Fine Needle Aspirate of Breast Lesions Dataset
|
|
- Agnes Sara Griffin
- 5 years ago
- Views:
Transcription
1 Fine Needle Aspirate of Breast Lesions Dataset Dr Simon S Cross, Senior Lecturer, Department of Pathology, University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2UL, UK, s.s.cross@sheffield.ac.uk Dr Robert F Harrison, Reader, Department of Automatic Control & Systems Engineering, University of Sheffield, Sheffield, UK. The problem domain Breast cancer is the commonest cancer (excluding skin cancer) which affects women in North America, Europe and the Antipodes.(1) The prognosis for breast cancer is primarily dependent on how far the tumour has spread before treatment is instituted and this is a relatively direct function of time. If the diagnosis of breast cancer can be made earlier then the prognosis is improved since more cases will have disease localised to the breast, without spread to lymph nodes in the axilla or more distant sites. A number of countries, including the UK and USA, have instigated screening programmes for breast cancer which use radiographs of the breast (mammograms) as the screening modality. Mammographic abnormalities which raise the suspicion of malignancy include microcalcification and parenchymal deformity but these are not entirely specific and a confirmatory method of diagnosis is required before definitive therapy can be instituted.(2) The most common confirmatory method is fine needle aspiration of the breast lesion (FNAB) and cytological examination.(3) In this method cells from the breast lesions are sucked into a syringe through a fine bore needle (similar to that used for taking blood samples) and are then transferred to a transport solution and sent to a pathology laboratory. In the laboratory the fluid is spun down in a cytocentrifuge to produce a deposit of cells on a glass slide.(4) This slide is stained, usually using the Papanicolaou or Giemsa methods, and is then viewed down the microscope by a trained cytopathologist. The process by which cytopathologists make their diagnoses is largely unknown but appears to be mainly one of pattern recognition with occasional use of heuristic logic.(5) Cytopathologists are trained by an apprenticeship process in which they view slides down a double-headed microscope with an expert and are told the expert s
2 opinion of the diagnosis. The expert may also point out specific features in the specimen and attribute a qualitative value to them in the diagnosis of either benignancy or malignancy. There are also textbooks and journals that codify this information.(3) The full training of a newly-qualified medical doctor to an independently practising cytopathologist takes a minimum of 5 years. There have been many studies of the accuracy of FNAB cytodiagnosis which has been shown to be high in specialist centres(6) but much lower in non-specialist centres when the technique is first introduced.(7,8) There is thus considerable scope for decision aids which could accelerate the training process or assist in diagnosis in non-specialist centres. The role of cytology in the diagnosis of breast lesions is complementary with the clinical opinion of the examining surgeon and the mammographic appearances, the so-called 'triple approach'.(2,9) When a woman attends a clinic with a self-discovered breast lump, or with a mammographic abnormality from a screening programme, she will be examined by a surgeon who will note the features of the lesion (palpable/impalpable, fixed/mobile, tender/non-tender, etc.) and make an assessment as to the likelihood of the lesion being benign or malignant. This is often formalised as a score between 1 and 5 with 1 being normal, 2 abnormal but benign, 3 suspicious probably benign, 4 suspicious probably malignant and 5 definitely malignant. If the woman has not already had a mammogram then this will be performed and a radiologist will make an assessment of the likelihood of a benign or malignant diagnosis and will usually express this by the same numerical score. The cytopathologist will view the FNAB and make a diagnosis, again expressed by the score and a text statement of the findings.(10) The information from these three sources will be reviewed in a multi-disciplinary team meeting with the surgeon, radiologist and cytopathologist present, and a final integrated assessment of the likelihood of a benign or malignant process will be made. A malignant diagnosis of breast cancer is highly likely to lead to surgical treatment, such as removal of the whole breast (mastectomy) or part of it (wide local excision), so the whole diagnostic process must have a very high specificity with as few false positives as possible. There is really no acceptable rate of false positives since deforming surgery on a woman without breast cancer must be avoided at all costs. However if the specificity is set very high then the sensitivity may be lower and women with breast cancer may
3 not have their disease detected. For this reason there is often conscious, or unconscious, agreement between the surgeon, radiologist and cytopathologist that their tests, and scores, will have different ranges of sensitivity and specificity. Since mammography is used as a screening test it needs to have a relatively high sensitivity and clinical examination is often made with a high sensitivity in mind. This means that the cytodiagnosis of breast cancer must be carried out with a high specificity to reduce the number of false positives in the integrated diagnostic process. Again there is no real acceptable rate of false positive diagnosis but rates should certainly be less than 1% and preferably less than 0.1%. This requirement for high specificity is relatively unusual in the medical domain since it is usually sensitivity that is at a premium, e.g. in the microbiological diagnosis of bacterial meningitis, because usually medical treatments are fairly non-damaging, e.g. a course of antibiotic drugs, in comparison with the untreated disease. Study population 692 consecutive adequate specimens of fine needle aspirates of breast lumps (FNAB) received at the Department of Pathology, Royal Hallamshire Hospital, Sheffield, during The final outcome of benign disease or malignancy was confirmed by open biopsy where this result was available. In benign aspirates with no subsequent open biopsy a benign outcome was assessed by clinical details on the request form, mammographic findings (where available) and by absence of further malignant specimens. A malignant outcome was confirmed by histology of open biopsy or clinical details where the primary treatment modality was chemotherapy or hormonal therapy. Input variables The eleven input features were the patient age in years and observations of the ten defined features given in table 1. All observations were made by a consultant pathologist with 10 years experience of reporting FNABs. All features were coded in binary format 0 = feature absent, 1 = feature present.
