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Wendy Raymond

Categorizing breast lesions

Assoc Prof Wendy Raymond

Editors: Field, Andrew, Raymond, Wendy, Schmitt, Fernando (Eds.)

The International Academy of Cytology Yokohama System for Reporting Breast Fine Needle Aspiration Biopsy Cytopathology text provides a clear logical approach to the diagnosis and categorization of breast lesions by FNAB cytology. 

It aims to facilitate communication with breast clinicians, further research into breast cytopathology and related molecular pathology, and improve patient care.

The text describes a system of reporting breast fine needle aspiration biopsy that uses five clearly defined categories, each described by a specific term and each with a specific risk of malignancy. The five categories are insufficient/inadequate, benign, atypical, suspicious of malignancy and malignant and the text describes how each category has a risk of malignancy and is linked to management recommendations.

Chapters also discuss current and potential future ancillary tests, liquid based cytology, nipple cytology and management and there is an additional chapter which provides an overview of an approach to the diagnosis of direct smears of breast fine needle aspiration biopsies.