Prognostic value of cytological grading of fine-needle aspirates from breast carcinomas

Robinson, Ivan; McKee, Grace; Nicholson, A.G.; Jackson, Peter A.; Cook, Martin; d’Arcy, James A.; Kissin, Mark

doi:10.1016/s0140-6736(94)90066-3

Cited by 181 publications

(211 citation statements)

References 18 publications

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“…A similar observation was made by Jayaram et al, (71%) [16]. However, Taniguchi et al, [6] reported an accuracy of 44%, Robinson et al, [15] reported that of 56.9% and Meena et al, [4] reported an 83% accuracy of the cytological grading. Therefore, the cytological grade is useful in predicting the histological grade preoperatively.…”

Section: Resultssupporting

confidence: 71%

“…The inter observer and the intra observer reproducibilities are the key factors in any grading system [14]. Because the neoadjuvant therapy, which includes the preoperative chemotherapy and Tamoxifen, is becoming increasingly common for the treatment of early breast cancer, it is desirable to grade the tumours before surgery, so that the most appropriate medical regimens can be selected [15]. A cytological evaluation of the prognostic markers is important and it is useful in patients with inoperable tumours and in cases which are at a high risk for surgery.…”

Section: Resultsmentioning

confidence: 99%

“…A majority of the tumours were grade 3 (50%), followed by grade 2 (27%) and grade 1 (22%). However, Taniguchi et al, [6] Robinson et al, [15], Meena et al, [4] and Frias et al, [9], observed a majority of grade 2 tumours, followed by grade 1 and grade 3 tumours. Jayaram et al, [6] observed a majority (64.5%) of grade 2 tumours, followed by 29% grade 3 and 6.4% grade 1 tumours.…”

Section: Resultsmentioning

confidence: 99%

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The Cytological Grading of Malignant Neoplasms of The Breast and Its Correlation With The Histological Grading

Vasudev¹

2013

JCDR

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Background and Objectives: Breast carcinoma is one of the leading causes of malignancy in females. The diagnosis of breast carcinoma is often made by fine needle aspiration cytology. Nuclear grading is an important prognostic factor. It is important to grade breast carcinomas, which will provide valuable information to the treating oncologists to plan their management. The purpose of this study was to compare the cytological grading and typing with the histological grading and typing and the regional lymph node metastasis.Methodology: This retrospective and prospective study was done on 60 cases with malignant and suspicious diagnoses on FNAC, which had histopathological correlations, from January 2004 to December 2007. The cytological grading was done by Robinson's Method and the histopathological grading was done by the modified Scarff Bloom Richardson method. Cytological and histological typings were also done. The statistical analysis was done by using the SPSS software: The Chi square test was used and a contingency tale analysis (cross tabs procedure) was also done. Results:The cytohistological grading correlation was accurate in 7 cases (100%) of grade 1, 22 cases (71%) of grade 3 and 9 cases (42.9%) of grade 2 cancers. The accuracy was 62.7% (P < 0.001). A higher cytological grade was associated with a nodal metastasis. (cc : 0.399, P < .006) The cytological typing was accurate in 44 cases out of the 60 cases. Interpretation and Conclusion:The cytological grade correlated well with the histological grading accuracy (62.7%) and a higher grade was associated with a nodal metastasis (P < 0.006), Hence the cytological grading and typing should be routinely incorporated in the cytology reports and they can be of great value in guiding the choice of the treatment protocols.Vidya VasudeV, Rangaswamy R., geethamani V. InTROduCTIOnBreast cancer is the second most common malignancy in females in India [1]. Recent studies have shown that the incidence of breast cancer is increasing and shifting towards the younger age group [2]. Hence, any breast lump, whether it is benign or malignant, is a source of anxiety for the patient as well as for the treating doctor [3].Breast cancer is a malignant disease with a heterogenous prognosis. Evaluation of the possible prognostic parameters is a growing interest. Assessment of the biological aggressiveness of the cancer without removing it, would be valuable.The value of the histological typing and grading has been well established [4]. Because the neoadjuvant therapy has become increasingly popular as the primary medical treatment of breast cancer, much attention is being focused on grading the tumours, based on the FNA cytology. Such a grading would allow the assessment of the tumour in situ and so the most suitable treatment could be selected before the primary surgery. Also, the morbidity which is associated with the overtreatment of low grade tumours could be avoided [5].FNAB is not only helpful in the diagnosis and the further planning of the treatment, but it is ...

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Section: Resultssupporting

confidence: 71%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The Cytological Grading of Malignant Neoplasms of The Breast and Its Correlation With The Histological Grading

Vasudev¹

2013

JCDR

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“…In our study, we have attempted grading of breast carcinoma on FNAC as per the criteria proposed by Robinson and colleagues. 7 The slide comment was given after scanning on individual cytological features. The degree of cell dissociation is an indicator of cell cohesion status and the degree of expression of E-cadherin/catenin complex.…”

Section: Discussionmentioning

confidence: 99%

Robinson’s cytological grading of breast carcinoma and its correlation with Scarff Bloom Richardson’s histologic grading

Rajan¹,

Pai²

2014

Int Jour of Biomed Res

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“…Furthermore these techniques provide information on tumor size, number, extent and grade pre-operatively 5 . There is a direct need for evolving a method for establishing the diagnosis pre-operatively, which is cost effective, least invasive and least disturbing to the patient, with accuracy comparable to open biopsy.…”

Section: Discussionmentioning

confidence: 99%

Triple Test Score as an Evaluating Factor for Palpable Breast Lump.

Kumar¹,

Rehman²,

Kalyan.³

2017

IJAR

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Prognostic value of cytological grading of fine-needle aspirates from breast carcinomas

Cited by 181 publications

References 18 publications

The Cytological Grading of Malignant Neoplasms of The Breast and Its Correlation With The Histological Grading

The Cytological Grading of Malignant Neoplasms of The Breast and Its Correlation With The Histological Grading

Robinson’s cytological grading of breast carcinoma and its correlation with Scarff Bloom Richardson’s histologic grading

Triple Test Score as an Evaluating Factor for Palpable Breast Lump.

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