4 Table 1. The defined human observations used as input variables. Observed Feature Definition Cellular dyshesion True if the majority of epithelial cells are dyshesive, false if the majority of epithelial cells are in cohesive groups Intracytoplasmic lumina 'Three-dimensionality' of epithelial cells clusters Bipolar 'naked' nuclei True if intracytoplasmic lumina are present in some epithelial cells, false if absent True if some clusters of epithelial cells are not flat (more than two nuclei thick) and this is not due to artefactual folding, false if all clusters of epithelial cells are flat True if bipolar 'naked' nuclei are present, false if absent Foamy macrophages True if foamy macrophages are present, false if absent Nucleoli Nuclear pleiomorphism Nuclear size Necrotic epithelial cells True if more than three easily-visible nucleoli are present in some epithelial cells, false if three or fewer easily-visible nucleoli in all epithelial cells True if some epithelial cells have nuclear diameters twice that of other epithelial cell nuclei, false if no epithelial cell nuclei have diameters twice that of other epithelial cell nuclei True if some epithelial cell nuclei have diameters twice that of red blood cell diameters, false if all epithelial cell nuclei have diameters less than twice that of red blood cell diameters True if necrotic epithelial cells are present, false if absent Apocrine change True if the majority of epithelial cell nuclei show apocrine change, false if apocrine change is not present in the majority of epithelial cells
5 Partitioning of the dataset The data were randomly ordered in the order given in the spreadsheet. The data can be partitioned into a training set of the first 231, an optimisation/verification set of the next 231 and a test set of the final 230 cases. If a method is used which does not require an optimisation/verification set then the first 432 cases can be used as a training set. Expert human performance on the dataset After making the defined observations the human observer gave a categorical benign or malignant diagnosis without the use of a suspicious category. The appropriate metrics for the comparison are the sensitivity, specificity and predictive values of the tests; all with calculated 95% confidence intervals. These diagnoses gave the following performance: Table 2. Human performance on the whole 692 item data set. Parameter Value with 95% confidence intervals Sensitivity 82% (77-87) Specificity 100% Predictive value of a positive result Predictive value of a negative result 100% 92% (89-94) Our analyses of the data We have used the data (not always all 692 cases) in logistic regression,(11) multilayer perceptron artificial neural networks, adaptive resonance theory mapping (ARTMAP) neural network(12-15) and a novel GCS system.(11) A logistic equation was derived from the 432 case combined training set entering all variables together in a main effects only model and this was applied to the 230 case test set. The logistic regression was implemented using the Statistical Package for
6 Social Sciences (SPSS, running on a standard computer. The receiver operating characteristic (ROC) curve was calculated for the test set using standard methods (16). Figure 1. ROC curve for logistic regression. 1.0 Logistic regression 0.8 Area under the curve 0.98 Sensitivity Specificity At a threshold of 0.5 this logistic equation gave the following results for the test set: Table 3. Performance of logistic regression at a threshold of 0.5. Parameter Value with 95% confidence intervals Sensitivity 94% (89-99) Specificity 95% (90-97) Predictive value of a positive result Predictive value of a negative result 87% (80-95) 97% (95-99)
7 References 1. Underwood JCE. Underwood JCE, editors.general and Systematic Pathology. 1 ed. Edinburgh: Churchill Livingstone; 1992; 10, Tumours: benign and malignant. p Elston CW, Ellis IO. Pathology and breast screening. Histopathology 1990;16: Trott PA. Aspiration cytodiagnosis of the breast. Diagn.Oncol. 1991;1: Howat AJ, Armstrong GR, Briggs WA, Nicholson CM, Stewart DJ. Fine needle aspiration of palpable breast lumps: a 1-year audit using the Cytospin method. Cytopathology 1993;3: Underwood JCE. Introduction to Biopsy Interpretation and Surgical Pathology. 2 ed. London: Springer-Verlag; Wolberg WH, Mangasarian OL. Computer-aided diagnosis of breast aspirates via expert systems. Anal.Quant.Cytol.Histol. 1990;12: Hitchcock A, Hunt CM, Locker A, Koslowski J, Strudwick S, Elston CW, Blamey RW, Ellis IO. A one year audit of fine needle aspiration cytology for the pre- operative diagnosis of breast disease. Cytopathology 1991;2: Hunt CM, Wilson S, Pinder SE, Elston CW, Ellis IO. UK national audit of breast fine needle aspiration cytology in : diagnostic criteria. Cytopathology 1996;7: Pinder SE, Elston CW, Ellis IO. The role of pre-operative diagnosis in breast cancer. Histopathol. 1996;28: Wells CA, Ellis IO, Zakhour HD, Wilson AR. Guidelines for cytology procedures and reporting on fine needle aspirates of the breast. Cytopathology 1994;5: Walker AJ, Cross SS, Harrison RF. Visualisation of biomedical datasets by use of growing cell structure networks: a novel diagnostic classification technique. Lancet 1999;354: Downs J, Harrison RF, Cross SS. Hallam J, editors.hybrid Problems, Hybrid Solutions. Amsterdam: IOS Press; 1995;A neural network decisionsupport tool for the diagnosis of breast cancer. p Downs J, Harrison RF, Cross SS. Barahona P, Stefanelli M, Wyatt J, editors.artificial Intelligence in Medicine - Lecture Notes in Artificial Intelligence. Berlin: Springer-Verlag; 1995;Evaluating a neural network decision-support tool for the diagnosis of breast cancer. p
8 14. Downs J, Harrison RF, Kennedy RL, Cross SS. Application of the fuzzy ARTMAP neural network model to medical pattern classification tasks. Artificial Intelligence in Medicine 1996;8: Downs J, Harrison RF, Cross SS. A decision support tool for the diagnosis of breast cancer based upon fuzzy ARTMAP. Neural Comput.Applic. 1998;7: Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982;143:29-36.
