Cytological Evaluation of Pathological Male Breast Lesions
Objective:This study aimed to determine the cytodiagnostic spectrum of various male breast lesions, which were corroborated on histopathology as appropriate, to describe the process of the cytomorphology of some uncommon pathological lesions, and to discuss the reasons of their misdiagnoses.Material...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2021-04-01
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| Series: | European Journal of Breast Health |
| Subjects: | |
| Online Access: |
http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/cytological-evaluation-of-pathological-male-breast/42979
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| _version_ | 1797908620713656320 |
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| author | Krishnendu Mondal Rupali Mandal |
| author_facet | Krishnendu Mondal Rupali Mandal |
| author_sort | Krishnendu Mondal |
| collection | DOAJ |
| description | Objective:This study aimed to determine the cytodiagnostic spectrum of various male breast lesions, which were corroborated on histopathology as appropriate, to describe the process of the cytomorphology of some uncommon pathological lesions, and to discuss the reasons of their misdiagnoses.Materials and Methods:In this 8-year study, a total of 114 patients underwent fine needle aspiration cytology (FNAC). In a representative case, nipple discharge from an 8-month-old child was examined. Confirmatory histopathology was obtained in 38 cases only.Results:Gynecomastia was the most common (63.5%) male breast pathology. Invasive breast carcinoma of no special type was the most common variant of male breast malignancy. Half of the “gray zone” of cytological lesions was confirmed as cancer, but the rest were diagnosed as fibrocystic disease and intraductal papilloma. All cases with malignant cytology matched their corresponding histopathology. However, a tumor from an intraductal papillary carcinoma was miscued as ductal carcinoma on previous FNAC.Conclusion:Cytological evaluation of male breast lesions provides highly sensitive and specific results with excellent histologic reproducibility. Thus, it should be the ideal pretherapeutic diagnostic procedure for male breasts. However, some benign pathological conditions, which are particularly associated with epithelial hyperplasia, perplex the cytomorphologic scenario into the “gray zone.” |
| first_indexed | 2024-04-10T10:55:26Z |
| format | Article |
| id | doaj.art-8a1b4e22b9f448c7a080599da94c9aea |
| institution | Directory Open Access Journal |
| issn | 2587-0831 |
| language | English |
| last_indexed | 2024-04-10T10:55:26Z |
| publishDate | 2021-04-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | European Journal of Breast Health |
| spelling | doaj.art-8a1b4e22b9f448c7a080599da94c9aea2023-02-15T16:20:00ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312021-04-0117210311110.4274/ejbh.galenos.2020.615413049054Cytological Evaluation of Pathological Male Breast LesionsKrishnendu Mondal0Rupali Mandal1 Department of Pathology, Sonoscan Healthcare, West Bengal, India Department of Pathology, Sonoscan Healthcare, West Bengal, India Objective:This study aimed to determine the cytodiagnostic spectrum of various male breast lesions, which were corroborated on histopathology as appropriate, to describe the process of the cytomorphology of some uncommon pathological lesions, and to discuss the reasons of their misdiagnoses.Materials and Methods:In this 8-year study, a total of 114 patients underwent fine needle aspiration cytology (FNAC). In a representative case, nipple discharge from an 8-month-old child was examined. Confirmatory histopathology was obtained in 38 cases only.Results:Gynecomastia was the most common (63.5%) male breast pathology. Invasive breast carcinoma of no special type was the most common variant of male breast malignancy. Half of the “gray zone” of cytological lesions was confirmed as cancer, but the rest were diagnosed as fibrocystic disease and intraductal papilloma. All cases with malignant cytology matched their corresponding histopathology. However, a tumor from an intraductal papillary carcinoma was miscued as ductal carcinoma on previous FNAC.Conclusion:Cytological evaluation of male breast lesions provides highly sensitive and specific results with excellent histologic reproducibility. Thus, it should be the ideal pretherapeutic diagnostic procedure for male breasts. However, some benign pathological conditions, which are particularly associated with epithelial hyperplasia, perplex the cytomorphologic scenario into the “gray zone.” http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/cytological-evaluation-of-pathological-male-breast/42979 breast carcinomafine needle aspiration cytologygray zonegynecomastiamale breast |
| spellingShingle | Krishnendu Mondal Rupali Mandal Cytological Evaluation of Pathological Male Breast Lesions European Journal of Breast Health breast carcinoma fine needle aspiration cytology gray zone gynecomastia male breast |
| title | Cytological Evaluation of Pathological Male Breast Lesions |
| title_full | Cytological Evaluation of Pathological Male Breast Lesions |
| title_fullStr | Cytological Evaluation of Pathological Male Breast Lesions |
| title_full_unstemmed | Cytological Evaluation of Pathological Male Breast Lesions |
| title_short | Cytological Evaluation of Pathological Male Breast Lesions |
| title_sort | cytological evaluation of pathological male breast lesions |
| topic | breast carcinoma fine needle aspiration cytology gray zone gynecomastia male breast |
| url |
http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/cytological-evaluation-of-pathological-male-breast/42979
|
| work_keys_str_mv | AT krishnendumondal cytologicalevaluationofpathologicalmalebreastlesions AT rupalimandal cytologicalevaluationofpathologicalmalebreastlesions |