Fine needle aspiration cytology of male breast lesions – A retrospective study over a six year period

Kirana Pailoor, Hilda Fernandes, C. S. Jayaprakash, Nisha J. Marla, S. Murali Keshava

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Fine needle aspiration cytology (FNAC) has a well-established role in the management of palpable breast lumps. However breast masses in males are rarely aspirated and hence there is limited cytopathologic experience. The aim of our study was to determine the efficacy of FNAC in the diagnosis of male breast lesions and also we attempted to describe the cytomorphological features of some of these lesions.

Materials and Methods: Data on male breast FNAC done between 2008 to 2013 were retrieved from the records of the cytopathology laboratory. FNAC diagnosis were categorized as benign, malignant, suspicious for malignancy and inadequate or unsatisfactory. Cytohistologic correlation was done with data from histopathology records. Sensitivity, specificity and diagnostic accuracy were calculated using standard statistical methods.

Results: Forty out of 1098 patients undergoing breast FNAC were males. Histopathology was available in 8 (20%) out of 40 cases. There were no false positive or false negative diagnoses. FNAC had a sensitivity, specificity and diagnostic accuracy of 100% for male breast lesions.

Conclusion: FNAC is a very accurate tool for the diagnosis of male breast lesions. It is highly sensitive and specific with good cytohistologic correlation. To reduce the high rate of surgical biopsies of benign male breast masses, we conclude that FNAC should be performed as a standard procedure in the clinical evaluation of male breast lesions.

Original languageEnglish
Pages (from-to)FC13-FC15
JournalJournal of Clinical and Diagnostic Research
Volume8
Issue number10
DOIs
Publication statusPublished - 01-01-2014
Externally publishedYes

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Cytology
Fine Needle Biopsy
Needles
Cell Biology
Breast
Retrospective Studies
Biopsy
Sensitivity and Specificity
Statistical methods

All Science Journal Classification (ASJC) codes

  • Medicine(all)
  • Clinical Biochemistry

Cite this

Pailoor, Kirana ; Fernandes, Hilda ; Jayaprakash, C. S. ; Marla, Nisha J. ; Murali Keshava, S. / Fine needle aspiration cytology of male breast lesions – A retrospective study over a six year period. In: Journal of Clinical and Diagnostic Research. 2014 ; Vol. 8, No. 10. pp. FC13-FC15.
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abstract = "Background: Fine needle aspiration cytology (FNAC) has a well-established role in the management of palpable breast lumps. However breast masses in males are rarely aspirated and hence there is limited cytopathologic experience. The aim of our study was to determine the efficacy of FNAC in the diagnosis of male breast lesions and also we attempted to describe the cytomorphological features of some of these lesions.Materials and Methods: Data on male breast FNAC done between 2008 to 2013 were retrieved from the records of the cytopathology laboratory. FNAC diagnosis were categorized as benign, malignant, suspicious for malignancy and inadequate or unsatisfactory. Cytohistologic correlation was done with data from histopathology records. Sensitivity, specificity and diagnostic accuracy were calculated using standard statistical methods.Results: Forty out of 1098 patients undergoing breast FNAC were males. Histopathology was available in 8 (20{\%}) out of 40 cases. There were no false positive or false negative diagnoses. FNAC had a sensitivity, specificity and diagnostic accuracy of 100{\%} for male breast lesions.Conclusion: FNAC is a very accurate tool for the diagnosis of male breast lesions. It is highly sensitive and specific with good cytohistologic correlation. To reduce the high rate of surgical biopsies of benign male breast masses, we conclude that FNAC should be performed as a standard procedure in the clinical evaluation of male breast lesions.",
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Fine needle aspiration cytology of male breast lesions – A retrospective study over a six year period. / Pailoor, Kirana; Fernandes, Hilda; Jayaprakash, C. S.; Marla, Nisha J.; Murali Keshava, S.

In: Journal of Clinical and Diagnostic Research, Vol. 8, No. 10, 01.01.2014, p. FC13-FC15.

Research output: Contribution to journalArticle

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N2 - Background: Fine needle aspiration cytology (FNAC) has a well-established role in the management of palpable breast lumps. However breast masses in males are rarely aspirated and hence there is limited cytopathologic experience. The aim of our study was to determine the efficacy of FNAC in the diagnosis of male breast lesions and also we attempted to describe the cytomorphological features of some of these lesions.Materials and Methods: Data on male breast FNAC done between 2008 to 2013 were retrieved from the records of the cytopathology laboratory. FNAC diagnosis were categorized as benign, malignant, suspicious for malignancy and inadequate or unsatisfactory. Cytohistologic correlation was done with data from histopathology records. Sensitivity, specificity and diagnostic accuracy were calculated using standard statistical methods.Results: Forty out of 1098 patients undergoing breast FNAC were males. Histopathology was available in 8 (20%) out of 40 cases. There were no false positive or false negative diagnoses. FNAC had a sensitivity, specificity and diagnostic accuracy of 100% for male breast lesions.Conclusion: FNAC is a very accurate tool for the diagnosis of male breast lesions. It is highly sensitive and specific with good cytohistologic correlation. To reduce the high rate of surgical biopsies of benign male breast masses, we conclude that FNAC should be performed as a standard procedure in the clinical evaluation of male breast lesions.

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