Adequacy evaluation of fine-needle aspiration biopsy in the breast health clinic setting

Cancer
Lydia P HowellAlaa Afify

Abstract

Breast health clinics (BHC) are an unfamiliar source of fine-needle aspiration biopsies (FNABs) in the U.S. and create challenges for adequacy evaluation. The current study described the experience with breast FNAB adequacy evaluation over a 2-year period, the issues that emerged, and the problem-solving employed to mitigate these issues. The rate of unsatisfactory FNABs and core biopsies was determined for pathologists, BHC providers, and other clinicians and compared for two different periods. Adequacy criteria during both periods required correlation of the cytologic findings with the clinical and breast imaging findings, and did not require identification of a specific number of ductal epithelial cells. During the first time period, 25% of breast FNABs performed in the BHC received an inadequate evaluation versus 6% performed by pathologists and 14% performed by other clinicians. The BHC adequacy rate exceeded the 20% upper threshold recommended by the National Cancer Institute (NCI), and did not decrease after additional FNAB training. During the first time period, 24% of core biopsies received an adequacy evaluation of unsatisfactory. During the second time interval, the core biopsy volume increased and 12% received an un...Continue Reading

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Citations

Jul 22, 2009·CytoJournal·G S Gomez-MacíasO Barboza-Quintana
Jun 11, 2011·Pathology Research International·Paulo MendozaGary M Tse
May 2, 2012·Evidence-based Complementary and Alternative Medicine : ECAM·Malkanthi EvansLarry E Robinson
Nov 26, 2005·Clinics in Laboratory Medicine·Andrea Abati, Aylin Simsir
May 23, 2021·Clinics in Laboratory Medicine·Michael WoolmanArash Zarrine-Afsar

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