Study of Fine Needle Aspiration Cytology of Breast Lump: Correlation of Cytologically Malignant Cases with Their Histological Findings
Study of Fine Needle Aspiration Cytology of Breast Lump: Correlation of Cytologically Malignant Cases with Their Histological Findings Touhid Uddin Rupom 1, Tamanna Choudhury 2, Sultana Gulshana Banu 3
More informationEvaluation of Breast Specimens Removed by Needle Localization Technique
Evaluation of Breast Specimens Removed by Needle Localization Technique Specimen Handling: The breast specimen when received should be measured and grossly inspected for any orientation designated by the
More informationCytological grading of breast carcinoma with histological correlation
Journal of BUON 10: 251-256, 2005 2005 Zerbinis Medical Publications. Printed in Greece ORIGINAL ARTICLE Cytological grading of breast carcinoma with histological correlation M. Jovicić-Milentijević 1,
More informationBreastScreen Victoria Annual Statistical Report
BreastScreen Victoria Annual Statistical Report 005 Produced by: BreastScreen Victoria Coordination Unit Level, Pelham Street, Carlton South Victoria 05 PH 0 9660 6888 FX 0 966 88 EM info@breastscreen.org.au
More informationTime-to-Recur Measurements in Breast Cancer Microscopic Disease Instances
Time-to-Recur Measurements in Breast Cancer Microscopic Disease Instances Ioannis Anagnostopoulos 1, Ilias Maglogiannis 1, Christos Anagnostopoulos 2, Konstantinos Makris 3, Eleftherios Kayafas 3 and Vassili
More informationThe role of the cytologist in breast cancer screening
The role of the cytologist in breast cancer screening I.Seili-Bekafigo, MD, PhD Clinical cytologist KBC Rijeka Croatian Society for Clinical Cytology Fine needle aspiration (FNA, FNAB, FNAC) Fine needle
More informationAUDIT OF FNA CYTOLOGY, ADEQUACY AND REPORTING AT THE DERRIFORD HOSPITAL ONE STOP HEAD & NECK LUMP CLINIC
AUDIT OF FNA CYTOLOGY, ADEQUACY AND REPORTING AT THE DERRIFORD HOSPITAL ONE STOP HEAD & NECK LUMP CLINIC Dr Michael Ghisel Foundation Trainee Dr Tim Bracey Consultant Pathologist What is it? The Derriford
More informationDisease Test Result Present Absent Total Positive A B N 1 = A+B Negative C D N 2 =C+D Total M 1 =A+C M 2 =B+D N 1 +N 2 =M 1 +M 2
Basic Definitions and Concepts Disease Test Result Present Absent Total Positive A B N 1 = A+B Negative C D N 2 =C+D Total M 1 =A+C M 2 =B+D N 1 +N 2 =M 1 +M 2 Examples The following example was extracted
More informationBREAST CANCER PATHOLOGY
BREAST CANCER PATHOLOGY FACT SHEET Version 4, Aug 2013 This fact sheet was produced by Breast Cancer Network Australia with input from The Royal College of Pathologists of Australasia I m a nurse and know
More informationIBCM 2, April 2009, Sarajevo, Bosnia and Herzegovina
Preoperative diagnosis and treatment planning in breast cancer The pathologist s perspective L. Mazzucchelli Istituto Cantonale di Patologia Locarno, Switzerland IBCM 2, 23-25 April 2009, Sarajevo, Bosnia
More informationCORRELATION OF FINE NEEDLE ASPIRATION CYTOLOGY AND ITS HISTOPATHOLOGY IN DIAGNOSIS OF BREAST LUMPS
wjpmr, 2017,3(9), 221-226 SJIF Impact Factor: 4.103 WORLD JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH www.wjpmr.com Research Article ISSN 2455-3301 WJPMR CORRELATION OF FINE NEEDLE ASPIRATION CYTOLOGY
More informationKey Words: Cytology, Grading, Breast Carcinoma
BREAST CARCINOMA ASPIRATES: A STUDY ON CYTOLOGICAL GRADING *Subhashish Das, Kalyani and Harendra Kumar Department of Pathology; Sri Devaraj Urs Medical College, Tamaka, Kolar *Author for Correspondence
More informationAtypical And Suspicious Categories In Fine Needle Aspiration Cytology Of The Breast
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-853, p-issn: 2279-861.Volume 15, Issue 1 Ver. III (October. 216), PP 57-61 www.iosrjournals.org Atypical And Suspicious Categories in
More informationFine needle aspiration of breast masses: an analysis of 1533 cases in private practice
Fine needle aspiration of breast masses: an analysis of 1533 cases in private practice GPS Yeoh, KW Chan The diagnostic efficacy of fine needle aspiration cytology of breast masses and the causes for unsatisfactory
More informationFine-Needle Aspiration and Cytologic Findings of Surgical Scar Lesions in Women With Breast Cancer
148 Fine-Needle Aspiration and Cytologic Findings of Surgical Scar Lesions in Women With Breast Cancer Ehud Malberger, DMD, FIAC,* Yeouda Edoute, MD, PhD,t Osnaf Toledano, MD,* and Dov Sapir, MDS Benign
More informationCytyc Corporation - Case Presentation Archive - March 2002
FirstCyte Ductal Lavage History: 68 Year Old Female Gail Index: Unknown Clinical History: Negative Mammogram in 1995 6 yrs. later presents with bloody nipple discharge Subsequent suspicious mammogram Suspicious
More informationNational Breast Cancer Audit next steps. Martin Lee
National Breast Cancer Audit next steps Martin Lee National Cancer Audits Current Bowel Cancer Head & Neck Cancer Lung cancer Oesophagogastric cancer New Prostate Cancer - undergoing procurement Breast
More informationMedical Science. Efficacy of FNAC in typing & grading of mammary carcinoma ABSTRACT. Dr. Alpa Shah Dr. Rupal P. Mehta Dr.
