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Review Article| Volume 25, ISSUE 4, P631-654, December 2005

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Breast Fine Needle Aspiration Biopsy: Prevailing Recommendations and Contemporary Practices

      “Diagnosis by aspiration is as reliable as the combined intelligence of the clinician and pathologist make it.”–Dr. Fred StewartOn September 9 and 10, 1996, a National Cancer Institute-sponsored conference was held in Bethesda, Maryland to define the parameters for the practice of breast fine needle aspiration (BFNA) [
      • Abati A.
      • Abele J.
      • Bacus S.S.
      • et al.
      The uniform approach to breast fine needle aspiration biopsy—a synopsis.
      ,
      • Abati A.
      • Abele J.
      • Bacus S.S.
      • et al.
      The uniform approach to breast fine needle aspiration biopsy.
      ,
      • Abati A.
      • Abele J.
      • Bacus S.S.
      • et al.
      The uniform approach to breast fine needle aspiration biopsy.
      ,
      • Abati A.
      • Abele J.
      • Bacus S.S.
      • et al.
      The uniform approach to breast fine needle aspiration biopsy.
      ]. Recommendations were developed and approved at the conference with representatives of the American Society of Cytopathology, Papanicolaou Society of Cytopathology, American College of Radiology, American College of Obstetricians & Gynecologists, Society of Surgical Oncology, American Academy of Family Physicians, College of American Pathologists, National Consortium of Breast Centers, International Academy of Cytology, American Society of Clinical Pathologists, American Cancer Society, American College of Surgeons, and the American Society for Cytotechnology. These practice guidelines were widely published, and referred to as “The Uniform Approach to Breast Fine Needle Aspiration Biopsy” [
      • Abati A.
      • Abele J.
      • Bacus S.S.
      • et al.
      The uniform approach to breast fine needle aspiration biopsy—a synopsis.
      ,
      • Abati A.
      • Abele J.
      • Bacus S.S.
      • et al.
      The uniform approach to breast fine needle aspiration biopsy.
      ,
      • Abati A.
      • Abele J.
      • Bacus S.S.
      • et al.
      The uniform approach to breast fine needle aspiration biopsy.
      ,
      • Abati A.
      • Abele J.
      • Bacus S.S.
      • et al.
      The uniform approach to breast fine needle aspiration biopsy.
      ]. Because they have not been altered in a formal manner, they remain the prevailing standard of practice for BFNA. In this article, the authors review these recommendations and the contemporary evolution of the practice of BFNA since their original publication.
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