Fine Needle Aspiration Cytology of Male Breast Lesions- A Descriptive Study Over a Period of Five Years

Garima, Garima; Agrawal, Tanu

doi:10.14260/jemds/2017/879

Cited by 2 publications

(13 citation statements)

References 14 publications

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“…Pailoor et al 4 18-85 -51.5 Chide et al 5 13-80 43.86 -Mukhopadhyay et al 6 19-76 -45 Halder et al 7 07-85 42.39 -Garima et al 8 11-77 -44 Kharpade et al 10 20-75 -51.5 Present study 13-83 51.4 53 Table 5.…”

Section: Age Distributionmentioning

confidence: 95%

“…Malignant lesions of the male breast were reported at an age range of 22-75 years by Rai et al, 10 with a mean age 55 years 8 and a median age of 56.13 years 10 to 61 years. 6 In the present study, malignant breast lesions were found in the 7 th decade (61-70 years) of life, with a mean and median age of 67.5 years.…”

Section: Age Range Of Various Studies With Mean or Median Agementioning

confidence: 99%

“…However, it is seldom used in males, mostly because male breast lesions are much less frequent. [1][2][3][4][5][6][7][8] The approach to the diagnostic work-up of breast lesions should be an early diagnosis to relieve the patient's anxiety, save time, and to help in planning proper management. All these can be achieved with the help of FNAC.…”

Section: B a C K G R O U N Dmentioning

confidence: 99%

“…In males, gynaecomastia is the most common benign breast lesion, 2,[4][5][6][7][8][9] with the most common malignant breast lesion being infiltrating ductal carcinoma, [1][2][3][4][5][6][7][8][9][10] accounting for less than 3% of all breast carcinomas and less than 1% of all cancer in males. [1][2][3]6,10 The aim of our study was to determine the role of FNAC in the diagnosis of male breast lesions and also to describe the cytomorphologic features of male breast lesions which were encountered in our hospital setting over a five-and-a-halfyear period.…”

Section: B a C K G R O U N Dmentioning

confidence: 99%

“…The mean age at presentation was 51.4 years with SD of 18 years, and a median age of 53 years, which was also similar to studies done by many others too. [4][5][6][7][8] (Table 5) Age Range (Yrs.) Mean Age (Yrs.)…”

Section: Age Distributionmentioning

confidence: 99%

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Role of Fine Needle Aspiration Cytology in the Diagnosis of Male Breast Lesions- A Retrospective Study Over a Five-and-a-Half-Year Period

Fimate¹

2019

jemds

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BACKGROUND Fine needle aspiration cytology (FNAC) is a simple, reliable, inexpensive, easily acceptable procedure and already has a well-established role in the diagnosis of palpable female breast lesions. However, breast lumps in males are rarely aspirated and hence there is limited cytopathologic experience. The present study aims to determine the role of FNAC in the diagnosis of male breast lesions and also to describe the various cytomorphologic features of these lesions. METHODS The present study is a retrospective analysis of all male breast lesions over a period of five and half years i.e., January 2013 to June 2018 in the Department of Pathology, JNIMS, Manipur. All available data on male breast FNAC done during this period was retrieved from the records of the cytopathology laboratory. The cytologic slides and reports were reviewed and various cytomorphologic features were reassessed. FNAC diagnoses were categorized as benign, malignant, atypical, suspicious and inadequate or unsatisfactory. RESULTS There was a total of 780 patients who underwent breast FNAC during the five-anda-half-year period out of which, 48 were male patients. The most common lesion was gynaecomastia which most commonly occurred in the age group of 51-60 years. Benign breast lesions were found to be more common than malignant breast lesions. Malignant lesions occurred a decade older than benign breast lesions. CONCLUSIONS FNAC is an accurate, safe and simple tool in the diagnosis of male breast lesions. In the hands of an experienced cytopathologist, it is highly sensitive and specific. Therefore, FNAC should be used confidently and be included as a standard first-line investigative procedure in the primary assessment of breast lumps in males as well.

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Section: Age Distributionmentioning

confidence: 95%

Section: Age Range Of Various Studies With Mean or Median Agementioning

confidence: 99%

Section: B a C K G R O U N Dmentioning

confidence: 99%

Section: B a C K G R O U N Dmentioning

confidence: 99%

Section: Age Distributionmentioning

confidence: 99%

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Role of Fine Needle Aspiration Cytology in the Diagnosis of Male Breast Lesions- A Retrospective Study Over a Five-and-a-Half-Year Period

Fimate¹

2019

jemds

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Classification of Male Breast Lesions According to the IAC Yokohama System for Reporting Breast Cytopathology

et al. 2020

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Objective: This study aims to determine the diagnostic utility of the International Academy of Cytology (IAC) Yokohama System for reporting breast cytopathology in lesions of the male breast. Study Design: Fine-needle aspiration biopsy (FNAB) reports between 2015 and 2019 were retrospectively recategorized according to the 5-tiered IAC Yokohama Reporting System. Our database yielded a total of 1,532 FNAB reports from breast lesions, obtained from 1,350 male patients. The risk of malignancy (ROM) and diagnostic performance of FNAB were determined using follow-up histopathological diagnosis and/or clinical follow-up, where available, for each category. Results: The category distribution were as follows: inadequate, 40%; benign, 57%; atypical, 0.6%; suspicious for malignancy, 0.7%; and malignant, 1.6%. The ROM in each category was nondiagnostic, 11%; benign, 3%; atypical, 28%; suspicious for malignancy, 56%; and malignant, 100%. The sensitivity, specificity, positive predictive value, and negative predictive value were recorded as 63, 100, 100, and 84.6% respectively, when only malignant cases were considered as positive tests. Conclusion: This study validates the IAC Yokohama System for reporting male breast cytopathology. In accordance with the aim of the Yokohama System to establish best practice guidelines for reporting breast cytopathology, this comprehensive scheme facilitates comparisons between local and international institutions. The ROM acts as an internal audit for quality assurance within one’s own laboratory and provides guidance for clinical management. It highlights inefficiencies such as high inadequacy rates for category 1 and also features strengths with impressive specificity for categories 4 and 5.

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Fine Needle Aspiration Cytology of Male Breast Lesions- A Descriptive Study Over a Period of Five Years

Cited by 2 publications

References 14 publications

Role of Fine Needle Aspiration Cytology in the Diagnosis of Male Breast Lesions- A Retrospective Study Over a Five-and-a-Half-Year Period

Role of Fine Needle Aspiration Cytology in the Diagnosis of Male Breast Lesions- A Retrospective Study Over a Five-and-a-Half-Year Period

Classification of Male Breast Lesions According to the IAC Yokohama System for Reporting Breast Cytopathology

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