The use of fine-needle aspiration in the evaluation of persistent palpable dominant breast masses

Article Abstract:

The combined use of fine-needle aspiration, mammography and complete breast exam may help women avoid the more invasive biopsy for palpable breast masses. Fine-needle aspiration involves inserting a small needle into a lump in the breast and withdrawing cells for examination. Of 568 fine-needle aspirations performed at a clinic in Los Angeles, 13% of the patients were referred for surgical biopsy and 87% avoided surgical biopsy as a diagnostic procedure. In cases where the clinicians suspected the presence of a benign tumor known as a fibroadenoma, women were offered the choice of a biopsy or regular follow-up. Out of 106 women with this probable diagnosis, 24 decided to have a biopsy performed. Biopsies were recommended to patients whenever there was a suspicion of malignancy as determined by examination or mammography or whenever atypical cells were identified.

Biopsy, Needle

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Accuracy of mammographic appearances after breast fine-needle aspiration

Article Abstract:

Fine-needle aspiration of suspicious breast masses may be done soon after performing a mammogram. Clinical examination, fine-needle aspiration, and mammography are the three elements of diagnosing a breast mass, but there is concern that bruising from the aspiration procedure may interfere with interpreting the mammogram. Researchers reviewed records of 1,007 women who had a fine-needle aspiration followed within two weeks by a mammogram. Ninety-one women eventually received the diagnosis of cancer. Fine-needle aspiration did not cause changes that affected interpretation of the mammogram.

Diagnosis, Breast cancer, Mammography, Breast biopsy

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Lack of utility in clinical practice of cytologic examination of nonbloody cyst fluid from palpable breast cysts

Article Abstract:

Fluid removed from a breast cyst via fine-needle aspiration should only be examined for abnormal cells if the fluid is bloody. In study of 689 women with breast cysts, examination of non-bloody fluid provided no additional information about the nature of the cyst.

Care and treatment, Evaluation, Medical examination, Cysts, Diagnostic specimens, Cytodiagnosis

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