Agreement among Observers with Variable Experience in the Implementation of the Yokohama System for Reporting Breast Fine Needle Aspiration Biopsy Cytopathology.
Background: Fine needle aspiration biopsy (FNAB) breast remains the prime investigation in distinguishing benign breast lesions from malignant ones in low socioeconomic settings. To overcome the problems of non-uniform reporting systems in breast cytology, the Yokohama system for reporting breast fi...
| Publicado en: | Journal of Cytology Vol. 42; no. 3; pp. 134 - 142 |
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| Autores principales: | , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
Jul-Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187639547&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187639547 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09709371 58DU jtl: Journal of Cytology issn: 09709371 maglogo: N pubinfo: dt: Jul-Sep2025 vid: 42 iid: 3 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 187639547 187639547 187639547 10.4103/joc.joc_122_24 187639547 ppf: 134 ppct: 8 formats: tig: atl: Agreement among Observers with Variable Experience in the Implementation of the Yokohama System for Reporting Breast Fine Needle Aspiration Biopsy Cytopathology. aug: au: Jha, Shivani Ranjan, Karishma Diwaker, Preeti Suneja, Priya Arora, Vinod Kumar Sharma, Sonal affil: University College of Medical Sciences and GTB Hospital sug: subj: Breast Diseases Diagnosis Breast Diseases Classification Breast Neoplasms Diagnosis Biopsy, Needle Cytodiagnosis Implementation Science Pathologists Job Experience Interns and Residents Interrater Reliability Evaluation Tertiary Health Care Academic Medical Centers Human India Retrospective Design Record Review Female Consultants kappa Statistic Observer Bias Sensitivity and Specificity Early Detection of Cancer Female ab: Background: Fine needle aspiration biopsy (FNAB) breast remains the prime investigation in distinguishing benign breast lesions from malignant ones in low socioeconomic settings. To overcome the problems of non-uniform reporting systems in breast cytology, the Yokohama system for reporting breast fine needle aspiration biopsy cytopathology (YSRB) was introduced. Aim: To assess the agreement among observers with variable experience using YSRB in a teaching institute. Materials and Methods: Retrospective study in which all breast FNABs (n = 1003) over one year were retrieved and re-categorized according to YSRB by three observers (postgraduate resident (PG), senior resident (SR), and consultant). Cyto-histological correlation was done in cases with discordant cytological diagnoses between SR and consultant. The agreement level between observers was calculated using the Fleiss kappa score. A P value < 0.05 was considered significant. Results: The agreement between PG-SR and PG-Consultant was 0.637 and 0.641, respectively (P < 0.001). SR and the consultant had an excellent agreement with Fleiss' kappa score of 0.947 (P < 0.001), having only a few discordant cases (n = 27). Reasons for discrepancies were evaluated in 22/27 cases where histomorphology diagnoses were available. Conclusion: YSRB can be implemented with ease as a standardized reporting system for routine reporting of breast FNABs in a tertiary care teaching institute. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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