The Efficacy of Fine Needle Aspiration on Diagnosis of Palpable Breast Masses in Lamphun Hospital
Keywords:
ประสิทธิภาพวิธีเจาะดูดด้วยเข็มเล็ก, การวินิจฉัยก้อนของเต้านมAbstract
Objective to evaluate the efficacy of Fine Needle Aspiration on diagnosis of palpable breast masses compared with final histopathology and complete follow up patients. Setting: Department of Surgery Lamphun Hospital Design: Retrospective Descriptive Study Subjects: 197 patients with 216 specimens of palpable breast masses with were diagnosis by cytology form FNA and final histology I complete follow up. Method: The data was analyzed by comparison of cytology with final diagnosis. Results: Diagnostic Accuracy, Sensitivity and Specificity of FNA on palpable breast mass were 94.48%, 88.64% and 97.03% respectively. Conclusion: Needle Aspiration is a high efficacy tool to diagnosis of palpable breast masses. Well-trained surgeon should be an important factor to decrease failure rate.
References
Collaco LM, de Lima RS, Werrner B, Torres LF. Value of fine needle aspiration in diagnosis of breast lesion. Acta Cytol.1999 JuiAug; 43(4):587-92.
Daltrey IR, Kissin MW. Randomized clinical trial of the effect of needle gauge and local anesthetic on the pain of breast fineneedle aspiration cytology.Br J Surg.2000 Jun;
87(6):7777-9.
Kanchanabat B, kanchanapitak P,Thanapongsathorn W,manomaiphiboon A. Fine-needle aspiration cytology for diagnosis and management of palpable breast mass. Aust NZJSurg.2000 Nov;70(11 ): 791-4
Salami N, Hirschowitz SL, Neilberg RK. Triple test approach to inadequate fine needle aspiration biopsies of palpable breast lesions.Acta Cytol.1999 May-Jun; 43(3): 339-43.
Oyama T, Koibuchi Y,McKee G. Core needle biopsy (CNB) as diagnostic method for breast lesions: comparison with fine needle aspiration cytology (FNA). Breast cancer.2004; 11 (4): 339-42
Morris A, Pommier RF, Schmidt WA, Shih needle biopsy (CNB) as diagnostic method ation of palpable breast masses by the triple test score.Arch Surg.1998 Sep;113(9):930-4.
Meunier M, Clough K. Fine Needle Aspiration Cytology versus percutaneus biopsy of nonpalpable breast lesion. Eur J Radial. 2002 Apr; 42(1) : 10-6.
Ballo MS, Sneige N. Can core needle biopsy replace fine-needle aspiration cytology Patholin the diagnosis of palpable breast carcinomas. A comparative study of 124 women. Cancer.1996 Aug 15; 78(4):773-7
Morris KT, Pommier RF, Morris A, Schmidt WA, Beagle G, Alexander PW, Toth-Fejel S, Schmidt J, Vetto JT .Usefulness of triple score for palpable masses; discussion 1012-3. Arch Surg.2001 Sep; 136(9):1008-12
Logan-Young WW, Hoffman NY, Janus JA. Fine-needle aspiration cytology in the detection of breast cancer in nonsuspicious lesions. Radiology. 1992 Jul; 184(1):49-53
Ciatto S, Catania S, Bravetti P, Bonardi R, Cariaggi P, Pacifico E. Fine-needle cytology of the breast : a controlled study of aspiration. Diagn Cytopathol. 1991;7(2):125-7
Patel JJ. Gartell PC. Smallwood JA, Herbert A, Royle G, Buchanan R, Taylor I. Fine needle aspiration cytology of breast masses: an evaluation of its accuracy and reasons for diagnosis failure. Ann R Coli Surg Engl. 1987 Jul;69(4):156-9
Gantenbein H, Spieler P. [Fine-needle aspition biopsy of the breast. Frequency, indication and accuracy .studied on material from the Cytological Laboratory of the Pathology Institute, St. Galien Canton Hospital, 1981-1984] Schweiz Med Wochenschr. 1986 Nov 1; 116(44):1513-8.
