Breast fine-needle aspiration cytology in the era of core-needle biopsy: what is its role?
Fine-needle aspiration cytology (FNAC) has long been recognized as a minimally invasive, cost-effective, and reliable diagnostic tool for breast lesions. However, with the advent of core-needle biopsy (CNB), the role of FNAC has diminished in some clinical settings. This review aims to re-evaluate t...
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Language: | English |
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Korean Society of Pathologists & the Korean Society for Cytopathology
2025-01-01
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Series: | Journal of Pathology and Translational Medicine |
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Online Access: | http://www.jpatholtm.org/upload/pdf/jptm-2024-11-01.pdf |
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author | Ahrong Kim Hyun Jung Lee Jee Yeon Kim |
author_facet | Ahrong Kim Hyun Jung Lee Jee Yeon Kim |
author_sort | Ahrong Kim |
collection | DOAJ |
description | Fine-needle aspiration cytology (FNAC) has long been recognized as a minimally invasive, cost-effective, and reliable diagnostic tool for breast lesions. However, with the advent of core-needle biopsy (CNB), the role of FNAC has diminished in some clinical settings. This review aims to re-evaluate the diagnostic value of FNAC in the current era, focusing on its complementary use alongside CNB, the adoption of new approaches such as the International Academy of Cytology Yokohama System, and the implementation of rapid on-site evaluation to reduce inadequate sample rates. Advances in liquid-based cytology, receptor expression testing, molecular diagnostics, and artificial intelligence are discussed, highlighting their potential to enhance the diagnostic accuracy of FNAC. Despite challenges, FNAC remains a valuable diagnostic method, particularly in low-resource settings and specific clinical scenarios, and its role continues to evolve with technology. |
format | Article |
id | doaj-art-113d1d1ab92947f594b2cfdbc4212f6a |
institution | Kabale University |
issn | 2383-7837 2383-7845 |
language | English |
publishDate | 2025-01-01 |
publisher | Korean Society of Pathologists & the Korean Society for Cytopathology |
record_format | Article |
series | Journal of Pathology and Translational Medicine |
spelling | doaj-art-113d1d1ab92947f594b2cfdbc4212f6a2025-01-16T08:11:39ZengKorean Society of Pathologists & the Korean Society for CytopathologyJournal of Pathology and Translational Medicine2383-78372383-78452025-01-01591263810.4132/jptm.2024.11.0117141Breast fine-needle aspiration cytology in the era of core-needle biopsy: what is its role?Ahrong Kim0Hyun Jung Lee1Jee Yeon Kim2 Department of Pathology, Pusan National University School of Medicine, Yangsan, Korea Department of Pathology, Pusan National University School of Medicine, Yangsan, Korea Department of Pathology, Pusan National University School of Medicine, Yangsan, KoreaFine-needle aspiration cytology (FNAC) has long been recognized as a minimally invasive, cost-effective, and reliable diagnostic tool for breast lesions. However, with the advent of core-needle biopsy (CNB), the role of FNAC has diminished in some clinical settings. This review aims to re-evaluate the diagnostic value of FNAC in the current era, focusing on its complementary use alongside CNB, the adoption of new approaches such as the International Academy of Cytology Yokohama System, and the implementation of rapid on-site evaluation to reduce inadequate sample rates. Advances in liquid-based cytology, receptor expression testing, molecular diagnostics, and artificial intelligence are discussed, highlighting their potential to enhance the diagnostic accuracy of FNAC. Despite challenges, FNAC remains a valuable diagnostic method, particularly in low-resource settings and specific clinical scenarios, and its role continues to evolve with technology.http://www.jpatholtm.org/upload/pdf/jptm-2024-11-01.pdfcytologybreastdiagnostic techniquesbiomarkers, tumor |
spellingShingle | Ahrong Kim Hyun Jung Lee Jee Yeon Kim Breast fine-needle aspiration cytology in the era of core-needle biopsy: what is its role? Journal of Pathology and Translational Medicine cytology breast diagnostic techniques biomarkers, tumor |
title | Breast fine-needle aspiration cytology in the era of core-needle biopsy: what is its role? |
title_full | Breast fine-needle aspiration cytology in the era of core-needle biopsy: what is its role? |
title_fullStr | Breast fine-needle aspiration cytology in the era of core-needle biopsy: what is its role? |
title_full_unstemmed | Breast fine-needle aspiration cytology in the era of core-needle biopsy: what is its role? |
title_short | Breast fine-needle aspiration cytology in the era of core-needle biopsy: what is its role? |
title_sort | breast fine needle aspiration cytology in the era of core needle biopsy what is its role |
topic | cytology breast diagnostic techniques biomarkers, tumor |
url | http://www.jpatholtm.org/upload/pdf/jptm-2024-11-01.pdf |
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