1. An Aspiration Material Preparation System: Application of a New Liquid-Based Cytology Technique for Fine-Needle Aspiration of the Breast
- Author
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Katsunori Hashimoto, Tetsuro Nagasaka, Setsuo Kimachi, Hiroshi Inagaki, Shinya Wakusawa, Toyoharu Yokoi, and Eiichi Sakakibara
- Subjects
Quality Control ,medicine.medical_specialty ,Histology ,Biopsy, Fine-Needle ,Cytological Techniques ,Papanicolaou stain ,Breast Neoplasms ,Sensitivity and Specificity ,Pathology and Forensic Medicine ,Histological diagnosis ,Cytology ,Biopsy ,medicine ,Humans ,Breast ,Retrospective Studies ,Conventional technique ,medicine.diagnostic_test ,business.industry ,Reproducibility of Results ,General Medicine ,Surgery ,Aspiration cytology ,Fine-needle aspiration ,Liquid-based cytology ,Female ,Radiology ,business - Abstract
Objective: To evaluate the usefulness of our original liquid-based cell preparation system AMAPS (aspiration material preparation system) and to compare it with the AutoSmear system in breast aspiration cytology. Study Design: A total of 487 specimens of fine-needle aspiration cytology of the breast were retrieved, of which 250 were processed with AMAPS and 237 with the AutoSmear method (before the introduction of AMAPS). A final histological diagnosis was obtained by an excisional biopsy or a surgical resection in 148 cases. Results: Cell recovery rates were significantly improved with AMAPS (96.8 and 99.1% in Papanicolaou and Diff-Quik, respectively) compared with the AutoSmear method (40.9 and 42.3%, respectively; p < 0.01). Within-run and day-to-day reproducibility of cell recovery was satisfactory, with coefficients of variations of 6.8 and 8.7%, respectively. Following the introduction of AMAPS in breast cytology, the unsatisfactory rate decreased significantly (from 16.0 to 8.8%; p < 0.01), while the diagnostic sensitivity for malignancy did not change (97.8 to 98.1%). Moreover, the diagnostic specificity for benign lesions increased from 75 to 93.8%, thus decreasing the excision rate of fibrocystic disease. Conclusion: AMAPS may serve as an alternative to the conventional technique or commercially available liquid-based cytology systems.
- Published
- 2010