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Publication Date: 2002-12-20
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Osorio García, G. F. (2002). -. Biosalud, 2, 51–60. Retrieved from https://revistasojs.ucaldas.edu.co/index.php/biosalud/article/view/6501
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Abstract
The fine needle aspirative cytology is a procedure used in the analysis of mammary lesions. In this article the discoveries obtained by the revision of cases during the decade from 1990 to 1999 in the Hospital of Caldas are shown, with the purpose of determining the degree of dependability of the cytologic diagnosis, taking the anatomopathologic study like the test of gold; cases were revised of women with pathology of her breast who had been carried out one or more aspirative cytologies and one or more anatomopathologic studies. There were 132 (58.14%) malignant neoplasms and 95 (41.85%) benign injuries. The analysis of the appropriate samples showed sensibility of 93%, specificity of 76%, predictive value of the positive test of 85% and predictive value of the negative test of 89%. The false positives were 18 (9.62%) cases that corresponded especially to error in the cytologic interpretation and the false negatives were 7 (3,74%) cases whose samples were inadequate. There were 53 (23.34%) inadequate cytologies for diagnosis, 83% of them due to lack or shortage of the sample, and 17% due to thick or hemorrhagic samples. The inadequate samples were the cause of repetition of an important number of punctions and in turn the cause of false results, specially negative. The number of inadequate samples was bigger when the procedure was carried out by untrained medical personnel and it was lower when they acquired experience.
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References
Putting the risk of breast cancer in perspective.
http://www.mja.com.au/public/issues/jan5/smith/smith.html#abstrfirst0
http://www.nejm.org/content/1999/0340/0002/0141.asp
Breast cancer. http://medstat.med.utah.edu/WebPath/TUTORIAL/BREAST/BREAST.html
The New England Journal of Medicine - January 14, 1999— Volume 340, Number 2
BROWN, LA., COGHILL, SB. Cost effectiveness of a fine needle aspiration clinic. Cytopathology. 1992; 3(5): 275-80.
JAYARAM, G., SWAIN, M., CHEW, M. T. y HAR YIP, Ch. Cytology Appearances in Invasive Lobular Carcinoma of the Breast. 2000; 44 (2): 169 - 174.
LOPEZ-FERRER, P., JIMENEZ-HEFFERNAM, J., VICANDI, B., ORTEGA, L y VIGUER, J M. Fine Needle Aspiration Cytology of Breast Fibroadenoma. A Cytohistologic Correlation Study of 405 Cases. Acta Cytologica. Volume 43 (4), July — August 1999. p 579 —585.
FLETCHER, S. Following Up Abnormal Breast Cancer Screening Results. Lessons for Primary Care Clinicians. J Am Board Fam Pract. 2000. 13(2):152-154.
RAAB, S., BOTTLES, K. Y COHEN M. Technology assessment in Anatomic Pathology. Archives of Pathology & Laboratory Medicine. 1994; Dec, 118 (12). pp 1173.
LILLENG, R. et al. Valoración de la aspiración con aguja fina e histopatología para el diagnóstico de las masas de la mama masculina. Acta Citológica. 1995. Sep-Oct. 39(5): 877-881.
ARGUETA, V.L., AGUILAR, H.A. y BRAN, E.A. Biopsia por aspiración con aguja fina de masas palpables de glándula mamaria. Patología. 1993; 31 (1).
VALORACIÓN DIAGNÓSTICA En:_Guias de manejo de tumores mamarios. Revista Colombiana de Ginecología y Obstetricia. 1998; 48 (4): 15- 22.
LOGRONO, R. KURTYCZ, D. e INHORN,S. Criteria por reporting Fine Needle Aspiration on Palpable and Non palpable Masses of the Breast. Acta Cytológica. 1997. May-June. 41 (3) . 623-27.
GIARD, RW., HERMANS, J. Fine needle aspiration cytology of the breast with immediate reporting of the results. Acta Cytol. 1993 May Jun; 37(3): 358 — 60
JAYARAM , G., SWAIN, M., CHEW, M. y HAR YIP, Ch. Cytology Appearances in Invasive Lobular Carcinoma of the Breast. 2000; 44 (2): 169 - 174.
DE SOUZA ROCHA, P., Nadkarni, NS. y MENEZES, S. Fine Needle Aspiration Biopsy of Breast Lesions and Histopatholgic Correlation. Acta Cytológica. 1997 May-June. 41 (3). 705 — 12.
ZAKHOUR, H. y WELLS, C. Diagnostic Cytopathology of the breast. New York: Churchill Livingtone. 1999. 272p.
