Fine needle aspiration in the diagnosis and management of solid breast lesions

Ulanow, Robin M.; Galblum, Lawrence; Carter, Jerome W.

doi:10.1016/0002-9610(84)90356-8

Cited by 9 publications

(6 citation statements)

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“…In our study the cytologic report correctly predicted the final histological results in 222 (95%) of the 234 cases. Nevertheless, the 3.4% incidence of false negative results in this study and 1.7-3% reported in the literature [ 10,21,22] emphasizes the fact that aspiration cytologic examination cannot be used as the sole criterion for evaluation of breast masses.…”

Section: Discussionsupporting

confidence: 71%

Triple approach in the diagnosis of dominant breast masses: Combined physical examination, mammography, and fine‐needle aspiration

Kaufman

Shpitz

Shapiro

et al. 1994

Journal of Surgical Oncology

102

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In an attempt to reduce the number of breast biopsies done for benign breast disease in patients with breast lumps, we evaluated prospectively the sensitivity and specificity of the combination of three diagnostic modalities: clinical examination, mammography, and fine-needle aspiration cytologic examination (FNA). A total of 234 patients with a breast mass had a physical examination, a mammogram, and FNA, and were listed as malignant/suspicious or benign. All patients underwent a subsequent biopsy: 110 were found to have breast cancer, and 124 had a benign lesion. The sensitivity and specificity of the individual tests were as follows: 89% and 73%, respectively, for mammographic examination; 93% and 97% for FNA cytologic examination; and 89% and 60% for physical examination. For the combined triad of tests, the sensitivity was 100% and specificity 57%. All patients who had breast cancer had positive findings for malignancy in one or more of the diagnostic tests, i.e., 100% sensitively. All patients who had negative findings for malignancy in all three diagnostic tests had benign lesions, i.e., a negative predictive value of 100%. We conclude that breast masses can be diagnosed with a high degree of accuracy by combined physical, mammographic, and fine-needle aspiration cytologic examination. Patients in whom physical examination, mammography, and FNA were negative for malignancy can be safely observed, obviating the need for an open biopsy.

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Section: Discussionsupporting

confidence: 71%

Triple approach in the diagnosis of dominant breast masses: Combined physical examination, mammography, and fine‐needle aspiration

Kaufman

Shpitz

Shapiro

et al. 1994

Journal of Surgical Oncology

102

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“…As a result, histological diagnosis for the breast lesion is absolutely essential prior to HIFU treatment. US-guided fine needle aspiration has been demonstrated to have a high diagnostic accuracy before surgery [16][17][18][19][20]. The main disadvantage of this technique is that it provides an inadequate sample to differentiate between invasive and non-invasive breast carcinoma.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal high intensity focused ultrasound treatment for patients with breast cancer

Wang

Zhu

et al. 2005

Breast Cancer Res Treat

150

122

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“…The accuracy of FNA biopsy increases when the cytopathologist performs the FNA biopsy and uses immediate interpretation to guide specimen adequacy (4,30,31). The falsenegative rate varies from 1-31% (18,20,(32)(33)(34)(35)(36)(37)(38), with an average rate of 10%' reported in the literature (39). An increased false-negative rate is often related to the lack of experience of the aspirator, with higher rates reported for those individuals performing fewer procedures (1,40).…”

Section: Accuracymentioning

confidence: 99%

“…Interpretive errors are most often responsible for false-positive results. False-positive rates in the literature are reported in the range of 0-4.1%0 (18,35,39,(44)(45)(46)(47)(48)(49)(50)(51). Feldman and Cove11 reviewed 14 series in which 42 falsepositive diagnoses were rendered out of a total of greater than 25,000 FNA breast biopsies of the breast for a falsepositive rate of 0.17% (18).…”

Section: Accuracymentioning

confidence: 99%

Diagnostic Accuracy, Cost-Effectiveness, and Triage Role of Fine-Needle Aspiration Biopsy in the Diagnosis of Palpable Breast Lesions

Silverman

1995

Breast Journal

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Fine needle aspiration in the diagnosis and management of solid breast lesions

Cited by 9 publications

References 0 publications

Triple approach in the diagnosis of dominant breast masses: Combined physical examination, mammography, and fine‐needle aspiration

Triple approach in the diagnosis of dominant breast masses: Combined physical examination, mammography, and fine‐needle aspiration

Extracorporeal high intensity focused ultrasound treatment for patients with breast cancer

Diagnostic Accuracy, Cost-Effectiveness, and Triage Role of Fine-Needle Aspiration Biopsy in the Diagnosis of Palpable Breast Lesions

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