Stereotactic fine-needle aspiration cytology of nonpalpable breast lesions: An analysis of 258 consecutive aspirates

Mark R. Sarfati, Kenneth A. Fox, James A Warneke, Laurie L. Fajardo, Glenn C. Hunter, William - Adamas-Rappaport

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19 Scopus citations

Abstract

background: The role of stereotactic fine-needle aspiration cytology (SFNAC) in the diagnosis of nonpalpable breast lesions is poorly defined. patients and methods: Data were prospectively collected from 225 consecutive patients with nonpalpable breast lesions who had aspiration cytology followed by immediate surgical excision. results: Between 1988 and 1993, 258 such procedures were performed. The results of 84 (33%) were interpreted as benign, 84 (33%) as atypical, 28 (11%) as suspicious for malignancy, and 49 (19%) as malignant. In all, 88 (34%) surgical specimens were malignant. SFNAC had an 80% sensitivity, a 96% specificity, a 91% positive predictive value, and an 89% negative predictive value. There were 18 false-negative and 7 false-positive aspirates. conclusions: SFNAC for diagnosing nonpalpable breast lesions is moderately sensitive and highly specific, and has a high positive and negative predictive value. In conjunction with mammography and clinical assessment, the procedure is useful for determining which patients with nonpalpable breast lesions may require surgical biopsy.

Original languageEnglish (US)
Pages (from-to)529-532
Number of pages4
JournalAmerican Journal of Surgery
Volume168
Issue number6
DOIs
Publication statusPublished - 1994

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ASJC Scopus subject areas

  • Surgery

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