Skip to main content
Log in

Evaluation of aspiration biopsy cytology and combined preoperative tests in the diagnosis of breast cancer

  • Original Articles
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

This study was conducted to investigate the use-fulness of aspiration biopsy cytology (ABC) and other combined tests for the preoperative diagnosis of breast cancer. In an analysis of 599 aspirates of breast tumors, “suspicious” cases were included among the positive, while “borderline” cases were considered to be negative. The sensitivity of ABC was 87.3%, the specificity was 92.3%, and the predictive value of a postive diagnosis was 92.8%. A total of 207 cases of breast cancer were evaluated to determine the diagnostic significance of breast cancer, particularly for tumors less than 2.0 cm by means of a quadruple test including physical examination, mammography (MMG), ultrasonography (US), and ABC. The combined tests of MMG or US, and ABC resulted in a sensitivity of 96.2% and 94.9%, respectively, and were considered to complement each other in the diagnosis of small breast cancer. Surgical biopsy is thus not always necessary in malignant cases that are conclusively diagnosed by the combined quadruple test.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Abe R (1990) The operative management of intraductal papilloma of the breast. Jpn J Surg 20:240–245

    Google Scholar 

  2. Wilkinson EJ, Schuettke CM, Ferrier CM, Franzini DA, Bland KI (1989) Fine needle aspiration of breast masses. An analysis of 276 aspirates. Acta Cytol 33:613–619

    Google Scholar 

  3. Casey TT, Rodgers WH, Baxter JW, Sawyers JL, Reynolds, VH, Page DL (1992) Stratified diagnostic approach to fine needle aspiration of the breast. Am J Surg 163:305–311

    Google Scholar 

  4. Wollenberg NJ, Caya JG, Clowry LJ (1985) Fine needle aspiration cytology of the breast. A review of 321 cases with statistical evaluation. Acta Cytol 29:425–429

    Google Scholar 

  5. Lannin DR, Silverman JF, Pories WJ, Walker C (1986) Cost-effectiveness of fine needle biopsy of the breast. Ann Surg 203:474–480

    Google Scholar 

  6. Ulanow RM, Galblum L, Canter JW (1984) Fine needle aspiration in the diagnosis and management of solid breast lesions. Am J Surg 148:653–657

    Google Scholar 

  7. Silverman JF, Lannin DR, O'Brien K, Norris HT (1987) The triage role of fine needle aspiration biopsy of palpable breast masses. Diagnostic accuracy and cost-effectiveness. Acta Cytol 31:731–736

    Google Scholar 

  8. Somers RG, Young GP, Kaplan MJ, Bernhard VM, Rosenberg M, Somers D (1985) Fine-needle aspiration biopsy in the management of solid breast tumors. Arch Surg 120:673–677

    Google Scholar 

  9. Dixon JM, Anderson TJ, Lamb J, Nixon SJ, Forrest APM (1984) Fine needle aspiration cytology, in relationships to clinical examination and mammography in the diagnosis of a solid breast mass. Br J Surg 71:593–596

    Google Scholar 

  10. Smallwood J, Herbert A, Guyer P, Taylor I (1985) Accuracy of aspiration cytology in the diagnosis of breast disease. Br J Surg 72:841–843

    Google Scholar 

  11. Hermansen C, Poulsen HS, Jensen J, Langfeldt B, Steenskov V, Frederiksen P, Jensen OM (1987) Diagnostic reliability of combined physical examination, mammography, and fine-needle puncture (“Triple-Test”) in breast tumors. A prospective study. Cancer 60:1866–1871

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nakayama, K., Abe, R., Kimijima, I. et al. Evaluation of aspiration biopsy cytology and combined preoperative tests in the diagnosis of breast cancer. Surg Today 25, 404–408 (1995). https://doi.org/10.1007/BF00311816

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00311816

Key Words

Navigation