O'MALLEY, F., CASEY, TT., WINFIELD, AC., RODGERS, WH., SAWYERS, J. y PAGE, DL. Clinical correlates of false negative fine needle aspirations of the breast in a consecutive series of 1,005 patients. Surg Gynecol Obstet. 1993 Apr; 176(4): 360 -4.
GARY, P. S. Yeoh, POLLY, S.Y. Cheung y KEENG, Wai Chan. Fine- needle Aspiration. Citology of Mucocelelike tumors of the Breast. Am J Surg Pathol. 23 (5): 552-559, 1999.
PARK, In Ae y HAM, Eui Keun. Fine needle aspiration Cytology of Palpable Breast lesions. Acta-Cytol. 1997 July-August; 41(4): 1131-1137.
KIM, A., LEE, J., CHOI, J., WON, N. y KOO, B. Fine Needle Aspiration Cytology of the Breast. 2000; 44(3): 361- 367.
TAVASSOLI, F.A. Pathology of the breast. Norwalk, Connecticut, U.S.A: Appleton & Lange. 1.992. pp 64-65.
BENOIT,JL., KARA, R., MCGREGOR, SE. y DUGGAN, MA. Fibroadenoma of the breast: diagnostic pitfalls of fine needle aspiration. Diagn-Cytopathol. 1992; 8(6): 643 - 7; discussion 647 - 8
MATSUDA, M., WADA, A., NAGUMO, S. y ICHIDA, K. Pitfalls in fine needle aspiration cytology of breast tumors. A report of two cases.
Acta Cytol. 1993 Mar Apr; 37(2): 247 - 51 -23 YU, G. H. et al. Benign pairs. A Useful Discriminating feature in Fine Needle Aspirates of the Breast.
Acta Citológica. 1997; May-June. 41(3): 721-726.
GANGOPADHYAY, M., NIJHAWAN, R., JOSHI, K. y GUPTA, S. Cytology of Significant Breast Ductal Proliferations. 1996; 41 (4): 1112- 1118.
KOBAYASAI, TK., UEDA, M., NISHINO, T., WATANABE, S; YAKASHIJI, M. Spontaneous infarction of an intraductal papilloma of the breast: cytological presentation on fine needle aspiration. Cytopathology. 1992; 3(6): 379 - 84.
SVENSSON, WE., TORNO, E., COSGROVE, DO., POWLES, TJ., AL, MURRANI, B., JONES, AL. Effects of fine needle aspiration on the US appearance of the breast. Radiology. 1992 Dec; 185(3): 709 - 11.
DAS, DK., SODHANI, P., KASITYAP, V., PARKASH, S., PANT, JN., BHATNAGAR, P. Inflammatory lesions of the breast: diagnosis by fine needle aspiration. Cytopathology. 1992; 3(5): 281 - 289.
KUMARASINGHE, M.P. Cytology of Granulomatous Mastitis.
Acta Cytológica. 1997. May-June. 41(3): 727-730.
MIURA, H., KONAKA, C., KAWATE, N., KATO, H., MIURA, R., EBIHARA, Y. Fine needle aspiration cytology of metastatic breast tumor originating from leukemia. Diagn Cytopathol. 1992; 8(6): 605 - 8.
GUPTA, RK., MCHUTCHISON, AG., SIMPSON, JS. y DOWLE, CS. Fine needle aspiration cytodiagnosis of apocrine carcinoma of the breast. Cytopathology. 1992; 3(5): 321 - 6.
DEITOS, AP., DELLA, G.D. y BITTESINI, L. Aspiration biopsy cytology of malignant papillary breast neoplasms. Diagn Cytopathol. 1992; 8(6): 580 - 4.
HAHN, HJ., IGLESIAS, J., FLENKER, H. y KREUZER, G. Granular cell tumor in differential diagnosis of tumors of the breast. The role of fine needle aspiration cytology. Pathol Res Pract. 1992 Dec; 188(8): 1091-4; discussion 1094 - 7.
CHACHLANI, N. Tumor de células granulares de la mama en un hombre. Acta Citológica. 1997. December . 41 (6): 1807- 10).
GUPTA, RK. Citodiagnóstico en aspiración con aguja fina en carcinoma de carcinoma de células escamosas de la mama primario y metastásico. Acta Citológica. 1997. May-Jun. 41(3): 692-696.
GUPTA, RK. y SIMPSON, JS. Fine needle aspiration cytodiagnosis of a carcinoid tumour of the male breast. Cytopathology. 1992; 3(6): 385 - 9.
