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Revista Cubana de Obstetricia y Ginecología

versión impresa ISSN 0138-600Xversión On-line ISSN 1561-3062


RUIZ JORGE, Lissette  y  PEDRAZA ALONSO, Noel Ernesto. The cytodiagnosis of fibrocystic mastopathy. Rev Cubana Obstet Ginecol [online]. 2009, vol.35, n.2. ISSN 0138-600X.

One hundred and twenty four benign mastopathies with epithelial hyperplasia were studied, diagnosed by aspiration cytology during 2005-2006 operated on. OBJECTIVE: To establish cytology diagnostic criteria for fibrocystic mastopathy degrees, and to create a cytopathology system. METHODS: In study slides it was defined the cellular degree with analysis of ten 5x- panoramic optical fields, cytological patterns, cellular atypia, and background elements. RESULTS: Cellularity increase from slight to marked of Grade I fibrocystic mastoplasty to Grade III fibrocystic mastoplasty in grouping pattern presented; monostratified sheets in little and medium size honeycomb were in I and III degrees, but in polystratified groups in limited balls with or without peripheral stockades predominate in II and III Grades, as well as presence of sheets of aprocrine epithelium with or without papillomatosis; non-cohesive polystratified groups were characteristic of III Grades. Slight or moderade atypia was present in isolated cases of I and II Grades, and the severe one in III Grade. In analyzed background elements myoepithelial cells or naked bipolar nuclei were a persistent element in I and III Grades. CONCLUSIONS: Errors presented provoking the non-cytohistological correlation were sampling end interpretation of fine needle aspiration biopsy (FNAB), and in a lower frequency, the sampling errors of conventional biopsy whose main causes may be at nodule exeresis by surgeon, or by taking of a unsuitable number of fragments by anatomist-pathologist in surgical sample.

Palabras clave : Fibrocystic mastoplasty; I-III Reclus grades; cytopathology system.

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