Efficacy of FNAC in typing & grading of mammary carcinoma Medical Science KEYWORDS : Mammary carcinoma, diagnostic accuracy of FNAC, cytological type & grad Dr. Alpa Shah Dr. Rupal P. Mehta Dr. Darshan
More informationTHE ONE STOP CLINIC FOR BREAST LESIONS. Philippe Vielh MD, PhD For the Breast Cancer Group Institut de cancérologie Gustave Roussy Villejuif, France
THE ONE STOP CLINIC FOR BREAST LESIONS Philippe Vielh MD, PhD For the Breast Cancer Group Institut de cancérologie Gustave Roussy Villejuif, France CONTEXT IN 2004 French breast cancer screening program
More informationFine Needle Aspiration Cytology Of Breast Lumps With Histopathological Correlation: A Four Year And Eight Months Study From Rural India.
ISPUB.COM The Internet Journal of Pathology Volume 13 Number 3 Fine Needle Aspiration Cytology Of Breast Lumps With Histopathological Correlation: A Four Year And Eight Months Study From Rural India. U
More informationComparative Features of Ductal Carcinoma In Situ and Infiltrating Ductal Carcinoma of the Breast on Fine-Needle Aspiration Biopsy
Comparative Features of In Situ and of the Breast on Fine-Needle Aspiration Biopsy HELEN H. WANG, M.D., DR. P.H., BARBARA S. DUCATMAN, M.D., AND DAWN EICK, CT(ASCP) To evaluate the usefulness of fine-needle
More informationFine needle aspiration cytology of breast lumps with histopathologic correlation in Owo, Ondo State, Nigeria: a five-year review
Fine needle aspiration cytology of breast lumps with histopathologic correlation in Owo, Ondo State, Nigeria: a five-year review David E. Ibikunle 1, John A. Omotayo 2 and Olufemi O. Ariyibi 1 Ghana Med
More informationMammographic evaluation of palpable breast masses with pathological correlation: a tertiary care centre study in Nepal
Original article 21 Mammographic evaluation of palpable breast masses with pathological correlation: a tertiary care centre study in Nepal G. Gurung, R. K. Ghimire, B. Lohani Department of Radiology and
More informationPAAF vs Core Biopsy en Lesiones Mamarias Case #1
5/19/2014 PAAF vs Core Biopsy en Lesiones Mamarias Case #1 Fine Needle Aspiration Cytology of Breast: Correlation with Needle Core Biopsy 64-year-old woman Mass in breast Syed Hoda, MD CD31 Post-Radiation
More informationRepeat Thyroid Nodule Fine-Needle Aspiration in Patients With Initial Benign Cytologic Results
Anatomic Pathology / REPEAT THYROID FINE-NEEDLE ASPIRATION Repeat Thyroid Nodule Fine-Needle Aspiration in Patients With Initial Benign Cytologic Results Melina B. Flanagan, MD, MSPH, 1 N. Paul Ohori,
More informationRE-AUDIT OF THYROID FNA USING THE THY GRADING SYSTEM AND HISTOLOGY AT SUNDERLAND ROYAL HOSPITAL, 2011
Audit: RE-AUDIT OF THYROID FNA USING THE THY GRADING SYSTEM AND HISTOLOGY AT SUNDERLAND ROYAL HOSPITAL, 2011 Auditors: Dr Lena Wilkinson SpR Histopathology Dr. Debra Milne Consultant Histocytopathologist
More informationFine-needle aspiration cytology (FNAC) and core needle biopsy
146 CANCER CYTOPATHOLOGY A Comparison of Aspiration Cytology and Core Needle Biopsy in the Evaluation of Breast Lesions Pieter J. Westenend, M.D., Ph.D. 1 Ali R. Sever, M.D. 2 Hannie J. C. Beekman-de Volder
More informationDiagnostic Value of Imprint Cytology During Image-Guided Core Biopsy in Improving Breast Health Care
Available online at www.annclinlabsci.org 8 Annals of Clinical & Laboratory Science, vol. 41, no. 1, 2011 Diagnostic Value of Imprint Cytology During Image-Guided Core Biopsy in Improving Breast Health
More informationComplete breast care from the team that cares. Breast Center
Breast Center Complete breast care from the team that cares. Imaging Appointment: 845.348.8551 Surgical Consultation: 845.348.8507 nyackhospital.org/breastcenter 1 Complete breast care from the team that
More informationThe diagnostic value of fine-needle aspiration cytology in the assessment of thyroid nodules: a retrospective 5-year analysis
The diagnostic value of fine-needle aspiration cytology in the assessment of thyroid nodules: a retrospective 5-year analysis GPS Yeoh, KW Chan Objective. To audit the diagnostic accuracy and value of
More informationULTRASOUND GUIDED FNA: WHEN, HOW, AND WHY
ULTRASOUND GUIDED FNA: WHEN, HOW, AND WHY Marika Russell, MD, FACS Assistant Professor, UCSF OHNS Disclosures: none Overview Background Indications Technique Outcomes Survey Office-based ultrasound? USG-FNA?