CHIUNG, R.L., et el. Rabdomiosarcoma embrionario adulto metastásico a la mama y su diagnóstico por aspiración con aguja fina. Un caso reportado. Acta Citológica. 1997. May-Jun. 41(3):845-848.
DEMARIA, S., YEE, H., CANGIARELLA, J., COHEN, J. y CHHIENG, D. Fine Needle Aspiration of Primary Pleomorphic Liposarcoma of the Breast. 1999; 43 (6): 1131- 1135.
GUPTA, RK. et al. Cordoma metastásico de la mama diagnosticado por aspiración con aguja fina. Acta Citológica. 1997. May-Jun 41(3): 910-13.
http://www.mja.com.au/public/issues/jan5/smith/smith.html#abstrfirst0
http://www.nejm.org/content/1999/0340/0002/0141.asp
Breast cancer. http://medstat.med.utah.edu/WebPath/TUTORIAL/BREAST/BREAST.html
The New England Journal of Medicine - January 14, 1999— Volume 340, Number 2
BROWN, LA., COGHILL, SB. Cost effectiveness of a fine needle aspiration clinic. Cytopathology. 1992; 3(5): 275-80.
JAYARAM, G., SWAIN, M., CHEW, M. T. y HAR YIP, Ch. Cytology Appearances in Invasive Lobular Carcinoma of the Breast. 2000; 44 (2): 169 - 174.
LOPEZ-FERRER, P., JIMENEZ-HEFFERNAM, J., VICANDI, B., ORTEGA, L y VIGUER, J M. Fine Needle Aspiration Cytology of Breast Fibroadenoma. A Cytohistologic Correlation Study of 405 Cases. Acta Cytologica. Volume 43 (4), July — August 1999. p 579 —585.
FLETCHER, S. Following Up Abnormal Breast Cancer Screening Results. Lessons for Primary Care Clinicians. J Am Board Fam Pract. 2000. 13(2):152-154.
RAAB, S., BOTTLES, K. Y COHEN M. Technology assessment in Anatomic Pathology. Archives of Pathology & Laboratory Medicine. 1994; Dec, 118 (12). pp 1173.
LILLENG, R. et al. Valoración de la aspiración con aguja fina e histopatología para el diagnóstico de las masas de la mama masculina. Acta Citológica. 1995. Sep-Oct. 39(5): 877-881.
ARGUETA, V.L., AGUILAR, H.A. y BRAN, E.A. Biopsia por aspiración con aguja fina de masas palpables de glándula mamaria. Patología. 1993; 31 (1).
VALORACIÓN DIAGNÓSTICA En:_Guias de manejo de tumores mamarios. Revista Colombiana de Ginecología y Obstetricia. 1998; 48 (4): 15- 22.
LOGRONO, R. KURTYCZ, D. e INHORN,S. Criteria por reporting Fine Needle Aspiration on Palpable and Non palpable Masses of the Breast. Acta Cytológica. 1997. May-June. 41 (3) . 623-27.
GIARD, RW., HERMANS, J. Fine needle aspiration cytology of the breast with immediate reporting of the results. Acta Cytol. 1993 May Jun; 37(3): 358 — 60
JAYARAM , G., SWAIN, M., CHEW, M. y HAR YIP, Ch. Cytology Appearances in Invasive Lobular Carcinoma of the Breast. 2000; 44 (2): 169 - 174.
DE SOUZA ROCHA, P., Nadkarni, NS. y MENEZES, S. Fine Needle Aspiration Biopsy of Breast Lesions and Histopatholgic Correlation. Acta Cytológica. 1997 May-June. 41 (3). 705 — 12.
ZAKHOUR, H. y WELLS, C. Diagnostic Cytopathology of the breast. New York: Churchill Livingtone. 1999. 272p.
O'MALLEY, F., CASEY, TT., WINFIELD, AC., RODGERS, WH., SAWYERS, J. y PAGE, DL. Clinical correlates of false negative fine needle aspirations of the breast in a consecutive series of 1,005 patients. Surg Gynecol Obstet. 1993 Apr; 176(4): 360 -4.
GARY, P. S. Yeoh, POLLY, S.Y. Cheung y KEENG, Wai Chan. Fine- needle Aspiration. Citology of Mucocelelike tumors of the Breast. Am J Surg Pathol. 23 (5): 552-559, 1999.
PARK, In Ae y HAM, Eui Keun. Fine needle aspiration Cytology of Palpable Breast lesions. Acta-Cytol. 1997 July-August; 41(4): 1131-1137.
