Introduction: Tru-cut biopsy is now one of the useful means of obtaining early and accurate histopathological diagnosis. It is easy and can be performed on an outpatient basis. It also avoids unnecessary excisional biopsy. It provides sufficient amount of tissue for pathologist to make an accurate histological diagnosis with its type, grade and degree of differentiation in majority of cases

Aim: To study usefullness of trucut biopsy of palpable breast lesions in patients coming to  a tertiary care hospital

Objectives: 1. To correlate findings of trucut biopsy with histopathology of follow up surgical procedures.

2. To find sensitivity, specificity, positive predictive value, negative predictive value and overall diagnostic accuracy of trucut biopsy.

Material and Methods: A prospective comparitive study of two years conducted in Department of Pathology KHMRC between June 2015 to June 2017. The study includes 106 patients of palpable breast lump. Trucut biopsy was performed using a Tru-Cut gun BARD MAX-CORE with an 18-gauge needle by means of 4 successive insertions with different angulations of the needle into the lesion’s core.

Result: The study includes 106 patients, Trucut Biopsy findings correlated with the histopathological findings in 103 of 106 cases (97.2%), which included 29 of 30 (96.7%) of the benign lesions and 74 of 76 (97.4%) of the malignant lesions.

Conclusion: Tru-cut biopsy is an easy, cost-effective, safe and accurate in diagnosing breast lesions and in detecting suspicious malignant breast lumps It is also superior to open biopsy in terms of safety, hospital stay, costs, post operative  pain and complications.

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Malika Mehta

KIMSDU