TY - JOUR
T1 - Fine‐needle aspiration cytology of the male breast in a cancer center
AU - Sneige, Nour
AU - Holder, Pamela D.
AU - Katz, Ruth L.
AU - Fanning, Christina V.
AU - Dekmezian, Roupen H.
AU - Shabb, Nina S.
AU - Singletary, S. Eva
N1 - Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 1993/12
Y1 - 1993/12
N2 - All fine‐needle aspirates (FNA) performed on the male breast at The University of Texas M. D. Anderson Cancer Center from 1985 to 1992 were reviewed, totaling 64. The patients' ages ranged from 19 to 86 years, with a mean of 56 years. Thirty‐three patients had a history of an extramammary malignancy. The diagnoses established by FNA were gynecomastia (45), mammary carcinomas (6), neoplasms metastatic to the breast (5), suspicious for carcinoma (1), intra‐mammary lymph node (1), and lipoma (1). In five cases the aspirates were nondiagnostic. Two of these proved to be gynecomastia on subsequent histologic examination. Of the six FNA cases initially thought to represent primary breast carcinomas, two were found to be secondary because of involvement of the underlying chest wall by mesothelioma (1), and mucinous adenocarcinoma, unknown primary (1). No false‐positive diagnosis was rendered. We conclude that fine‐needle aspiration of the male breast is a reliable means of assessment; however, unique problems may be encountered compared with aspiration of the female breast. These include the epithelial hyperplasia frequently associated with gynecomastia, the relatively equal frequency of primary and metastatic breast lesions when a malignant process is discovered, and chest wall lesions masquerading as breast lesions.
AB - All fine‐needle aspirates (FNA) performed on the male breast at The University of Texas M. D. Anderson Cancer Center from 1985 to 1992 were reviewed, totaling 64. The patients' ages ranged from 19 to 86 years, with a mean of 56 years. Thirty‐three patients had a history of an extramammary malignancy. The diagnoses established by FNA were gynecomastia (45), mammary carcinomas (6), neoplasms metastatic to the breast (5), suspicious for carcinoma (1), intra‐mammary lymph node (1), and lipoma (1). In five cases the aspirates were nondiagnostic. Two of these proved to be gynecomastia on subsequent histologic examination. Of the six FNA cases initially thought to represent primary breast carcinomas, two were found to be secondary because of involvement of the underlying chest wall by mesothelioma (1), and mucinous adenocarcinoma, unknown primary (1). No false‐positive diagnosis was rendered. We conclude that fine‐needle aspiration of the male breast is a reliable means of assessment; however, unique problems may be encountered compared with aspiration of the female breast. These include the epithelial hyperplasia frequently associated with gynecomastia, the relatively equal frequency of primary and metastatic breast lesions when a malignant process is discovered, and chest wall lesions masquerading as breast lesions.
KW - Breast
KW - Chest wall lesions
KW - Fine needle aspiration
KW - Male
KW - Male breast lesions
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U2 - 10.1002/dc.2840090619
DO - 10.1002/dc.2840090619
M3 - Article
C2 - 8143548
AN - SCOPUS:0027752674
SN - 8755-1039
VL - 9
SP - 691
EP - 697
JO - Diagnostic Cytopathology
JF - Diagnostic Cytopathology
IS - 6
ER -