KIM, A., LEE, J., CHOI, J., WON, N. y KOO, B. Fine Needle Aspiration Cytology of the Breast. 2000; 44(3): 361- 367.
TAVASSOLI, F.A. Pathology of the breast. Norwalk, Connecticut, U.S.A: Appleton & Lange. 1.992. pp 64-65.
BENOIT,JL., KARA, R., MCGREGOR, SE. y DUGGAN, MA. Fibroadenoma of the breast: diagnostic pitfalls of fine needle aspiration. Diagn-Cytopathol. 1992; 8(6): 643 - 7; discussion 647 - 8
MATSUDA, M., WADA, A., NAGUMO, S. y ICHIDA, K. Pitfalls in fine needle aspiration cytology of breast tumors. A report of two cases.
Acta Cytol. 1993 Mar Apr; 37(2): 247 - 51 -23 YU, G. H. et al. Benign pairs. A Useful Discriminating feature in Fine Needle Aspirates of the Breast.
Acta Citológica. 1997; May-June. 41(3): 721-726.
GANGOPADHYAY, M., NIJHAWAN, R., JOSHI, K. y GUPTA, S. Cytology of Significant Breast Ductal Proliferations. 1996; 41 (4): 1112- 1118.
KOBAYASAI, TK., UEDA, M., NISHINO, T., WATANABE, S; YAKASHIJI, M. Spontaneous infarction of an intraductal papilloma of the breast: cytological presentation on fine needle aspiration. Cytopathology. 1992; 3(6): 379 - 84.
SVENSSON, WE., TORNO, E., COSGROVE, DO., POWLES, TJ., AL, MURRANI, B., JONES, AL. Effects of fine needle aspiration on the US appearance of the breast. Radiology. 1992 Dec; 185(3): 709 - 11.
DAS, DK., SODHANI, P., KASITYAP, V., PARKASH, S., PANT, JN., BHATNAGAR, P. Inflammatory lesions of the breast: diagnosis by fine needle aspiration. Cytopathology. 1992; 3(5): 281 - 289.
KUMARASINGHE, M.P. Cytology of Granulomatous Mastitis.
Acta Cytológica. 1997. May-June. 41(3): 727-730.
MIURA, H., KONAKA, C., KAWATE, N., KATO, H., MIURA, R., EBIHARA, Y. Fine needle aspiration cytology of metastatic breast tumor originating from leukemia. Diagn Cytopathol. 1992; 8(6): 605 - 8.
GUPTA, RK., MCHUTCHISON, AG., SIMPSON, JS. y DOWLE, CS. Fine needle aspiration cytodiagnosis of apocrine carcinoma of the breast. Cytopathology. 1992; 3(5): 321 - 6.
DEITOS, AP., DELLA, G.D. y BITTESINI, L. Aspiration biopsy cytology of malignant papillary breast neoplasms. Diagn Cytopathol. 1992; 8(6): 580 - 4.
HAHN, HJ., IGLESIAS, J., FLENKER, H. y KREUZER, G. Granular cell tumor in differential diagnosis of tumors of the breast. The role of fine needle aspiration cytology. Pathol Res Pract. 1992 Dec; 188(8): 1091-4; discussion 1094 - 7.
CHACHLANI, N. Tumor de células granulares de la mama en un hombre. Acta Citológica. 1997. December . 41 (6): 1807- 10).
GUPTA, RK. Citodiagnóstico en aspiración con aguja fina en carcinoma de carcinoma de células escamosas de la mama primario y metastásico. Acta Citológica. 1997. May-Jun. 41(3): 692-696.
GUPTA, RK. y SIMPSON, JS. Fine needle aspiration cytodiagnosis of a carcinoid tumour of the male breast. Cytopathology. 1992; 3(6): 385 - 9.
CHIUNG, R.L., et el. Rabdomiosarcoma embrionario adulto metastásico a la mama y su diagnóstico por aspiración con aguja fina. Un caso reportado. Acta Citológica. 1997. May-Jun. 41(3):845-848.
DEMARIA, S., YEE, H., CANGIARELLA, J., COHEN, J. y CHHIENG, D. Fine Needle Aspiration of Primary Pleomorphic Liposarcoma of the Breast. 1999; 43 (6): 1131- 1135.
GUPTA, RK. et al. Cordoma metastásico de la mama diagnosticado por aspiración con aguja fina. Acta Citológica. 1997. May-Jun 41(3): 910-13.
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