More informationIntroduction 1. Executive Summary 5
Roman_pages 20-09-2005 21:01 Pagina IX Table of contents Introduction 1 Executive Summary 5 1. Epidemiological guidelines for quality assurance in breast cancer screening 15 1.10 Introduction 17 1.20 Local
More informationABSTRACT I. INTRODUCTION. Mohd Thousif Ahemad TSKC Faculty Nagarjuna Govt. College(A) Nalgonda, Telangana, India
International Journal of Scientific Research in Computer Science, Engineering and Information Technology 2018 IJSRCSEIT Volume 3 Issue 1 ISSN : 2456-3307 Data Mining Techniques to Predict Cancer Diseases
More informationMammography is a most effective imaging modality in early breast cancer detection. The radiographs are searched for signs of abnormality by expert
Abstract Methodologies for early detection of breast cancer still remain an open problem in the Research community. Breast cancer continues to be a significant problem in the contemporary world. Nearly
More informationTHE BREAST CENTER AT MONTEFIORE NYACK HOSPITAL
THE BREAST CENTER AT MONTEFIORE NYACK HOSPITAL COMPLETE BREAST CARE FROM THE TEAM THAT CARES I don t think I could get better care, more support, or encouragement at any of the bigger hospitals or cancer
More informationGuideline for the Diagnosis of Breast Cancer
Guideline for the Diagnosis of Breast Cancer Version History Version Date Brief Summary of Change Issued 2.0 May 2007 Approved by the Governance Committee 2.0 25.11.08 Discussed at the NSSG 2.1 5.12.08
More informationConsensus Guideline on Image-Guided Percutaneous Biopsy of Palpable and Nonpalpable Breast Lesions
Consensus Guideline on Image-Guided Percutaneous Biopsy of Palpable and Nonpalpable Breast Lesions Purpose: To outline the use of minimally invasive biopsy techniques (MIBT) for palpable and nonpalpable
More informationCork University Hospital - Cork, Ireland
- Cork, Ireland General Information New breast cancer cases treated per year 336 Breast multidisciplinarity team members 25 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationPhyllodes tumours: borderline and malignant
Phyllodes tumours: borderline and malignant This booklet is for people who would like more information about borderline or malignant phyllodes tumours. It describes what they are, the symptoms, how a diagnosis
More informationCytological study of palpable breast lumps with their histological correlation in a tertiary care hospital
Original Research Article Cytological study of palpable breast lumps with their histological correlation in a tertiary care hospital Sunita Mistry 1*, Jignasha Patel 2, Kamlesh Shah 3, Ajit Patel 4 1 Assistant
More informationROBINSON CYTOLOGICAL GRADING OF BREAST CARCINOMA ON FINE NEEDLE ASPIRATION CYTOLOGY- AN OVERVIEW
Page564 Research Article Biological Sciences ROBINSON CYTOLOGICAL GRADING OF BREAST CARCINOMA ON FINE NEEDLE ASPIRATION CYTOLOGY- AN OVERVIEW Charusheela Rajesh Gore, Chandanwale Shirish S, Ruchika Aggarwal,
More informationThe importance of intracytoplasmic DPAS positivity in fine needle aspirates of breast lesions
146 Department of Cellular Pathology (Cytology), Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK S J Johnson V Wadehra Correspondence to: Dr V Wadehra wadhera@bigfoot.com Accepted for publication
More informationThe Radiology Aspects
REQUIREMENTS FOR INTERNATIONAL ACCREDITATION OF BREAST CENTERS/UNITS The Radiology Aspects Miri Sklair-Levy, Israel RADIOLOGY GUIDELINES FOR QUALITY ASSURANCE IN BREAST CANCER SCREENING AND DIAGNOSIS Radiologists
More informationInvasive Papillary Breast Carcinoma
410 This is an Open Access article licensed under the terms of the Creative Commons Attribution- NonCommercial-NoDerivs 3.0 License (www.karger.com/oa-license), applicable to the online version of the
More informationPathology Report Patient Companion Guide
Pathology Report Patient Companion Guide Breast Cancer - Understanding Your Pathology Report Pathology Reports can be overwhelming. They contain scientific terms that are unfamiliar and might be a bit
