Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2
Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2
://khothuvien.comchapter 9BREASTBarbara s. DucatmanI Helen H. WangSpecimen Types Finơ-Nạạđie Aspiration Nipple Discharge CytologyReporting Terminology Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2y Evaluation of the Specimen The Normal BreastBenign ConditionsCysts Fibrocystic Changes FibroadenomaPregnancy-Related aridLactational ChangesFat NecrosisRađatlon ChangeMastitisSubareolar AbscessGynecomastiaPapillary NeoplasmsPhyllodes TumorBreast Cancerinvasive Ducĩđ Carcinoma invasive Lobular Carc Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2inomaMedUlary Carclnorna Mucinous (Colloid) Carcinoma Tubular Carcinoma Metaplastic CarcinomaUncommon Breast TumorsApocrine CarcinomaAdenoid Cystic CaEbook Cytology diagnostic principles and clinical correlates (4th edition): Part 2
rcinoma Non-Hodgkin Lymphoma SarcomaMetastatic TumorsSpecimen TypesBreast cytology includes the nipple discharge and fine needle aspiration (FNA). The://khothuvien.comchapter 9BREASTBarbara s. DucatmanI Helen H. WangSpecimen Types Finơ-Nạạđie Aspiration Nipple Discharge CytologyReporting Terminology Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2ammographic abnormalities, FNA is highly accurate for palpable lesions,12 although its accuracy is limited with lesions smaller than 1 cm. Despite competition from the automated core needle biopsy (CNB) under stereotactic guidance, FNA delivers good results, especially in a multidisciplinary setting Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2 with on-site radiologists and pathologists? 7 Complications of FNA arc rare, the most common being bleeding. Occasionally, FNA causes partial infarctEbook Cytology diagnostic principles and clinical correlates (4th edition): Part 2
ion of the lesion, particularly hbroadenomas, which can hinder histologic confirmation of the diagnosis.”For nonpalpable lesions, FNA is a useful tech://khothuvien.comchapter 9BREASTBarbara s. DucatmanI Helen H. WangSpecimen Types Finơ-Nạạđie Aspiration Nipple Discharge CytologyReporting Terminology Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2gnant or postpartum patients, FNA is preferred in order to avoid a draining, nonhcaling wound that can result after a core or incisional biopsy. FNA is also useful for assessment of recurrent lesions.The accuracy of FNA of the breast, as with most things, is operator-dependent: Sensitivity for malig Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2nancy ranges from 65% to 98%, and specificity from 34% to100%.* False-positive results occur in 0 to 2% of cases.1 False-suspicious result rates are hEbook Cytology diagnostic principles and clinical correlates (4th edition): Part 2
igher, ranging from 1% to 13%. In general, the sensitivity of FNA for palpable and nonpalpable malignant lesions (i.e., those sampled with mammographi://khothuvien.comchapter 9BREASTBarbara s. DucatmanI Helen H. WangSpecimen Types Finơ-Nạạđie Aspiration Nipple Discharge CytologyReporting Terminology Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2ow that satisfactory specimens are more likely when pathologists rather than clinicians perform the aspiration.14 ^’-4I Whether clinician or pathologist, however, practice makes perfect, and the physician with more FNA experience obtains the more accurate result.42 4' The use of p63 and CK5/6 immuno Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2staining increases the accuracy of FNA by helping distinguish well-differentiated carcinomas from benign lesions. *5-48A major advantage of FNA is theEbook Cytology diagnostic principles and clinical correlates (4th edition): Part 2
ease with which the sample can be assessed for adequacy?Although a touch imprint or wash of a CNB specimen can be done for rapid diagnosis, their uti://khothuvien.comchapter 9BREASTBarbara s. DucatmanI Helen H. WangSpecimen Types Finơ-Nạạđie Aspiration Nipple Discharge CytologyReporting Terminology Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2ast cancer identified, without sacrificing early detection? when the diagnosis is benign, such as a lactating adenoma in a pregnant patient, FNA spares a patient with a solid and palpable lesion an open biopsy. A diagnosis of malignancy allows preoperative evaluation of available therapeutic options Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2 (lumpectomy with irradiation versus mastectomy), or it might persuade a reluctant patient to undergo surgical biopsy.233234 breastFNA of the breast hEbook Cytology diagnostic principles and clinical correlates (4th edition): Part 2
as its limitations. Although sensitive in detecting ductal carcinomas, it cannot distinguish between an in situ and an invasive ductal carcinoma. It c://khothuvien.comchapter 9BREASTBarbara s. DucatmanI Helen H. WangSpecimen Types Finơ-Nạạđie Aspiration Nipple Discharge CytologyReporting Terminology Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2ar), papillary proliferations, and mucinous lesions.58-60 The diagnosis of lobular carcinoma and tubular carcinoma requires considerable experience in FNA interpretation25'59 even so, equivocal findings are common because of the benign cytologic appearance of such tumors.60 As with FNA of other site Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2s, considerable discrepancy in performance exists among laboratories.1’1In comparison with CNB, the nondiagnostic rate for FNA IS higher, and FNA hasEbook Cytology diagnostic principles and clinical correlates (4th edition): Part 2
a lower negative predictive value.55,58,62 Nevertheless, some authors have reported excellent results with breast FNA, and the combination of FNA and ://khothuvien.comchapter 9BREASTBarbara s. DucatmanI Helen H. WangSpecimen Types Finơ-Nạạđie Aspiration Nipple Discharge CytologyReporting Terminology Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2 false-negative diagnoses and underestimates of malignancy have been reported in a considerable percentage of cases even with CNB.*’7-7" Prognostic markers can be assessed with cither technique.’ 71 Ebook Cytology diagnostic principles and clinical correlates (4th edition): Part 2://khothuvien.comchapter 9BREASTBarbara s. DucatmanI Helen H. WangSpecimen Types Finơ-Nạạđie Aspiration Nipple Discharge CytologyReporting TerminologyGọi ngay
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