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Fine needle aspiration biopsy

  • Minimally invasive, low cost, can be performed under mammographic guidance

    • 95% Specificity (radical mastectomy only after definitive histology from a sample obtained with a core-needle, incisional or excisional biopsy)
    • 85% Sensibility (the benign diagnostic needs definitive histology confirmation)

  • Aspiration may resolve a simple cyst or establish an unequivocally benign tissue diagnosis, obviating the need for further evaluation

  • Equivocal cytologic readings (eg. acellular, blood only, normal fat or mammary cells) require further workup (generally formal biopsy).

 
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