More informationBarlavento Medical Centre - Portimão, Portugal
- Portimão, Portugal General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 9 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationDiagnosis of Breast Cancer Using Ensemble of Data Mining Classification Methods
International Journal of Bioinformatics and Biomedical Engineering Vol. 1, No. 3, 2015, pp. 318-322 http://www.aiscience.org/journal/ijbbe ISSN: 2381-7399 (Print); ISSN: 2381-7402 (Online) Diagnosis of
More informationAmammography report is a key component of the breast
Review Article Writing a Mammography Report Amammography report is a key component of the breast cancer diagnostic process. Although mammographic findings were not clearly differentiated between benign
More informationPhyllodes Tumour; A Rare Finding
Phyllodes Tumour; A Rare Finding 1 Dr. K. Padmavathi, 2 Dr. D. Asha latha 1 Assistant professor, Gynaecology and Obsterics; 2 Head of the Deparment, Anatomy, Andhra Medical College, Andhra Pradesh, India
More informationAspects of quality in breast pathology. Andrew Lee Nottingham University Hospitals
Aspects of quality in breast pathology Andrew Lee Nottingham University Hospitals British breast pathology EQA: performance issues Ian Ellis Friday 8.30 am National breast screening pathology audit 2015
More informationCURRENT METHODS IN IMAGE GUIDED BREAST BIOPSY
CURRENT METHODS IN IMAGE GUIDED BREAST BIOPSY Stuart Silver April 24, 2004 OBJECTIVES Review development of current techniques Discuss stereotactic breast biopsy Discuss US guided breast biopsy 1 OBJECTIVES
More informationUniversity Clinical Center Banja Luka, Breast Center - Banja Luka, Bosnia and Herzegovina
- Banja Luka, Bosnia and Herzegovina General Information New breast cancer cases treated per year 245 Breast multidisciplinarity team members 23 Radiologists, surgeons, pathologists, medical oncologists,
More informationCase study 1. Rie Horii, M.D., Ph.D. Division of Pathology Cancer Institute Hospital, Japanese Foundation for Cancer Research
NCCN/JCCNB Seminar in Japan April 15, 2012 Case study 1 Rie Horii, M.D., Ph.D. Division of Pathology Cancer Institute Hospital, Japanese Foundation for Cancer Research Present illness: A 50y.o.premenopausal
More informationOne or Two Clusters of Crushed Stone like Calcifications on the Mammogram Produced by Malignancy
66 One or Two Clusters of Crushed Stone like Calcifications on the Mammogram Produced by Malignancy Example 2.13 A 36-year-old woman who recentlyfelt a small hard lump in the upper-outer quadrant of her
More informationAkosa, Josephine Kelly, Shannon SAS Analytics Day
Application of Data Mining Techniques in Improving Breast Cancer Diagnosis Akosa, Josephine Kelly, Shannon 2016 SAS Analytics Day Facts and Figures about Breast Cancer Methods of Diagnosing Breast Cancer
More informationFINE NEEDLE ASPIRATION (FNAC) AS A DIAGNOSTIC TOOL IN PAEDIATRIC LYMPHADENOPATHY.
IJCRR Vol 06 issue 01 Section: Healthcare Category: Research Received on: 16/10/13 Revised on: 18/11/13 Accepted on: 20/12/13 FINE NEEDLE ASPIRATION (FNAC) AS A DIAGNOSTIC TOOL IN PAEDIATRIC Heming Agrawal,
More informationCPC 4 Breast Cancer. Rochelle Harwood, a 35 year old sales assistant, presents to her GP because she has noticed a painless lump in her left breast.
CPC 4 Breast Cancer Rochelle Harwood, a 35 year old sales assistant, presents to her GP because she has noticed a painless lump in her left breast. 1. What are the most likely diagnoses of this lump? Fibroadenoma
More informationBreast Cancer Imaging
Breast Cancer Imaging I. Policy University Health Alliance (UHA) will cover breast imaging when such services meet the medical criteria guidelines (subject to limitations and exclusions) indicated below.
More informationWhat is the Diagnostic Accuracy of Hypocellular Fine Needle Aspiration of the Breast in the Context of an Otherwise Negative Triple Screen.
