| Breast masses in males: multi-institutional experience on fine-needle aspiration. | |
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MedLine Citation:
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PMID: 11813324 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Male breast masses are uncommon pathologic findings. They are rarely aspirated, resulting in limited cytopathologic experience. The following study describes the cytopathology of male breast lesions from data collected for a period of 10 yr from three large institutions. A total of 14,026 breast aspirations were performed of which 614 were from male patients. All cases were reviewed and correlated with the appropriate clinicopathologic follow-up. The FNA diagnoses were as follows: benign, 427 cases (gynecomastia 353, fat necrosis 21, miscellaneous 53); malignant, 32 cases (ductal carcinoma nos 15, metastatic tumors 17); and atypical/suspicious, 61 cases. Ninety-four cases were nondiagnostic due to scant cellularity. Male breast aspirates accounted for 4.3% of the total breast FNAs performed. The clinicopathologic follow-up in both the benign and malignant categories showed 100% correlation. The overall sensitivity was 95.3%, specificity was 100%, and diagnostic accuracy was 98%. A relatively high specimen unsatisfactory rate was seen (>15%). The commonest cytopathologic diagnosis was gynecomastia, followed by ductal carcinoma. Florid duct atypia in gynecomastia may mimic adenocarcinoma, necessitating a higher threshold for cytopathologic interpretation for malignancy in males. |
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Authors:
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Momin T Siddiqui; Maureen F Zakowski; Raheela Ashfaq; Syed Z Ali |
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Publication Detail:
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Type: Journal Article; Multicenter Study |
Journal Detail:
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Title: Diagnostic cytopathology Volume: 26 ISSN: 8755-1039 ISO Abbreviation: Diagn. Cytopathol. Publication Date: 2002 Feb |
Date Detail:
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Created Date: 2002-01-28 Completed Date: 2002-03-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8506895 Medline TA: Diagn Cytopathol Country: United States |
Other Details:
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Languages: eng Pagination: 87-91 Citation Subset: IM |
Affiliation:
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Department of Pathology, The Johns Hopkins Hospital, Baltimore, MD 21287-6940, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Biopsy, Needle Breast Neoplasms, Male / pathology*, secondary Carcinoma in Situ / pathology Carcinoma, Ductal, Breast / pathology Gynecomastia / pathology Humans Male Middle Aged Reproducibility of Results Sensitivity and Specificity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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