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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Main Authors: Ahrong Kim, Hyun Jung Lee, Jee Yeon Kim
Format: Article
Language:English
Published: Korean Society of Pathologists & the Korean Society for Cytopathology 2025-01-01
Series:Journal of Pathology and Translational Medicine
Subjects:
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.
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publisher Korean Society of Pathologists & the Korean Society for Cytopathology
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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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