Intramammary lymph nodes: Cytologic findings and implications for fine-needle aspiration cytology diagnosis of breast nodules

Abstract

The recognition of intramammary lymphoid proliferations is important because smears of these proliferations would be judged as insufficient by several of the published criteria for specimen adequacy. Alternatively, some might be confused with medullary carcinoma of the breast or adenocarcinomas with a “single‐cell” pattern. We found 19 intramammary lymphoid proliferations in a series of 887 fine‐needle aspirates of palpable breast nodules. Six were lymphomas and 13 were benign intramammary lymph nodes. Smear cellularity ranged from scant to high, but in all cases, lymphocytes dominated the cell population. The cytology of intramammary lymph nodes and lymphoma did not differ from those occurring at other sites. Diagn. Cytopathol. 1997;17:223–229. © 1997 Wiley‐Liss, Inc.

Fine‐needle aspiration cytology of medullary breast carcinoma: Report of two cases and review of the literature with emphasis on differential diagnosis

“…Thus, other entities in the differential diagnosis can be definitively diagnosed on FNAC, and the patient treated accordingly. [17][18][19][20][21][22][23] We provide the first illustration of features of medullary breast carcinoma on LBP. Previous studies comparing breast FNAC on conventional smears and either Sure-Path TM or ThinPrep TM included three cases of medullary breast carcinoma, but no specific cytologic description.…”

Kasuistischer Beitrag zur Lokalisation des Non-Hodgkin-Lymphoms in der weiblichen Brust

“…Zur histologischen Diagnosesicherung ist eine sonographisch oder mammographisch gestützte Stanzbiopsie des Tumors ge- eignet [9,15,21]. Eine richtige Diagnose ist auch durch eine Tumorpunktion möglich [1,18,26]. In unserer Klinik wird sie aufgrund der bekannten, relativ hohen Anzahl der falsch-negativen Befunde nicht eingesetzt.…”

HIV-Associated Intramammary Lymphadenopathy

“…The findings from an FNA of intramammary lymph nodes are indistinguishable from those obtained from lymph nodes at other body sites (7). If a palpable lesion appears benign on clinical and imaging evaluation, then the addition of a negative FNA (triple negative test) can safely replace open biopsy (8). However, because histologic architecture is not always available in FNA specimens and there is always a chance of sampling error (where FNA may miss the affected part of a lymph node), it is prudent to obtain a surgical biopsy if there is high clinical suspicion.…”