ISPUB.COM The Internet Journal of Oncology Volume 6 Number 2 What is the Diagnostic Accuracy of Hypocellular Fine Needle Aspiration of the Breast in the Context of an R Arrangoiz, S Garand, C Slomski,
More informationGroote Schuur Academic Hospital - Cape Town, South Africa
- Cape Town, South Africa General Information New breast cancer cases treated per year 400 Breast multidisciplinarity team members 7 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationProblems in staging breast carcinoma
Problems in staging breast carcinoma Primary systemic therapy (PST) of breast carcinoma pathologists tasks Dr. Janina Kulka, 2nd Department of Pathology, Semmelweis University Budapest Austro-Hungarian
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Predictability Score of Routine Screening Techniques and Triple Test in Diagnosis of Dr. Prakash
More informationNational Center of Oncology - Yerevan, Armenia
- Yerevan, Armenia General Information New breast cancer cases treated per year 450 Breast multidisciplinarity team members 13 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationMamma Centrum / Zelený Pruh - Prague, Czech Republic
- Prague, Czech Republic General Information New breast cancer cases treated per year 490 Breast multidisciplinarity team members 29 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationANNEX 1 OBJECTIVES. At the completion of the training period, the fellow should be able to:
1 ANNEX 1 OBJECTIVES At the completion of the training period, the fellow should be able to: 1. Breast Surgery Evaluate and manage common benign and malignant breast conditions. Assess the indications
More informationEpworth Healthcare Benign Breast Disease Symposium. Sat Nov 12 th 2016
Epworth Healthcare Benign Breast Disease Symposium Breast cancer is common Sat Nov 12 th 2016 Benign breast disease is commoner, and anxiety about breast disease commoner still Breast Care Campaign UK
More informationDyson Center for Cancer Care - Poughkeepsie, New York, United States of America
- Poughkeepsie, New York, United States of America General Information New breast cancer cases treated per year 323 Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical
More informationBreast Cancer. What is breast cancer?
Scan for mobile link. Breast Cancer Breast cancer is a malignant tumor in or around breast tissue. It usually begins as a lump or calcium deposit that develops from abnormal cell growth. Most breast lumps
More informationBreast Cancer. Most common cancer among women in the US. 2nd leading cause of death in women. Mortality rates though have declined
Breast Cancer Most common cancer among women in the US 2nd leading cause of death in women Mortality rates though have declined 1 in 8 women will develop breast cancer Breast Cancer Breast cancer increases
More informationPost Neoadjuvant therapy: issues in interpretation
Post Neoadjuvant therapy: issues in interpretation Disclosure: Overview D Prognostic features in assessment of post treatment specimens: Tumor size Cellularity Grade Receptors LN Neoadjuvant chemotherapy:
More informationInternational Day of Radiology 2016 Interview on Breast Imaging Australia / Dr. Michelle Reintals. Breast imaging in Australia
International Day of Radiology 2016 Interview on Breast Imaging Australia / Dr. Michelle Reintals Breast imaging in Australia An interview with Dr. Michelle Reintals, Director of Breast at IMED Queensland
More informationMammographic imaging of nonpalpable breast lesions. Malai Muttarak, MD Department of Radiology Chiang Mai University Chiang Mai, Thailand
Mammographic imaging of nonpalpable breast lesions Malai Muttarak, MD Department of Radiology Chiang Mai University Chiang Mai, Thailand Introduction Contents Mammographic signs of nonpalpable breast cancer
More informationDIAGNOSIS. Biopsy, Pathology and Subtypes. Knowledge Summary
DIAGNOSIS Biopsy, Pathology and Subtypes Knowledge Summary DIAGNOSIS Biopsy, Pathology and Subtypes INTRODUCTION The success of an effective breast health care program is directly related to the availability
More informationGuven Hospital - Ankara, Turkey
- Ankara, Turkey General Information New breast cancer cases treated per year 180 Breast multidisciplinarity team members 9 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationCellular Dyscohesion in Fine-Needle Aspiration of Breast Carcinoma Prognostic Indicator for Axillary Lymph Node Metastases?
natomic Pathology / PROGNOSTIC INDICTOR FOR XILLRY LYMPH NODE METSTSES Cellular Dyscohesion in Fine-Needle spiration of reast Carcinoma Prognostic Indicator for xillary Lymph Node Metastases? nne. Schiller,
More informationBreast Cancer. Saima Saeed MD
Breast Cancer Saima Saeed MD Breast Cancer Most common cancer among women in the US 2nd leading cause of death in women 1 in 8 women will develop breast cancer Incidence/mortality rates have declined Breast
More informationINTRA-OPERATIVE CYTOLOGY AND FROZEN SECTIONS OF BREAST LESIONS: A COMPARISON FROM A SAUDI TEACHING HOSPITAL
Bahrain Medical Bulletin, Volume 18, Number 1, March 1996 INTRA-OPERATIVE CYTOLOGY AND FROZEN SECTIONS OF BREAST LESIONS: A COMPARISON FROM A SAUDI TEACHING HOSPITAL Ammar C.Al-Rikabi, MD,MRCPath,FIAC*
More informationThe early detection programme for breast cancer
Making a wellinformed decision The early detection programme for breast cancer Why are women offered a mammogram through the quality controlled screening programme? Women between 50 and 69 years of age
More informationMammographic density and risk of breast cancer by tumor characteristics: a casecontrol
Krishnan et al. BMC Cancer (2017) 17:859 DOI 10.1186/s12885-017-3871-7 RESEARCH ARTICLE Mammographic density and risk of breast cancer by tumor characteristics: a casecontrol study Open Access Kavitha
More informationHOSPITAL MODELO - LA CORUÑA, Spain
- LA CORUÑA, Spain General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 8 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationA comparison of the accuracy of film-screen mammography, full-field digital mammography, and digital breast tomosynthesis
Clinical Radiology xxx (2012) 1e6 Contents lists available at SciVerse ScienceDirect Clinical Radiology journal homepage: www.clinicalradiologyonline.net A comparison of the accuracy of film-screen mammography,
More informationJessa Hospital - Hasselt, Belgium
- Hasselt, Belgium General Information New breast cancer cases treated per year 336 Breast multidisciplinarity team members 19 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationBreast Cancer. What is breast cancer?
