Concordance between birads and pathologic findings in breast lesions: A retrospective study

Gupta, Priyanka; Puri, Neelu; Syed, Anjum; Chowdhury, Nilotpal; Rao, Shalinee; Sharda, Prateek; Ravi, Bina; Mehrotra, Surabhi; Kapoor, Anu; Pandey, Divya

doi:10.1111/tbj.13614

Cited by 2 publications

(5 citation statements)

References 8 publications

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“…BI‐RADS 4b had a ROM of 33.3%, BI‐RADS 4c had a ROM of 66.7%, and BI‐RADS 5 had a ROM of 100.0%. These findings are consistent with the established ROM for the BI‐RADS system 17,18 …”

Section: Discussionsupporting

confidence: 91%

“…These findings are consistent with the established ROM for the BI-RADS system. 17,18 Nevertheless, there are instances when there is a paucity in the specimen sampling and a high "insufficient/inadequate" rate compared to CNB. In fact, the adequacy of breast FNAB is dependent on multiple factors including the experience of the aspirator, the nature of the lesion (most common cause, accounting for 68%), the location of the tumour (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the diagnostic accuracy and specificity of this system are significantly decreased. 18 The purpose of this study is to assess the clinical performance of breast FNAB by the IACY system, and to correlate the cytological findings with those of BI-RADS, the radiological system. For cases with a follow-up CNB or a resection, correlations among the cytological, histological, and radiological findings are also analysed.…”

Section: Havementioning

confidence: 99%

“…On the other hand, it has been reported to have a certain level of subjectivity, which is inevitable, especially in Categories 3 and 4. Therefore, the diagnostic accuracy and specificity of this system are significantly decreased 18 …”

Section: Introductionmentioning

confidence: 99%

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Performance of breast fine needle aspiration as an initial diagnostic tool: A large academic hospital experience

et al. 2022

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Background:The clinical performance of the Yokohama reporting system for breast cytology remains uncertain. Methods:In this study, we retrospectively evaluated 318 breast fine needle aspirations (FNABs) from Los Angeles County Hospital over a five-year period, analysing data for breast cytology, histology, and radiology.Results: Among 318 breast FNAB cases, 78.3% (249/318) were benign and 5.3% (17/318) malignant. Of 83 cases with follow-up histology, 14.5% (12/83) were insufficient, 66.3% (55/83) were benign, and 16.9% (17/83) were malignant. Of 55 benign cases, 61.8% (34/55) were fibroadenoma and 9 (9/55, 16.4%) were fibrocystic changes. Two cases were diagnosed as "atypical" but confirmed "benign" on core needle biopsy (CNB). No "suspicious" cases were found. Seventeen malignant cases were confirmed by CNB, including 70.6% (12/17) invasive ductal carcinoma, 11.8% (2/17) invasive lobular carcinoma, and one malignant phyllodes tumour. Receptor studies on cell blocks of three malignant cases showed concordant results with CNB results. In addition, 82.2% (148/180) of lesions with Breast Imaging-Reporting and Data System (BI-RADS) scores of 2 or 3 were benign and 92.3% (12/13) BI-RADS score 5 lesions were malignant on FNAB. Finally, 90% (67/74) of BI-RADS 4a lesions were benign, and 97% (36/37) of fibroadenomas were BI-RADS score 4a. Conclusion:This, by far the largest U.S. breast cytology study, showed 93.3% sensitivity, 100% specificity, 100% positive predictive value, and 98.2% negative predictive value for breast FNAB. Women with breast lesions of BI-RADS score 3 or less have a low risk of malignancy; FNAB would contribute to the reduction of excisional biopsies.FNAB can be considered as an initial diagnostic tool for BI-RADS 4 mass/lesions and satellite lesions, as well as for triaging patients.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Havementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Performance of breast fine needle aspiration as an initial diagnostic tool: A large academic hospital experience

et al. 2022

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“…A strategy of routine FNAB sampling of lesions, which have a lower chance of being malignant is especially useful in centers with accurate imaging facilities. Due to the high accuracy of ultrasound imaging in detecting breast cancer, 23 we routinely perform FNAB for the BI‐RADS 4a lesions which are associated with a lower cancer risk compared to the BI‐RADS 5 lesions. In this way, we avoid CNB in a majority of the patients in our center, which enables us to take CNB without extreme time pressure in an otherwise busy center.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of the International Academy of Cytology Yokohama system of breast cytology reporting for fine needle aspiration biopsy of the breast in a dedicated breast care setting

Agarwal

Singh

Mehan

et al. 2020

Diagnostic Cytopathology

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BackgroundThe International Academy of Cytology (IAC) Yokohama system is a recently proposed system for reporting breast cytology by fine needle aspiration biopsies (FNAB). Multiple studies are needed to confirm the risk of malignancy (ROM) of the various reporting categories of this system. The present article studies the accuracy of the IAC Yokohama system in our center.MethodsOver a period of 1 year (September 2018‐August 2019), all cases of breast masses assessed by FNAB and histological correlation were studied retrospectively. Sensitivity, specificity, negative predictive value (NPV) and positive predictive value (PPV) and overall accuracy of the IAC Yokohama system for diagnosing malignancy were assessed. The rates of malignancy (ROM) of each diagnostic category were also estimated.ResultsThree hundred and twenty‐one FNABs had cyto‐histological correlation. The percent sensitivity (with 95% Confidence Intervals) when the atypical, suspicious of malignancy and the malignant categories were regarded as positive for malignancy were 98.2% [95.5%, 99.5%], 96.0% [92.5%, 98.2%], and 86.7% [81.5%, 90.8%] respectively. The percent specificity (with 95% Confidence intervals) for the same categories in the same order were 59.5% [47.4%, 70.7%], 91.9% [83.2%, 97.0%], and 100% [95.1%, 100%] respectively. The area under curve (AUC) for diagnosing malignancy was 0.981[0.963, 0.993]. The ROM for the benign, atypical, suspicious of malignancy and malignant category were 8.3% [2.3%, 20.0%], 17.2% [5.8%, 35.8%], 77.8% [57.7%, 91.4%], and 100% [98.1%, 100%] respectively.ConclusionThe IAC Yokohama system is suitable for accurately reporting breast lesions on FNAB.

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Concordance between birads and pathologic findings in breast lesions: A retrospective study

Cited by 2 publications

References 8 publications

Performance of breast fine needle aspiration as an initial diagnostic tool: A large academic hospital experience

Performance of breast fine needle aspiration as an initial diagnostic tool: A large academic hospital experience

Accuracy of the International Academy of Cytology Yokohama system of breast cytology reporting for fine needle aspiration biopsy of the breast in a dedicated breast care setting

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