The Gray Zone in Breast Fine Needle Aspiration Cytology

Autor: Melek Özkal Üstün, Nadir Paksoy, Sevgiye Kaçar Özkara
Rok vydání: 2002
Předmět:
Zdroj: Acta Cytologica. 46:513-518
ISSN: 1938-2650
0001-5547
DOI: 10.1159/000326870
Popis: 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.
Databáze: OpenAIRE