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Breast
Procedures
Image-Guided Procedures
Fine-Needle Aspiration Biopsy, Breast
Fine-Needle Aspiration Biopsy, Breast
Wendie A. Berg, MD, PhD, FACR, FSBI; Ray Cody Mayo, MD
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          • Outcomes

            TERMINOLOGY

            • Abbreviations

              • Fine-needle aspiration biopsy (FNAB)

            • Definitions

              • Percutaneous sampling of suspicious lesion using small, 22- to 25-g needle for cytologic diagnosis
              • Aspiration if only fluid; FNAB if solid mass

            PREPROCEDURE

            • Indications

              • Contraindications

                • Getting Started

                  PROCEDURE

                  • Patient Position/Location

                    • Procedure Steps

                      • Alternative Procedures/Therapies

                        POST PROCEDURE

                        • Expected Outcome

                          • Things to Do

                            OUTCOMES

                            • Problems

                              • Complications

                                Selected References

                                1. Cardoso-Coelho LP et al: Comparative study between ultrasound-guided fine needle aspiration cytology of axillary lymph nodes and sentinel lymph node histopathology in early-stage breast cancer. Oncol Lett. 13(5):3299-3302, 2017
                                2. Wang M et al: A sensitivity and specificity comparison of fine needle aspiration cytology and core needle biopsy in evaluation of suspicious breast lesions: A systematic review and meta-analysis. Breast. 31:157-166, 2017
                                3. Caudle AS et al: Improved Axillary Evaluation Following Neoadjuvant Therapy for Patients With Node-Positive Breast Cancer Using Selective Evaluation of Clipped Nodes: Implementation of Targeted Axillary Dissection. J Clin Oncol. 34(10):1072-8, 2016
                                4. Shin K et al: Radiologic Mapping for Targeted Axillary Dissection: Needle Biopsy to Excision. AJR Am J Roentgenol. 207(6):1372-1379, 2016
                                5. Mainiero MB et al: Axillary ultrasound and fine-needle aspiration in the preoperative evaluation of the breast cancer patient: an algorithm based on tumor size and lymph node appearance. AJR Am J Roentgenol. 195(5):1261-7, 2010
                                6. Rao R et al: Axillary staging by percutaneous biopsy: sensitivity of fine-needle aspiration versus core needle biopsy. Ann Surg Oncol. 16(5):1170-5, 2009
                                7. Senjug P et al: The accuracy of fine needle aspiration cytology and flow cytometry in evaluation of nodal and extranodal sites in patients with suspicion of lymphoma. Coll Antropol. 34(1):131-7, 2010
                                8. Pisano ED et al: Fine-needle aspiration biopsy of nonpalpable breast lesions in a multicenter clinical trial: results from the radiologic diagnostic oncology group V. Radiology. 219(3):785-92, 2001
                                9. Dowlatshahi K et al: Nonpalpable breast lesions: findings of stereotaxic needle-core biopsy and fine-needle aspiration cytology. Radiology. 181(3):745-50, 1991
                                10. Schmidt R et al: Benefits of stereotactic aspiration cytology. Adm Radiol. 9(10):35-6, 39, 41-2, 1990
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Preprocedure

                                    • Procedure

                                      • Post Procedure

                                        • Outcomes

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Fine-needle aspiration biopsy (FNAB)

                                          • Definitions

                                            • Percutaneous sampling of suspicious lesion using small, 22- to 25-g needle for cytologic diagnosis
                                            • Aspiration if only fluid; FNAB if solid mass

                                          PREPROCEDURE

                                          • Indications

                                            • Contraindications

                                              • Getting Started

                                                PROCEDURE

                                                • Patient Position/Location

                                                  • Procedure Steps

                                                    • Alternative Procedures/Therapies

                                                      POST PROCEDURE

                                                      • Expected Outcome

                                                        • Things to Do

                                                          OUTCOMES

                                                          • Problems

                                                            • Complications

                                                              Selected References

                                                              1. Cardoso-Coelho LP et al: Comparative study between ultrasound-guided fine needle aspiration cytology of axillary lymph nodes and sentinel lymph node histopathology in early-stage breast cancer. Oncol Lett. 13(5):3299-3302, 2017
                                                              2. Wang M et al: A sensitivity and specificity comparison of fine needle aspiration cytology and core needle biopsy in evaluation of suspicious breast lesions: A systematic review and meta-analysis. Breast. 31:157-166, 2017
                                                              3. Caudle AS et al: Improved Axillary Evaluation Following Neoadjuvant Therapy for Patients With Node-Positive Breast Cancer Using Selective Evaluation of Clipped Nodes: Implementation of Targeted Axillary Dissection. J Clin Oncol. 34(10):1072-8, 2016
                                                              4. Shin K et al: Radiologic Mapping for Targeted Axillary Dissection: Needle Biopsy to Excision. AJR Am J Roentgenol. 207(6):1372-1379, 2016
                                                              5. Mainiero MB et al: Axillary ultrasound and fine-needle aspiration in the preoperative evaluation of the breast cancer patient: an algorithm based on tumor size and lymph node appearance. AJR Am J Roentgenol. 195(5):1261-7, 2010
                                                              6. Rao R et al: Axillary staging by percutaneous biopsy: sensitivity of fine-needle aspiration versus core needle biopsy. Ann Surg Oncol. 16(5):1170-5, 2009
                                                              7. Senjug P et al: The accuracy of fine needle aspiration cytology and flow cytometry in evaluation of nodal and extranodal sites in patients with suspicion of lymphoma. Coll Antropol. 34(1):131-7, 2010
                                                              8. Pisano ED et al: Fine-needle aspiration biopsy of nonpalpable breast lesions in a multicenter clinical trial: results from the radiologic diagnostic oncology group V. Radiology. 219(3):785-92, 2001
                                                              9. Dowlatshahi K et al: Nonpalpable breast lesions: findings of stereotaxic needle-core biopsy and fine-needle aspiration cytology. Radiology. 181(3):745-50, 1991
                                                              10. Schmidt R et al: Benefits of stereotactic aspiration cytology. Adm Radiol. 9(10):35-6, 39, 41-2, 1990