Journal of Cytology
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CASE REPORT
Year : 2013  |  Volume : 30  |  Issue : 1  |  Page : 49-51

Nodular sclerosing adenosis of breast: A diagnostic pitfall in fine needle aspiration cytology


1 Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
3 Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
4 Department of Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
R Srinivasan
Department of Cytology and Gynecologic Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 015
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9371.107514

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Fine needle aspiration cytology was performed in a 46-year-old female presenting with a breast lump and mammography suggesting a malignancy. The smears were cellular with cohesive clusters and scattered epithelial cells showing moderate nuclear pleomorphism and focal acinar formation. Stromal fragments, benign epithelial cell clusters and a few naked nuclei were noted in the background. Considering the clinical features, mammography findings as well as cytological features, a diagnosis of ductal carcinoma was suggested. Subsequent histopathological examination revealed it to be nodular sclerosing adenosis. The cytohistological correlation of this uncommon lesion, a potential pitfall in breast fine needle aspiration diagnosis which may lead to a false-positive diagnosis is discussed.


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