Abstract
OBJECTIVE
To study the "gray zone" in breast fine needle aspiration cytology in which an unequivocal diagnosis cannot be reached with fine needle aspiration cytology findings.
STUDY DESIGN
This study compared cytology and histopathology of 72 breast lesions in which an initial cytologic diagnosis of atypia was given.
RESULTS
There were 36 benign (50%) and 36 malignant (50%) histologic biopsy cases in the cytologic atypia group. Anisonucleosis, chromatin and nuclear membrane irregularity, and presence of myoepithelial cells were significantly different in benign and malignant cases.
CONCLUSION
The gray zone in breast fine needle aspiration cytology is a broad spectrum that changes from proliferative fibrocystic disease to sclerosing adenosis to malignancy. Diagnosing gray zone pathology as atypical in fine needle aspiration cytology causes no delay in treatment as excisional biopsy is recommended for all equivocal cases.
TY - JOUR
T1 - The gray zone in breast fine needle aspiration cytology. How to report on it?
AU - Ozkara,Sevgiye Kaçar,
AU - Ustün,Melek Ozkal,
AU - Paksoy,Nadir,
PY - 2002/6/4/pubmed
PY - 2002/6/26/medline
PY - 2002/6/4/entrez
SP - 513
EP - 8
JF - Acta cytologica
JO - Acta Cytol
VL - 46
IS - 3
N2 - OBJECTIVE: To study the "gray zone" in breast fine needle aspiration cytology in which an unequivocal diagnosis cannot be reached with fine needle aspiration cytology findings. STUDY DESIGN: This study compared cytology and histopathology of 72 breast lesions in which an initial cytologic diagnosis of atypia was given. RESULTS: There were 36 benign (50%) and 36 malignant (50%) histologic biopsy cases in the cytologic atypia group. Anisonucleosis, chromatin and nuclear membrane irregularity, and presence of myoepithelial cells were significantly different in benign and malignant cases. CONCLUSION: The gray zone in breast fine needle aspiration cytology is a broad spectrum that changes from proliferative fibrocystic disease to sclerosing adenosis to malignancy. Diagnosing gray zone pathology as atypical in fine needle aspiration cytology causes no delay in treatment as excisional biopsy is recommended for all equivocal cases.
SN - 0001-5547
UR - https://www.unboundmedicine.com/medline/citation/12040646/The_gray_zone_in_breast_fine_needle_aspiration_cytology__How_to_report_on_it
L2 - https://www.karger.com?DOI=10.1159/000326870
DB - PRIME
DP - Unbound Medicine
ER -