Audit of 6 years' experience of breast fine needle aspiration (FNA) cytology using the cytospin method; improvement through multidisciplinary clinical audit |
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Authors: | S A C DUNDAS P MANSOUR M ZEIDERMAN I HARRISON P SKIPWORTH & J DUTTON |
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Institution: | Departments of Histopathology &Cytology, Southport &Formby NHS Trust, Southport, UK,;Departments of Surgery, Southport &Formby NHS Trust, Southport, UK,;Departments of Clinical Audit, Southport &Formby NHS Trust, Southport, UK |
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Abstract: | Audit of 6 years' experience of breast fine needle aspiration (FNA) cytology using the cytospin method; improvement through multidisciplinary clinical audit A breast FNA cytology service for palpable breast lumps was commenced in 1989 using the cytospin method. Over the following 6 years 2314 aspirates were received. The results were audited in detail in 1990, 1991/1992 and 1994. Multidisciplinary clinical audit meetings followed each audit cycle. Practice change was agreed after each audit. Each audit cycle was followed by demonstrable improvement in the complete sensitivity of the technique, being respectively 79%, 88% and 96%. The cytospin method is a viable alternative to the conventional smear method. |
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Keywords: | FNA cytology palpable breast lump clinical audit diagnosis |
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