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Breast fine-needle aspiration cytology in the era of core-needle biopsy: what is its role?
Ahrong Kim, Hyun Jung Lee, Jee Yeon Kim
J Pathol Transl Med. 2025;59(1):26-38.   Published online January 15, 2025
DOI: https://doi.org/10.4132/jptm.2024.11.01
Correction in: J Pathol Transl Med 2025;59(2):147
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AbstractAbstract PDF
Fine-needle aspiration cytology (FNAC) has long been recognized as a minimally invasive, cost-effective, and reliable diagnostic tool for breast lesions. However, with the advent of core-needle biopsy (CNB), the role of FNAC has diminished in some clinical settings. This review aims to re-evaluate the diagnostic value of FNAC in the current era, focusing on its complementary use alongside CNB, the adoption of new approaches such as the International Academy of Cytology Yokohama System, and the implementation of rapid on-site evaluation to reduce inadequate sample rates. Advances in liquid-based cytology, receptor expression testing, molecular diagnostics, and artificial intelligence are discussed, highlighting their potential to enhance the diagnostic accuracy of FNAC. Despite challenges, FNAC remains a valuable diagnostic method, particularly in low-resource settings and specific clinical scenarios, and its role continues to evolve with technology.

Citations

Citations to this article as recorded by  
  • Evaluation of Breast Lesions on Cytology Using International Academy of Cytology Yokohama Standardized Reporting System
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    Diagnostic Cytopathology.2026; 54(3): 184.     CrossRef
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    Akshara Singareeka Raghavendra, Senthil Damodaran, Carlos H. Barcenas, Suzanne A. Fuqua, Rachel M. Layman, Debu Tripathy
    CA: A Cancer Journal for Clinicians.2026;[Epub]     CrossRef
  • Bulk-lysis protocols as a sensitive method for investigation of circulating CK19 cells in the peripheral blood of patients with breast cancer by flow cytometry
    Daniella Serafin Couto Vieira, Laura Otto Walter, Maria Eduarda Cunha da Silva, Lisandra de Oliveira Silva, Heloísa Zorzi Costa, Chandra Chiappin Cardoso, Fernando Carlos de Lander Schmitt, Maria Cláudia Santos-Silva
    Analytical Methods.2025; 17(23): 4771.     CrossRef

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