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BREAST CYTOPATHOLOGY

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Index 169

ductal carcinoma in situ, 91

fibrocystic changes, 21

gynecomastia, 50

hamartoma, 83

intraductal papilloma, 73

invasive ductal carcinoma

not otherwise specified

(NOS), 96

invasive micropapillary

carcinoma, 107

lactation-related breast

changes, 46

metaplastic carcinoma,

126

phyllodes tumors, 63, 67

proliferative breast disease,

25

pseudoangiomatous

stromal hyperplasia, 54

tubular carcinoma, 60, 113

as “gray zone diagnosis”

cause, 27, 28

hypercellularity of, 58, 59

juvenile, 62

misdiagnosis of, 3

mucin in, 62

myoepithelial cells in, 11, 59,

60, 61

with myxoid change, 108

Fibrocystic breast changes,

19–21

clinical features of, 19

columnar cell lesions

associated with, 28

cytomorphologic

characteristics of, 19–21

differential diagnoses of

carcinoma with

osteoclastic-type giant

cells, 128

fibroadenoma, 62

granular cell tumors, 75

hamartoma, 83

lipomas, 78

myofibroblastoma, 79

secretory carcinoma, 116

mucoceles associated with, 36

proliferative breast diseaserelated,

25

Fibrolipoma, 78

Fibromatosis, differentiated

from

inflammatory myofibroblastic

tumors, 52

metaplastic carcinoma, 127

Fine-needle aspirates

cytologic criteria for, 12

from normal breast, 12

on-site assessment of, 4

Fine-needle aspiration, of the

breast

adequacy of, 5

statement of, 7

advantages of, 8

clinical indications for, 8

complications of, 5, 9

contraindications to, 5

diagnostic pitfalls in, 7, 8–9

diagnostic sensitivity and

specificity of, 2

as dual diagnostic and

treatment tool, 5

false-negative/false-positive

findings in, 2–3

“gray zone diagnosis” in, 1–2,

27–28

apocrine carcinoma, 123

benign sources of, 27

malignant sources of, 28

as initial diagnostic modality,

1–2

limitations of, 7, 9

in males, 49, 50

“nondiagnostic,” 3

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