Breast Cancer Diagnosis by Fine Needle Aspiration and Excisional Biopsy

Taxin, Amy; Tartter, Paul Ian; Zappetti, Dana

doi:10.1159/000332516

Cited by 12 publications

(8 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar observations were made by Taxim et al, [19] (89%) and Chattopadhyay et al, [20] (70%). A higher grade was associated with a nodal metastasis (p<0.006, CC = 0.399).…”

Section: Resultssupporting

confidence: 90%

The Cytological Grading of Malignant Neoplasms of The Breast and Its Correlation With The Histological Grading

Vasudev¹

2013

JCDR

View full text Add to dashboard Cite

Background and Objectives: Breast carcinoma is one of the leading causes of malignancy in females. The diagnosis of breast carcinoma is often made by fine needle aspiration cytology. Nuclear grading is an important prognostic factor. It is important to grade breast carcinomas, which will provide valuable information to the treating oncologists to plan their management. The purpose of this study was to compare the cytological grading and typing with the histological grading and typing and the regional lymph node metastasis.Methodology: This retrospective and prospective study was done on 60 cases with malignant and suspicious diagnoses on FNAC, which had histopathological correlations, from January 2004 to December 2007. The cytological grading was done by Robinson's Method and the histopathological grading was done by the modified Scarff Bloom Richardson method. Cytological and histological typings were also done. The statistical analysis was done by using the SPSS software: The Chi square test was used and a contingency tale analysis (cross tabs procedure) was also done. Results:The cytohistological grading correlation was accurate in 7 cases (100%) of grade 1, 22 cases (71%) of grade 3 and 9 cases (42.9%) of grade 2 cancers. The accuracy was 62.7% (P < 0.001). A higher cytological grade was associated with a nodal metastasis. (cc : 0.399, P < .006) The cytological typing was accurate in 44 cases out of the 60 cases. Interpretation and Conclusion:The cytological grade correlated well with the histological grading accuracy (62.7%) and a higher grade was associated with a nodal metastasis (P < 0.006), Hence the cytological grading and typing should be routinely incorporated in the cytology reports and they can be of great value in guiding the choice of the treatment protocols.Vidya VasudeV, Rangaswamy R., geethamani V. InTROduCTIOnBreast cancer is the second most common malignancy in females in India [1]. Recent studies have shown that the incidence of breast cancer is increasing and shifting towards the younger age group [2]. Hence, any breast lump, whether it is benign or malignant, is a source of anxiety for the patient as well as for the treating doctor [3].Breast cancer is a malignant disease with a heterogenous prognosis. Evaluation of the possible prognostic parameters is a growing interest. Assessment of the biological aggressiveness of the cancer without removing it, would be valuable.The value of the histological typing and grading has been well established [4]. Because the neoadjuvant therapy has become increasingly popular as the primary medical treatment of breast cancer, much attention is being focused on grading the tumours, based on the FNA cytology. Such a grading would allow the assessment of the tumour in situ and so the most suitable treatment could be selected before the primary surgery. Also, the morbidity which is associated with the overtreatment of low grade tumours could be avoided [5].FNAB is not only helpful in the diagnosis and the further planning of the treatment, but it is ...

show abstract

“…Similar observations were made by Taxim et al, [19] (89%) and Chattopadhyay et al, [20] (70%). A higher grade was associated with a nodal metastasis (p<0.006, CC = 0.399).…”

Section: Resultssupporting

confidence: 90%

The Cytological Grading of Malignant Neoplasms of The Breast and Its Correlation With The Histological Grading

Vasudev¹

2013

JCDR

View full text Add to dashboard Cite

show abstract

“…13 The use of FNAB elsewhere in the body is also not associated with increased risk of recurrence. 27 Though open incisional biopsy is not commonly used to diagnose salivary gland tumours, its use is recommended when FNAB fails to provide the diagnosis.…”

Section: Review Of the Literaturementioning

confidence: 99%

Pleomorphic adenoma of the lacrimal gland: is there a role for biopsy?

Lai

Prabhakaran

Malhotra

et al. 2008

Eye

View full text Add to dashboard Cite

show abstract

“…Taxin et al showed the results of 58 patient with fine needle aspiration and compared them with 308 patients who underwent immediate open biopsy. Both had similar recurrence and survival rates although the group of preoperative fine needle aspiration were significantly younger [17]. King et al did not find any differences in local free recurrence rate in patients with or without preoperative core needle biopsy.…”

Section: Resultsmentioning

confidence: 94%

“…This inconsistency may be mainly based on the routine use of radiotherapy after breast conserving surgery and the technique used for surgical excision of the biopsy channel. Recent data demonstrate that the local recurrence rate in patients with preoperative fine needle biopsy or core biopsy is between 2 and 6% [16][17][18][19] with a median follow up of 5 years. This recurrence rate is similar to that reported in many clinical studies for breast cancer patients without preoperative core needle biopsy.…”

Section: Resultsmentioning

confidence: 99%

“…Only a few studies provide information about the risk of local recurrence and overall survival rates in patients with preoperative core needle biopsy of breast cancer. Available data suggest that a core needle biopsy has little impact on the local recurrence rate [15][16][17][18][19] and overall survival rate [20]. The number of patients in these studies, however, were small and there have been differences in the prognostic factors within the groups in each study, especially with respect to tumor size, age, hormone status and grading as well as postoperative therapy.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation