A new reporting form for breast cytology

Tsuchiya, Shin-ichi; Akiyama, Futoshi; Moriya, Takuya; Tsuda, Hitoshi; Umemura, Shinobu; Katayama, Yousei; Ishihara, Akinori; Inai, Yasuteru; Kitamura, Takashi

doi:10.1007/s12282-009-0128-6

Cited by 7 publications

(6 citation statements)

References 7 publications

(4 reference statements)

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“…Synoptic reporting of pathology results is gaining acceptance in Asia and North America. A synoptic report was recently developed and used in Japan to accurately report breast cytology results in a series of 3439 cases [ 24 ]. Additionally, a cancer reporting project conducted in Ontario, Canada by Srigley et al found that a province-wide implementation of a synoptic reporting format generated more complete reports and led to increased rates of cancer reporting [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Cytological evaluation of breast lesions in symptomatic patients presenting to Kenyatta National Hospital, Kenya: a retrospective study

et al. 2015

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BackgroundPalpable breast lump, breast pain, and nipple discharge are common symptoms of breast disease. Breast cytology (fine-needle aspiration, nipple discharge smear, and touch preparation) accurately identifies benign, atypical, and malignant pathological changes in breast specimens. This study aims to determine the types of breast lesions diagnosed by breast cytology and assess the clinical adequacy of narrative reporting of breast cytology results.MethodsMedical records of 390 patients presenting to breast or general surgery clinics in Kenyatta National Hospital, Nairobi, Kenya, between January 2010 and March 2014 were evaluated retrospectively.ResultsOf the 390 diagnosed breast lesions, 89.7 % (n = 350) occurred in females, while 10.3 % (n = 40) occurred in males, giving rise to a female-to-male ratio of 8.8:1. Neoplastic breast lesions (n = 296) comprised 75.9 %, while non-neoplastic breast lesions (n = 94) comprised 24.1 % of all diagnosed breast lesions. The neoplastic lesions were classified as 72.3 % (n = 214) benign and 27.7 % (n = 82) malignant, resulting in a benign-to-malignant ratio of 2.6:1. Fibroadenoma (n = 136) and gynecomastia (n = 33) were the most frequently diagnosed breast lesions for women and men, respectively.ConclusionsBreast cytology effectively diagnosed neoplastic and non-neoplastic breast lesions. Neoplastic breast lesions occurred more frequently in women whereas non-neoplastic lesions occurred more frequently in men. To address the limitations associated with narrative reporting of breast cytology results, a synoptic reporting format incorporating the United Kingdom’s National Health Service Breast Screening Programme’s diagnostic categories (C1 to C5) is recommended for adoption by this hospital.

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Section: Discussionmentioning

confidence: 99%

Cytological evaluation of breast lesions in symptomatic patients presenting to Kenyatta National Hospital, Kenya: a retrospective study

et al. 2015

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“…The records of all pathologic breast reports were collected and classified under the following categories[18]. …”

Section: Methodsmentioning

confidence: 99%

Can concurrent core biopsy and fine needle aspiration biopsy improve the false negative rate of sonographically detectable breast lesions?

Kuo

Chang

2010

BMC Cancer

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BackgroundThe aims of this study were to determine the accuracy of concurrent core needle biopsy (CNB) and fine needle aspiration biopsy (FNAB) for breast lesions and to estimate the false-negative rate using the two methods combined.MethodsOver a seven-year period, 2053 patients with sonographically detectable breast lesions underwent concurrent ultrasound-guided CNB and FNAB. The sonographic and histopathological findings were classified into four categories: benign, indeterminate, suspicious, and malignant. The histopathological findings were compared with the definitive excision pathology results. Patients with benign core biopsies underwent a detailed review to determine the false-negative rate. The correlations between the ultrasonography, FNAB, and CNB were determined.ResultsEight hundred eighty patients were diagnosed with malignant disease, and of these, 23 (2.5%) diagnoses were found to be false-negative after core biopsy. After an intensive review of discordant FNAB results, the final false-negative rate was reduced to 1.1% (p-value = 0.025). The kappa coefficients for correlations between methods were 0.304 (p-value < 0.0001) for ultrasound and FNAB, 0.254 (p-value < 0.0001) for ultrasound and CNB, and 0.726 (p-value < 0.0001) for FNAB and CNB.ConclusionsConcurrent CNB and FNAB under ultrasound guidance can provide accurate preoperative diagnosis of breast lesions and provide important information for appropriate treatment. Identification of discordant results using careful radiological-histopathological correlation can reduce the false-negative rate.

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“…In their study, the non‐diagnostic / unsatisfactory rate was 12.9% and ranged from 1.8 to 23.6% . In addition, in a recent update of the reporting system for breast cytology by the Japanese Breast Society, the desired threshold of unsatisfactory samples was found to be 10% or fewer of all samples . Therefore, we considered a 15.4% unsatisfactory rate in endometrial cytology in our study comparable to a 12.9% unsatisfactory rate of thyroid fine needle aspirations (FNAs) and a 10% unsatisfactory rate of breast FNA.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of cellular adequacy in endometrial liquid‐based cytology

et al. 2019

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Objective This study evaluated cellular adequacy in endometrial liquid‐based cytology (LBC) specimens. Methods In total, 1267 cases were obtained and the rate of unsatisfactory specimen and diagnostic accuracy for malignancy were assessed. If ≥10 cellular clusters composed of ≤30 endometrial cells were found per specimen, then the sample was provisionally considered adequate. Results The unsatisfactory rate (with fewer than 10 clusters) was 15.4%. Diagnostic accuracy in specimens with ≥10 clusters was significantly higher (90.5% vs 36.4%) than that in specimens with fewer than10 clusters. Moreover, the unsatisfactory rate in patients aged ≥60 years was significantly higher (33.8% vs 13.2%) than that in patients younger than 60 years. Although the unsatisfactory rate was decreased, significant differences were not found between cases with fewer than five clusters (22.6%) and fewer than 10 clusters (33.8%) in patients aged ≥60 years. Diagnostic accuracy in cases with five or more clusters was significantly higher (90.3% vs 0%) than that in cases with fewer than five clusters. Conclusions We propose that ≥10 clusters with ≥30 endometrial cells per cluster could be used as a specimen adequacy criterion for endometrial LBC. If ≥10 clusters cannot be found in patients aged ≥60 years, then the use of the alternative criterion of five or more clusters may yield satisfactory specimen adequacy.

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A new reporting form for breast cytology

Cited by 7 publications

References 7 publications

Cytological evaluation of breast lesions in symptomatic patients presenting to Kenyatta National Hospital, Kenya: a retrospective study

Cytological evaluation of breast lesions in symptomatic patients presenting to Kenyatta National Hospital, Kenya: a retrospective study

Can concurrent core biopsy and fine needle aspiration biopsy improve the false negative rate of sonographically detectable breast lesions?

Evaluation of cellular adequacy in endometrial liquid‐based cytology

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