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This text describes a system of reporting breast fine needle aspiration biopsy that uses five clearly defined categories, each described by a specific term and each with a specific risk of malignancy. The five categories are insufficient/inadequate, benign, atypical, suspicious of malignancy and malignant. Each category has a risk of malignancy and is linked to management recommendations, which include several options because it is recognized that diagnostic infrastructure, such as the availability of core needle biopsy and ultrasound guidance, vary between developed and low and middle income countries. This text includes key diagnostic cytological criteria for each of the many lesions and tumors found in the breast. The cytopathology of specific lesions is illustrated with high quality photomicrographs with clear figure descriptions. Chapters also discuss current and potential future ancillary tests, liquid based cytology, nipple cytology and management. An additional chapter provides an overview of an approach to the diagnosis of direct smears of breast fine needle aspiration biopsies.
The International Academy of Cytology Yokohama System for Reporting Breast Fine Needle Aspiration Biopsy Cytopathology provides a clear logical approach to the diagnosis and categorization of breast lesions by FNAB cytology, and aims to facilitate communication with breast clinicians, further research into breast cytopathology and related molecular pathology, and improve patient care.
The International Academy of Cytology Yokohama System for Reporting Breast Fine Needle Aspiration Biopsy Cytopathology: Introduction and Overview
Pages 1-9
Field, Andrew S. (et al.)
Insufficient/Inadequate
Pages 11-17
Raymond, Wendy A. (et al.)
Benign
Pages 19-49
Field, Andrew S. (et al.)
Atypical
Pages 51-66
Field, Andrew S. (et al.)
Suspicious of Malignancy
Pages 67-82
Field, Andrew S. (et al.)
Malignant
Pages 83-118
Brachtel, Elena F. (et al.)
An Approach to the Interpretation of Breast Fine Needle Aspiration Biopsy Cytopathology Direct Smears
Pages 119-129
Field, Andrew S. (et al.)
Nipple Cytopathology
Pages 131-135
Lee, Andrew H. S. (et al.)
Role of Ancillary Tests in Breast Fine Needle Aspiration Biopsy Cytopathology
Pages 137-157
Beca, Francisco (et al.)
Fine Needle Aspiration Biopsy Cytopathology of the Breast Utilizing Liquid-Based Preparations
Pages 159-174
Schmitt, Fernando (et al.)
Clinical Management
Pages 175-180
Cohen-Hallaleh, Ruben (et al.)
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