The value of fine needle aspiration and cytologic examination of impalpable complicated breast cysts.
BACKGROUND
The purpose of the study was to evaluate the utility of fine needle aspiration--FNA and cytologic analysis of impalpable complicated breast cysts.


METHODS
We rewieved the imaging findings, aspiration, cytology and biopsy results and followup imaging findings of 246 complicated cysts in 166 women retrospectively.


RESULTS
FNA was performed in 169 out of the 246 complicated cysts. Thirtyone lesions were followed-up with US. Surgical biopsy was performed from five lesions. No malignant cells (137 cysts), insufficient cellular material (17 cysts), atypical cells (4 cysts) were seen in cytological examination of the aspirates. None of these lesions were found to represent malignancy at the time of surgical excision and during follow-up.


CONCLUSIONS
Impalpable complicated breast cysts may be classified as probably benign and can be managed with follow-up imaging studies instead of intervention. Routine cytologic examination is unnecessary if the fluid is not bloody (Tab. 2, Ref. 18). Full Text (Free, PDF) www.bmj.sk.
Tez
Selda
S
Department of Radiology, Fatih University School of Medicine, Ankara Hospital, Turkey.
Dener
Cenap
C
Köktener
Aslý
A
Caydere
Muzaffer
M
Tez
Mesut
M
D000328:Adult; D000368:Aged; D044963:Biopsy, Fine-Needle; D047688:Breast Cyst / Q000175:diagnosis*; D020420:Cyst Fluid / Q000166:cytology*; D005260:Female; D006801:Humans; D008875:Middle Aged