Scan for mobile link. Breast Cancer Breast cancer is a malignant tumor in or around breast tissue. It usually begins as a lump or calcium deposit that develops from abnormal cell growth. Most breast lumps
More informationStudy of correlation between Robinson s cytological grading and NBR histological grading of Breast carcinoma
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 17, Issue 11 Ver. 9 (November. 2018), PP 64-69 www.iosrjournals.org Study of correlation between Robinson
More informationClinica Medellin - Medellin, Colombia
- Medellin, Colombia General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 12 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationAN AUDIT OF FINE NEEDLE ASPIRATION (FNA) BIOPSY OF PALPABLE BREAST LESIONS AT KENYATTA NATIONAL HOSPITAL (KNH).
TITLE: AN AUDIT OF FINE NEEDLE ASPIRATION (FNA) BIOPSY OF PALPABLE BREAST LESIONS AT KENYATTA NATIONAL HOSPITAL (KNH). A Dissertation presented in partial fulfilment for the degree of master of Science
More informationMemorialCare Breast Center at Long Beach Memorial
MemorialCare Breast Center at Long Beach Memorial (562) 933-7880 MemorialCare.org/LBBreast Todd Cancer Pavilion, 2 nd Floor 2810 Long Beach Blvd. Long Beach, CA 90806 The Breast Center at the MemorialCare
More informationAlexandrovska Hospital - Sofia, Bulgaria
- Sofia, Bulgaria General Information New breast cancer cases treated per year 190 Breast multidisciplinarity team members 8 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationReview of Literatures
Review of Literatures Fine needle biopsy was popular in the Scandinavian countries some four decades ago. Though FNAC for any palpable tumor was first introduced in America in the 1920s by Martin, Ellis
More informationSan Donato Hospital - Azienda USL TOSCANA SUDEST Arezzo - Arezzo, Italy
San Donato Hospital - Azienda USL TOSCANA SUDEST Arezzo - Arezzo, Italy General Information New breast cancer cases treated per year 255 Breast multidisciplinarity team members 18 Radiologists, surgeons,
More informationImproving Reading Time of Digital Breast Tomosynthesis with Concurrent Computer Aided Detection
White Paper Improving Reading Time of Digital Breast Tomosynthesis with Concurrent Computer Aided Detection WHITE PAPER 2 3 Abstract PowerLook Tomo Detection, a concurrent computer-aided detection (CAD)
More informationBreast Unit - University of Heidelberg - Heidelberg, Germany
- Heidelberg, Germany General Information New breast cancer cases treated per year 600 Breast multidisciplinarity team members 17 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationApplication of Artificial Neural Network-Based Survival Analysis on Two Breast Cancer Datasets
Application of Artificial Neural Network-Based Survival Analysis on Two Breast Cancer Datasets Chih-Lin Chi a, W. Nick Street b, William H. Wolberg c a Health Informatics Program, University of Iowa b
More informationGuidance on the management of B3 lesions
Guidance on the management of B3 lesions Lesion diagnosed on 14g or vacuumassisted biopsy (VAB) Risk of upgrade Recommended investigation Suggested approach for follow-up if no malignancy on VAE awaiting
More informationResearch Article Histopathological Correlation of Atypical (C3) and Suspicious (C4) Categories in Fine Needle Aspiration Cytology of the Breast
International Breast Cancer Volume 2013, Article ID 965498, 5 pages http://dx.doi.org/10.1155/2013/965498 Research Article Histopathological Correlation of Atypical (C3) and Suspicious (C4) Categories
More informationAbstract. Introduction. Salah Abobaker Ali
Sensitivity and specificity of combined fine needle aspiration cytology and cell block biopsy versus needle core biopsy in the diagnosis of sonographically detected abdominal masses Salah Abobaker Ali
More informationAscertaining and reporting interval cancers in BreastScreen Aotearoa: A protocol NATIONAL SCREENING UNIT (NSU) MINISTRY OF HEALTH
Ascertaining and reporting interval cancers in BreastScreen Aotearoa: A protocol NATIONAL SCREENING UNIT (NSU) MINISTRY OF HEALTH Dr. Simon Baker National Screening Unit Ministry of Health October 2005
More informationAddressing the challenges of practicing breast cytology in a tertiary teaching hospital in Kenya
Original Article Addressing the challenges of practicing breast cytology in a tertiary teaching hospital in Kenya Authors: Kumar N 1 MD, Sayed S 1 M.Med (Pathol), Moloo Z 1 MD, Chauhan R 2 MS, and Wasike
More informationBreast Cancer Diagnosis, Treatment and Follow-up
Breast Cancer Diagnosis, Treatment and Follow-up What is breast cancer? Each of the body s organs, including the breast, is made up of many types of cells. Normally, healthy cells grow and divide to produce
More informationCHAPTER 2 MAMMOGRAMS AND COMPUTER AIDED DETECTION
9 CHAPTER 2 MAMMOGRAMS AND COMPUTER AIDED DETECTION 2.1 INTRODUCTION This chapter provides an introduction to mammogram and a description of the computer aided detection methods of mammography. This discussion
More information