2003, Number 1
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Rev Hosp M Gea Glz 2003; 6 (1)
Biopsy for aspiration of mammary gland with ultrasoun-guided fine needle
Martínez de LN, Suárez PN, Barragán DL, Romero MG, Cué CA
Language: Spanish
References: 15
Page: 45-49
PDF size: 77.40 Kb.
ABSTRACT
Objective: To know the frequency of the breast pathology in ultrasound-guided fine leedle aspiration cytology and the number of inadequate samples.
Material and methods: 56 ultrasound-guided FNA cytology were review in the Department of Cytopathology of the “Dr. Manuel Gea González” Hospital.
Results: 21 cases were inadequate (37.5%), 8 cases were carcinomas (14.28%) and 26 were benign lesions (46.4%). Ultrasound made the diagnosis of 11 carcinomas, only 6 cases had cytologic correlation, and the other 5 were inadequate samples. 28 of the 35 adequate samples had cytologic-ultrasound correlation.
Conclusions: The main problems in the cytologic diagnosis are the inadequate samples, therefore it should be made an effort to get an adequate material with a better ultrasound-guided FNA cytology technique, specially in the impalpable lesions, because it a determinant factor to get a precise diagnosis.
REFERENCES
Ancona CN, Larios MN. La BAAF en la patología de glándula mamaria. Correlación cito-histológica. Rev Hosp Gral Dr. M. Gea González 2002: 5: 79-84.
Martin HE, Ellis EB. Biopsy by needle puncture and aspiration. Ann Surg 1930; 92: 169-181.
Bibbo. Comprehensive Pathology. Second Edition, 25: 623-625.
Bibbo. Comprehensive Pathology. Second Edition, 30: 731.
Rodríquez C. Punción aspiración con aguja fina de órganos superficiales y profundos. Ed. Díaz de Santos 1997. 7: 162.
Martins CL et al. Value of fine needle aspiration in the diagnosis of breast lesions. Acta Cytol 1999; 43: 587-592.
Strawbridge HT, Bassett AA, Fuldes. Role of cytology in management of lesions of the breast. Surg Gynecol Obstet 1981: 152-157.
Brll DA, Haddu SI, Urban JA, Gaston JP. Aspiration cytology in the diagnosis and management of mammary lesions in office practice. Cancer 1993; 51: 1182-1189.
Lamb J, Anderson TJ, Dixon MJ, Leack PA. Role of fine needle aspiration cytology in breast cancer screening. J Clin Pathol 1997; 40: 705-709.
Layfield LJ, Mooney FE, Glasgow B. What constitutes an adequate smear in fine needle aspiration cytology of the breast. Cancer Cytopathology 1997; 81(1): 16-21.
Koss LG. The palpable breast nodule: a cost effectiveness analysis of alternate diagnostic procedures: The role of needle biopsy. Cancer 1993; 72: 1499-1502.
Jeffrey PB, Jung BML. Benign and malignant papillary lesions of the breast. A cytomorphologic study. Am J Clin Pathology 1994; 101: 500-507.
Zarbo RJ. Interinstitutional comparison of performance in breast fine needle aspiration cytology. Arch Pathol Lab Med 1991; 115: 743-750.
Zadarwi IM. Ultrasound-guided fine needle aspiration of impalpable breast lesions. Acta Cytol 1999; 43: 163-167.
Wang HH, Ducatman BS. Fine needle aspiration of the breast a probabilistic approach to diagnosis of carcinoma. Acta Cytol 1998; 42: 285-289.