Breast FNA
Breast FNAC – Diagnostic categories
The triple test is an important aspect of investigation and diagnosis of breast masses, comprising clinical examination, mammography (and/or ultrasonography), and fine-needla aspiration cytology (FNAC). FNAC is widely adopted because of its accuracy, low cost & easy of use.
I’d like to introduce you with the cytological diagnostic categories and show you corresponding cytological images for each of them.
Five diagnostic categories are used to classify the cytological report:
1 – Inadequate
Insufficient cellularity, blood obscuring cells, drying artifact, mechanical artifact
2 – Negative for Malignancy
All cells presents without nuclear atypical features
3 – Probably Benign Lesion
High cellularity but without nuclear atypia, papillary groups, few isolated cells
4 – Suspicious for Malignancy
Many isolated cells, mixed cell pattern (one presents atypical nuclei), high nuclear/cytoplasmic ratio, few cells with atypical nuclei
5 – Malignant Lesion
All cells presents with obviously atypical nuclei, isolated or not, necrosis and/or mitotic figures present
Image gallery
1 – Inadequate
2 – Negative for Malignancy
Fibroadenoma with apocrine change
Fibroadenoma – Histology (Note the difference between Phyllodes Tumor)
3 – Probably Benign Lesion
Duct Papilloma (note the difference between Papillary Carcinoma)
Benign Phyllodes Tumors Histology (Note the difference between Fibroadenoma)
4 – Suspicious for Malignancy
Few cells, slight nuclear atypia
High nuclear/cytoplasmic ratio
Few cell with severe nuclear atypia
5 – Malignant Lesion
Mucinous carcinoma – Histology
Papillary Carcinoma (Tall cells variant)
Papillary Carcinoma (Tall cells variant)
Papillary Carcinoma (Tall cells variant) – Histology (Note the difference between duct papilloma)
That’s it, hope you enjoy
Davide
Nice pictures, Great job.
Would be even better if some other cyto board related issues addressed.
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Many thanks!
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Many thanks
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thanks a lot for the pictures….really really helpfull 😀
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Thank you, i’m very happy you find it useful.
Cheers
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Thank a lot,your site is wondeful,good pics
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thank you so much!
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Very good.
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Many thanks
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Very nice collections of pictures. Well done. Keep it up.
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many thanks
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Great Collection..!
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many thanks for nice collection
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many thanks
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Extremely helpful. Good job
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Many Thanks.
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Thank you very much and these are very helpful.
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