Farshid G, Rush G. The use affine-needle aspiration cytology and core biopsy in the\assessment of highly suspicious mammographic microcalcifications: analysis of outcome
for 182 lesions detected in the setting of a poplation-based breast cancer screening program. Cancer. 2003 Dec 25;99(6):357-64
Kaufman Z, Shpitz B, Shapiro M Rona R, Lew S, Dibar A. Triple approach in the diagnosis of dominant breast masses: combined physical examination, mammography, and
fine-needle aspiration. J Surg Oneal. 1994 Aug;56(4):254-7.
Butler JA, Vargas HI, Worthen N,Wilson SE.Accuracy of combined clinical-mammographic-cytologic diagnosis of dominant breast masses. A prospective study. Arch
surg. 1990 Jul; 125(7):893-5; discussion 896.
Daltrey IR, Kissin MW. Randomized clinical trial of the effect of needle gauge and local anesthetic on the pain of breast fineneedle aspiration cytology.Br J Surg.2000 Jun;
87(6):7777-9.
Kanchanabat B, kanchanapitak P,Thanapongsathorn W,manomaiphiboon A. Fine-needle aspiration cytology for diagnosis and management of palpable breast mass. Aust NZJSurg.2000 Nov;70(11 ): 791-4
Salami N, Hirschowitz SL, Neilberg RK. Triple test approach to inadequate fine needle aspiration biopsies of palpable breast lesions.Acta Cytol.1999 May-Jun; 43(3): 339-43.
Oyama T, Koibuchi Y,McKee G. Core needle biopsy (CNB) as diagnostic method for breast lesions: comparison with fine needle aspiration cytology (FNA). Breast cancer.2004; 11 (4): 339-42
Morris A, Pommier RF, Schmidt WA, Shih needle biopsy (CNB) as diagnostic method ation of palpable breast masses by the triple test score.Arch Surg.1998 Sep;113(9):930-4.
Meunier M, Clough K. Fine Needle Aspiration Cytology versus percutaneus biopsy of nonpalpable breast lesion. Eur J Radial. 2002 Apr; 42(1) : 10-6.
Ballo MS, Sneige N. Can core needle biopsy replace fine-needle aspiration cytology Patholin the diagnosis of palpable breast carcinomas. A comparative study of 124 women. Cancer.1996 Aug 15; 78(4):773-7
Morris KT, Pommier RF, Morris A, Schmidt WA, Beagle G, Alexander PW, Toth-Fejel S, Schmidt J, Vetto JT .Usefulness of triple score for palpable masses; discussion 1012-3. Arch Surg.2001 Sep; 136(9):1008-12
Logan-Young WW, Hoffman NY, Janus JA. Fine-needle aspiration cytology in the detection of breast cancer in nonsuspicious lesions. Radiology. 1992 Jul; 184(1):49-53
Ciatto S, Catania S, Bravetti P, Bonardi R, Cariaggi P, Pacifico E. Fine-needle cytology of the breast : a controlled study of aspiration. Diagn Cytopathol. 1991;7(2):125-7
Patel JJ. Gartell PC. Smallwood JA, Herbert A, Royle G, Buchanan R, Taylor I. Fine needle aspiration cytology of breast masses: an evaluation of its accuracy and reasons for diagnosis failure. Ann R Coli Surg Engl. 1987 Jul;69(4):156-9
Gantenbein H, Spieler P. [Fine-needle aspition biopsy of the breast. Frequency, indication and accuracy .studied on material from the Cytological Laboratory of the Pathology Institute, St. Galien Canton Hospital, 1981-1984] Schweiz Med Wochenschr. 1986 Nov 1; 116(44):1513-8.
Farshid G, Rush G. The use affine-needle aspiration cytology and core biopsy in the\assessment of highly suspicious mammographic microcalcifications: analysis of outcome
for 182 lesions detected in the setting of a poplation-based breast cancer screening program. Cancer. 2003 Dec 25;99(6):357-64
Kaufman Z, Shpitz B, Shapiro M Rona R, Lew S, Dibar A. Triple approach in the diagnosis of dominant breast masses: combined physical examination, mammography, and
fine-needle aspiration. J Surg Oneal. 1994 Aug;56(4):254-7.
Butler JA, Vargas HI, Worthen N,Wilson SE.Accuracy of combined clinical-mammographic-cytologic diagnosis of dominant breast masses. A prospective study. Arch
surg. 1990 Jul; 125(7):893-5; discussion 896.
Downloads
Published
2019-08-09
Issue
Section
General article
