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Objectives: To study the accuracy of cytopathology in the diagnosis of breast cancer and to evaluate it as a
diagnostic pathological tool in breast diseases.
Method: This was a descriptive prospective study which included all patients presenting with breast lumps
or nipple discharge during the period between Jan 2006 & Feb 2008 to the Centre of Medical & Health
Services of the University of Khartoum. Each patient was assessed clinically and by using cytopathology
& histopathology. Data was analysed using the statistical package for social sciences (SPSS). Sensitivity,
specificity and accuracy were calculated.
Results: The total number of patients was 271. The overall mean age was 41.0+ 15.3 (ranging from 14 to
80) years; each patient had cytopathology & histopathology reports. The overall sensitivity, specificity and
accuracy of cytopathology were 56.1, 80.9 and 63.8% respectively while those of histopathology were 93.5,
83.5 and 89.7% respectively.
Conclusion: FNAC in Khartoum has low sensitivity, specificity & accuracy.
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