Value of cytopathologist‐performed ultrasound‐guided fine‐needle aspiration as a screening test for ultrasound‐guided core‐needle biopsy in nonpalpable breast masses

Lieu, M.B.A. David

doi:10.1002/dc.20984

Cited by 42 publications

(28 citation statements)

References 25 publications

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“…The use of core biopsy (CB) is being increasingly advertised but its procedure is more cumbersome, expensive and time consuming as compared to FNA procedure. [5][6][7] "Although fine-needle aspiration (FNA) biopsy of the breast has been shown to be a safe and accurate technique, many surgeons question whether it is reliable enough to replace excisional biopsy. If FNA biopsy is followed by an excisional biopsy for confirmation, it would seem that the cost of diagnostic workup would be increased, but it has been seen that FNA biopsy is cost effective even when followed by an excisional or frozen section biopsy for confirmation.…”

Section: Discussionmentioning

confidence: 99%

Cytological Study of Palpable Breast Lumps with their Histological Correlation

Bhagat

Bal

Bodal

et al. 2013

IJMDS

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Section: Discussionmentioning

confidence: 99%

Cytological Study of Palpable Breast Lumps with their Histological Correlation

Bhagat

Bal

Bodal

et al. 2013

IJMDS

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“…Although core biopsy is preferred to FNAC in most developed countries, its procedure is more expensive and time consuming as compared to FNAC [8][9][10] . Th is study was conducted to evaluate the sensitivity and specifi city of FNAC in the diagnosis of breast tumors in our institution by correlating it with histopathology fi ndings.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Value of Fine Needle Aspiration Cytology for Breast Tumors

Mišković

Zorić

Mišković

et al. 2016

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SUMMARY -Breast cancer is the most frequently diagnosed cancer and the leading cause of death from cancer in women. Th e accuracy of diagnosis can be increased with a combination of clinical examination, imaging diagnostics, and fi ne needle aspiration cytology (FNAC) or core needle biopsy, also known as triple test. Th e aim of the study was to evaluate the sensitivity and specifi city of FNAC in the diagnosis of breast tumors in our institution by correlating it with histopathology fi ndings. We assessed the accuracy of 124 FNAC fi ndings by comparing cytological diagnosis of breast masses with the diagnoses from histopathology reports obtained by surgery. Statistical analysis showed 95.1% accuracy, 97.7% sensitivity, 89.1% specifi city, 95.5% positive predictive value and 94.2% negative predictive value of FNAC. Study results indicated that FNAC could be used as a highly reliable tool in the diff erential diagnosis of breast tumors, in combination with clinical and imaging fi ndings, especially in developing countries with limited fi nancial resources.

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“…Rare cytopathologists are further extending their practice to the performance of core biopsies 132 and placement of radiologic clips when clinically indicated. 134 In one office visit, 87% of patients with breast masses were able to be diagnosed with only ultrasound-guided FNA; core biopsies were performed to enable diagnosis of invasion for patients with positive FNAs and to resolve nondiagnostic FNAs. 134 Interventional cytopathologists are appropriately resurrecting breast FNA.…”

Section: Value Of Addition Of Ultrasound Guidancementioning

confidence: 99%

“…134 In one office visit, 87% of patients with breast masses were able to be diagnosed with only ultrasound-guided FNA; core biopsies were performed to enable diagnosis of invasion for patients with positive FNAs and to resolve nondiagnostic FNAs. 134 Interventional cytopathologists are appropriately resurrecting breast FNA.…”

Section: Value Of Addition Of Ultrasound Guidancementioning

confidence: 99%

Five Top Stories in Cytopathology

Fischer,

Benedict,

Amrikachi

2013

Archives of Pathology &Amp; Laboratory Medicine

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Context.-Cytology relies heavily on morphology to make diagnoses, and morphologic criteria have not changed much in recent years. The field is being shaped predominantly by new techniques for imaging and for acquiring and processing samples, advances in molecular diagnosis and therapeutics, and regulatory issues.Objective.-To review the importance of classical morphology in the future of cytopathology, to identify areas in which cytology is expanding or contracting in its scope, and to identify factors that are shaping the field.Data Sources.-Literature review.Conclusions.-Five stories paint a picture in which classical cytomorphology will continue to have essential importance, both for diagnosis and for improving our understanding of cancer biology. New endoscopy and imaging techniques are replacing surgical biopsies with cytology samples. New molecularly targeted therapies offer a chance for cytology to play a major role, but they pose new challenges. New molecular tests have the potential to synergize with, but not replace, morphologic interpretation of thyroid fine-needle aspirations. Ultrasound-guided fine-needle aspiration performed by cytopathologists is opening a new field of ''interventional cytopathology'' with unique value. For the productive evolution of the field, it will be important for cytopathologists to play an active role in clinical trials that document the ability of cytology to achieve cost-effective health care outcomes.(Arch Pathol Lab Med. 2013;137:894-906; doi: 10.5858/ arpa.2012-0258-SA) THE CONTINUING VALUE OF CYTOMORPHOLOGY C ytopathologists have been primarily morphologists, using the smallest possible biopsy specimen for diagnosis. It is unusual for new diagnostic morphologic features to be discovered. A rare example is the description of intranuclear cytoplasmic inclusions in at least a subset of pancreatic intraductal papillary mucinous neoplasms.1 The new Bethesda system for reporting thyroid cytopathology is certainly important, but the actual morphologic criteria for diagnosing thyroid fine-needle aspirations (FNAs) have scarcely changed in the past several decades. It seems that classical cytomorphology has brought the field about as far as it can go.Though new diagnostic cytomorphologies are not likely to help the productive evolution of cytology, the theme of this first story is that classical morphology will continue to have an essential value. In order to provide new useful clinical applications, cytopathology needs to be redefined as the field that uses the smallest possible biopsy specimen for diagnosis by using any technique. The full value of classical cytomorphology can be boosted by new technologies, including improvements in cell block techniques 2-4 and better microbiopsy needles. 5 The use of ultrasound guidance for cytopathologist-performed FNA and the development of new endoscopic techniques have provided new applications for classical cytomorphology. New immunofluorescent microscopy techniques are promising to synergize with classical cytomorphologic diagnosis...

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Value of cytopathologist‐performed ultrasound‐guided fine‐needle aspiration as a screening test for ultrasound‐guided core‐needle biopsy in nonpalpable breast masses

Cited by 42 publications

References 25 publications

Cytological Study of Palpable Breast Lumps with their Histological Correlation

Cytological Study of Palpable Breast Lumps with their Histological Correlation

Diagnostic Value of Fine Needle Aspiration Cytology for Breast Tumors

Five Top Stories in Cytopathology

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