Comparison of liquid-based and conventional cytology in diagnosis of breast mass

Background: Among all diagnostic techniques for breast lesions, fine-needle aspiration (FNA) is the simplest, most reliable and cheapest one. Aim: To compare liquid-based and conventional cytology in diagnosis of breast mass. Materials and Methods: About 101 patients with breast mass were enrolled....

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Main Authors: Shirin Kord, Maral Mokhtari, Sedigheh Tahmasebi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Cytology
Subjects:
Online Access:http://www.jcytol.org/article.asp?issn=0970-9371;year=2019;volume=36;issue=1;spage=22;epage=27;aulast=Kord
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author Shirin Kord
Maral Mokhtari
Sedigheh Tahmasebi
author_facet Shirin Kord
Maral Mokhtari
Sedigheh Tahmasebi
author_sort Shirin Kord
collection DOAJ
description Background: Among all diagnostic techniques for breast lesions, fine-needle aspiration (FNA) is the simplest, most reliable and cheapest one. Aim: To compare liquid-based and conventional cytology in diagnosis of breast mass. Materials and Methods: About 101 patients with breast mass were enrolled. The aspirated materials were divided into two parts. One was poured into a liquid medium and the other part was directly spread on clean glass slides. Conventional and liquid-based preparations were compared using several criteria including adequacy (presence of the epithelial cluster or myoepithelial cells), overall cellularity, presence of single epithelial cells, presence of myoepithelial cells, epithelial architecture, nuclear detail, nuclear atypia and inflammatory/proteinaceous background and final diagnosis. Results: Among 101 cases, 85 (84.1%) were malignant and 16 (15.9%) were benign. Conventional and liquid-based cytology were similar according to adequacy (P = 0.65), cellularity (P = 0.13), epithelial architecture (P = 0.15), presence of myoepithelial cells (P = 0.61), nuclear detail (P = 0.57) and nuclear atypia (P = 0.44), while there were a significant difference between the two methods according to the presence of single epithelial cells (P < 0.001) and background (P < 0.001). Conclusion: Liquid-based cytology of breast specimens is an accurate diagnostic tool with high diagnostic yield in benign and malignant lesions.
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spelling doaj.art-0cd7cfa9e59d4173b80ff568900964002022-12-22T03:10:15ZengWolters Kluwer Medknow PublicationsJournal of Cytology0970-93712019-01-01361222710.4103/JOC.JOC_139_17Comparison of liquid-based and conventional cytology in diagnosis of breast massShirin KordMaral MokhtariSedigheh TahmasebiBackground: Among all diagnostic techniques for breast lesions, fine-needle aspiration (FNA) is the simplest, most reliable and cheapest one. Aim: To compare liquid-based and conventional cytology in diagnosis of breast mass. Materials and Methods: About 101 patients with breast mass were enrolled. The aspirated materials were divided into two parts. One was poured into a liquid medium and the other part was directly spread on clean glass slides. Conventional and liquid-based preparations were compared using several criteria including adequacy (presence of the epithelial cluster or myoepithelial cells), overall cellularity, presence of single epithelial cells, presence of myoepithelial cells, epithelial architecture, nuclear detail, nuclear atypia and inflammatory/proteinaceous background and final diagnosis. Results: Among 101 cases, 85 (84.1%) were malignant and 16 (15.9%) were benign. Conventional and liquid-based cytology were similar according to adequacy (P = 0.65), cellularity (P = 0.13), epithelial architecture (P = 0.15), presence of myoepithelial cells (P = 0.61), nuclear detail (P = 0.57) and nuclear atypia (P = 0.44), while there were a significant difference between the two methods according to the presence of single epithelial cells (P < 0.001) and background (P < 0.001). Conclusion: Liquid-based cytology of breast specimens is an accurate diagnostic tool with high diagnostic yield in benign and malignant lesions.http://www.jcytol.org/article.asp?issn=0970-9371;year=2019;volume=36;issue=1;spage=22;epage=27;aulast=KordConventional cytologyFNAliquid-based cytologyThinPrep
spellingShingle Shirin Kord
Maral Mokhtari
Sedigheh Tahmasebi
Comparison of liquid-based and conventional cytology in diagnosis of breast mass
Journal of Cytology
Conventional cytology
FNA
liquid-based cytology
ThinPrep
title Comparison of liquid-based and conventional cytology in diagnosis of breast mass
title_full Comparison of liquid-based and conventional cytology in diagnosis of breast mass
title_fullStr Comparison of liquid-based and conventional cytology in diagnosis of breast mass
title_full_unstemmed Comparison of liquid-based and conventional cytology in diagnosis of breast mass
title_short Comparison of liquid-based and conventional cytology in diagnosis of breast mass
title_sort comparison of liquid based and conventional cytology in diagnosis of breast mass
topic Conventional cytology
FNA
liquid-based cytology
ThinPrep
url http://www.jcytol.org/article.asp?issn=0970-9371;year=2019;volume=36;issue=1;spage=22;epage=27;aulast=Kord
work_keys_str_mv AT shirinkord comparisonofliquidbasedandconventionalcytologyindiagnosisofbreastmass
AT maralmokhtari comparisonofliquidbasedandconventionalcytologyindiagnosisofbreastmass
AT sedighehtahmasebi comparisonofliquidbasedandconventionalcytologyindiagnosisofbreastmass