A Cytomorphological Study Of Spectrum of Male Chest Wall Lesions Including Breast In Fine Needle Aspirates
Keywords:
chest wall, gynaecomastia, male breast
Abstract
BACKGROUND- This study was undertaken to study the spectrum and cytomorphological features of male chest wall lesions including breast . A total of 50 cases presenting in a year were studied.METHODS- Aspiration was carried out in all the male patients presenting with chest wall and breast lesions. All smears were stained with MGG and their cytomorphology studied. Ziel-Nelson staining was done on necrotic aspirates to look for AFB. RESULT- Maximum numbers of cases (16) were seen in 21-30 yrs of age group while only 1 case was encountered in 8th decade. Most common diagnosis was lipoma (28%) followed by gynaecomastia (20%), inclusion cyst(18%), necrotizing inflammation (12%), acute/subacute inflammation(08%), spindle cell lesion(04%), adenocarcinoma (04%) and high grade NHL (02%). The cases, for which histologic confirmation could be sought, showed 100% cytohistologic correlation.CONCLUSION- It was concluded that fine needle aspiration cytology of male chest wall lesion is a useful, safe and diagnostic procedure with high rate of histological correlation.DOI:10.21276/APALM.1888References
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15. Cangiarella J, Waisman J, Simsir A. Cytologic Findings with Histologic Correlation in 43 cases of Mammary Intraductal Adenocarcinoma Diagnosed by Aspiration Biopsy. Acta Cytol 2003;47:965-72.
16. Akerman M, Carlen B, Pomanski H A et al. Core Needle Biopsy Performed by the Cytopathologist. A Technique to Complement Fine –Needle Aspiration of Soft Tissue and Bone Lesions. Cancer (cancer cytopathol) 2005;105:229-39.
2. Singh R, Anshu, Sharma SM, Gangane N.Spectrum of Male Breast Lesions Diagnosed by Fine Needle Aspiration Cytology. Diagn Cytopathol 2012; 40(2):113-7.
3. Pailoor K, Fernandes H, Murali KS. Fine Needle Aspiration Cytology of Male Breast Lesions – A Retrospective Study Over a Six Year Period. J Clin Diagn Res 2014;8(10):13-15.
4. Chide PM, Nayak S, Kumbhalkar D. Role of Fine Needle Aspiration Cytology in Male Breast Lesions. Int J Res Med Sci 2016;4(9):3945-3950.
5. Westend PJ, Jobse C. Evaluation of Fine Needle Aspiration Cytology of Breast Masses in Males. Cancer 2002;96(2):101-104.
6. Gaude GS, Reyas AK. Tuberculosis of the Chest Wall Without Pulmonary Involvement. Lung India 2008;25(3):135-137.
7. Keny SJ. Tuberculosis of Ribs with Cold Abscess.JIACM 2014:15(2):137-8.
8. Vasa M, Ohikhuare C, Brickner L.Primary Sternal Tuberculosis Osteomyelitis: A Case Report and Discussion. Can J Infect Dis Med Microbiol 2009;20(4):181-184.
9. Capps E, Shiller M, Konduri K. Chest Wall Chondrosarcoma. Proc(Bayl Univ Med Cent) 2009;22(4):362-365
10. Kabiri EH, Aziz SA, Maslout AE, Benosman A. Desmoid Tumours of the Chest Wall. European Journal of Cardio-Thoracic Surgery 2001;19(5):580-583.
11. Sneige N, Holder PD, Katz RL, Fanning CV et al. Fine Needle Aspiration Cytology of the Male Breast in a Cancer Center. Diagn Cytopathology 1993;9(6):691-697.
12. . Carlson HE. Approach to the Patient with Gynecomastia. J Clin Endocrinol Metab. 2011;96:15–21
13. Johnson RE, Murad MH. Gynecomastia: Pathophysiology, Evaluation, and Management. Mayo Clin Proc. 2009;84:1010–5
14. . Rahmani S, Turton P, Shaaban A, Dall B. Owerview of gynecomastia in the modern era and the Leeds Gynaecomastia Investigation algorithm. Breast J. 2011;17:246–55.
15. Cangiarella J, Waisman J, Simsir A. Cytologic Findings with Histologic Correlation in 43 cases of Mammary Intraductal Adenocarcinoma Diagnosed by Aspiration Biopsy. Acta Cytol 2003;47:965-72.
16. Akerman M, Carlen B, Pomanski H A et al. Core Needle Biopsy Performed by the Cytopathologist. A Technique to Complement Fine –Needle Aspiration of Soft Tissue and Bone Lesions. Cancer (cancer cytopathol) 2005;105:229-39.
Published
2018-04-28
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