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The Korean Journal of Cytopathology 1994;5(2): 106-112.
Cytologic Classification of Fibrocystic Disease of the Breast: A Proposal for Use of Cytologic Criteria Grading System.
Hye Kyoung Yoon, Chan Hwan Kim, Jong Eun Joo, Shin Kwang Khang
1Department of Pathology, Pusan Paik Hospital, Inje University, Korea.
2Department of Anatomical Pathology, Korea Cancer Center Hospital, Korea.
ABSTRACT
Fine needle aspiration biopsy has been proved as a safe, accurate and cost-effective diagnostic modality in palpable breast lesions. Cytologically, fibrocystic disease can be classified into 3 categories as nonproliferative breast disease, proliferative breast disease without atypia, and proliferative breast disease with atypia. This terminology for the needle aspirates is compatible with that of diagnostic histopathology. Cytologic differentiation of nonproliferative disease from proliferative breast disease is important, since the risk of cancer development in cases of atypical hyperplasia is 4-5 times higher than that of general population. Twenty five needle aspirates of fibrocystic disease confirmed by subsequent histopathology were re-evaluated and classified into 3 categories depending on their architectural and nuclear features. In addition. these aspirates were scored according to the cytologic grading system, devised by Masood et al. and based on six cytologic criteria. Concordance rates between cytomorpholgic diagnosis and cytologic diagnosis using the cytologic criteria grading system and histologic diagnosis were 88% and 92%, respectively.
Key Words: Cytologic classification; Fibrocystic disease; Fine needle aspirates; Breast
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