pak Armed Forces Med J [Internet]. 2023 Aug. 31 [cited 2024 Jun. 15];73(4):1186-9. Available from: https://pafmj.org/PAFMJ/article/view/9233