Abstract
Palpable breast lumps or non-palpable, imaging detected breast lesions require tissue sampling for diagnosis. Current practice recommendations include fine needle aspiration cytology or core needle biopsy samples as a method to obtain those samples. Correlation with clinical and radiographic features is essential to determine the appropriate therapeutic plan for the patient. Based on practice patterns and institutional preference, breast cytology is frequently used as a minimally invasive, fast, and cost-effective method. The Yokohama System for Reporting Breast Fine Needle Aspiration Biopsy Cytopathology represents a contemporary guide to diagnosis of breast fine needle aspiration cytology with diagnostic criteria, risk-of-malignancy assessment, and management recommendations. The diagnostic categories consist of insufficient, benign, atypical, suspicious, and malignant breast cytology samples. Risk-of-malignancy data from literature and studies is included.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Dong J, Ly A, Arpin R, Ahmed Q, Brachtel E (2016) Breast fine needle aspiration continues to be relevant in a large academic medical center: experience from Massachusetts General Hospital. Breast Cancer Res Treat 158(2):297–305
Field AS, Raymond WA, Schmitt FC (2019) The international academy of cytology Yokohama system for reporting breast fine needle aspiration biopsy cytopathology. Acta Cytol 63(4):255–256
Hoda RS, Brachtel EF (2019) International academy of cytology Yokohama system for reporting breast fine-needle aspiration biopsy cytopathology: a review of predictive values and risks of malignancy. Acta Cytol 63(4):292–301
Layfield LJ, Wang G, Yang ZJ, Gomez-Fernandez C, Esebua M, Schmidt RL (2020) Interobserver agreement for the international academy of cytology Yokohama system for reporting breast fine-needle aspiration biopsy cytopathology. Acta Cytol 64(5):413–419
Marabi M, Aphivatanasiri C, Jamidi SK, Wang C, Li JJ, Hung EH, Poon IK, Tsang JY, Tse GM (2021) The international academy of cytology Yokohama system for reporting breast cytopathology showed improved diagnostic accuracy. Cancer Cytopathol 129(11):852–864
Montezuma D, Malheiros D, Schmitt FC (2019) Breast fine needle aspiration biopsy cytology using the newly proposed IAC Yokohama system for reporting breast cytopathology: the experience of a single institution. Acta Cytol 63:1–6
Smith MJ, Heffron CC, Rothwell JR, Loftus BM, Jeffers M, Geraghty JG (2012) Fine needle aspiration cytology in symptomatic breast lesions: still an important diagnostic modality? Breast J 18(2):103–110
Wong S, Rickard M, Earls P, Arnold L, Bako B, Field AS (2019) The international academy of cytology Yokohama system for reporting breast fine needle aspiration biopsy cytopathology: a single institutional retrospective study of the application of the system categories and the impact of rapid onsite evaluation. Acta Cytol 63(4):280–291
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Brachtel, E.F., Schmitt, F., Tse, G., Tan, PH. (2023). Breast Fine Needle Aspiration Cytology: Introduction to the Yokohama Classification. In: Tse, G., Tan, PH., Schmitt, F. (eds) Fine Needle Aspiration Cytology of the Breast. Springer, Cham. https://doi.org/10.1007/978-3-031-26900-4_5
Download citation
DOI: https://doi.org/10.1007/978-3-031-26900-4_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-26899-1
Online ISBN: 978-3-031-26900-4
eBook Packages: MedicineMedicine (R0)