Evaluation of accuracy of fine needle aspiration cytology in BI-RADS3 category breast lesions: cytohistological correlation in 337 cases.
OBJECTIVE
To evaluate the accuracy of fine needle aspiration cytology (FNAC) in BI-RADS3 breast lesions.


METHODS
Between January 2004 and December 2007, 337 cases from BI-RADS3 lesions underwent FNAC. Three to six needle passes were made on each patient. In 67 cases (20%) a histological biopsy was performed. Cytological and histological interpretations were performed by the same pathologist.


RESULTS
The histological diagnosis showed that 88% (59/67) of BI-RADS3 breast lesions were benign. Only 6% (4/67) were malignant, consisting of ductal carcinoma in situ and infiltrating ductal carcinoma.


CONCLUSIONS
BI-RADS3 lesions remain disruptive in their management. However, the correlation between cytology and histology showed that most of these lesions were benign and that finally FNAC remains a useful and accurate test in the management of these lesions.
Engohan-Aloghe
C
C
Department of Pathology, Erasme University Hospital, Free University of Brussels (ULB), Brussels, Belgium. corinenken@yahoo.fr
Hottat
N
N
Cosaert
J
J
Boutemy
R
R
Fayt
I
I
Noël
J-C
JC
D044963:Biopsy, Fine-Needle / Q000379:methods*; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D009367:Neoplasm Staging; D012680:Sensitivity and Specificity