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نوع الوثيقة |
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مقال في مجلة دورية |
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عنوان الوثيقة |
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Value of fine needle aspiration cytology in the diagnosis of male breast lesions. Value of fine needle aspiration cytology in the diagnosis of male breast lesions. |
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لغة الوثيقة |
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الانجليزية |
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المستخلص |
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The aim of this rtrospective case series is to
e xplore and highlight the subject of male breast diseases in
Jeddah, Saudi Arabia and to assess the value of fine needle aspiration in diagnosing these lesions.
Material and Methods: Data on male breast biopsies and
fine needle aspiration cytology (FNAC) done between
1984 and 1999 were retrieved from the laboratory re c o rd s .
The same pathologist blindly examined all the cytology
and histology slides. Histopathology diagnoses were
classified into benign and malignant. FNAC diagnoses
w e re categorized as positive, negative, inconclusive or
u n s a t i s f a c t o r y. Cytohistologic correlation was done with
data from histopathology records. Sensitivity, specificity,
and predictive values of FNAC were calculated using
s t a n d a rd statistical methods. Our results were also
c o m p a red with a similar large study.
Results: Sixty-three (6.0%) of 1044 patients undergoing
b reast surgical biopsies were males. Benign lesions
comprised 55 cases (87.3%), but eight cases (12.7%) were
malignant lesions (six ductal carcinomas and two
metastatic adenocarcinoma). Gynecomastia is the most
common male breast lesion, constituting 54% (mean age
31.23 years). Amajority (54%) of these patients presented
near puberty. Twelve patients had cytohistological
records for correlation, giving a sensitivity of 100%,
specificity of 83.33%, positive predictive value of 85.71%,
negative predictive value of 100%, false positive fraction
of 8.3% and a false negative fraction of 0%.
Conclusion: Male breast lesions constituted 6% of all
breast lesions and male breast carcinomas constituted
2.59% of all breast carcinomas. This study also shows that
FNAC is an accurate tool for diagnosing male breast
lesions. It is highly sensitive and specific. FNAC should,
therefore, be used confidently and be included as an
integral part of primary assessment of breast lumps in males. |
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ردمد |
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0253-5890 |
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اسم الدورية |
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Kuwait Medical Journal |
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المجلد |
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33 |
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العدد |
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3 |
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سنة النشر |
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1421 هـ
2001 م |
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نوع المقالة |
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مقالة علمية |
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تاريخ الاضافة على الموقع |
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Monday, May 17, 2010 |
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الباحثون
| عواطف جمال | Jamal, Awatif | باحث | دكتوراه | Awatjamal@yahoo.com |
| أبراهيم منصور | Mansoor, Ibrahim | باحث | دكتوراه | ibm979@hotmail.com |
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