A Citopatologia por Punção Aspiratória com Agulha Fina (CPAAF) Como Método Diagnóstico: um estudo de 138 casos

One hundred and thirty-eight cases of neoplastic and non-neoplastic lesions were studied by the fine needle aspiration cytology method, com paring the results with the histopathology study; diagnostic accuracy was of 80.4 per cent and diagnostic mistakes ranged 4.34 per cent; similar results are fou...

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Detalles Bibliográficos
Autores: Alves, Elizabeth de Carvalho, Arcuri, Roberto Alfonso
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Institución:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
Repositorio:Revista Brasileira de Cancerologia (Online)
Idioma:portugués
OAI Identifier:oai:rbc.inca.gov.br:article/3498
Acceso en línea:https://rbc.inca.gov.br/index.php/revista/article/view/3498
Access Level:acceso abierto
Palabra clave:Citopatologia aspiratória
Biópsia por agulha
Citologia por agulha fina
Biopsy, Needle
Biopsia con Aguja
Descripción
Sumario:One hundred and thirty-eight cases of neoplastic and non-neoplastic lesions were studied by the fine needle aspiration cytology method, com paring the results with the histopathology study; diagnostic accuracy was of 80.4 per cent and diagnostic mistakes ranged 4.34 per cent; similar results are found in the literature. The study of 98 cases of breast lesions showed a diagnostic accuracy of 75.5 per cent and a failure rate of 3.05 per cent Histopathologic findings of benign and malignant lesions of breast were induded. The criteria for cytologic diagnosis emphasizing the utility of the fine needle aspiration cytology in the preoperative work-up are studied. False positive and false negative findings studies showed that there is good possibyility of diagnosing lesions such as fibroadenoma and ductal, papillar and medular carcinomas of breast, as well as granular cell myoblastoma and malignat melanoma. The diagnostic difficulties in skin and thyroid lesions are emphasized, and certain cytologic details in Soft tissue and urinary tract lesions are discussed. The value of the criteria of scant material as sign of benignity is questioned, and the meaning of the findings of canibalism and typical and atypical mitosis is evaluated we condude that there is enough support to include the method in the diagnostic routine in oncology.