Diagnostic accuracy of nipple aspirate ...
Type de document :
Article dans une revue scientifique: Article de synthèse/Review paper
PMID :
URL permanente :
Titre :
Diagnostic accuracy of nipple aspirate fluid cytology in asymptomatic patients: a meta-analysis and systematic review of the literature
Auteur(s) :
Jiwa, Natasha [Auteur]
Gandhewar, Rishikesh [Auteur]
Chauhan, Hemali [Auteur]
Ashrafian, Hutan [Auteur]
Kumar, Swathica [Auteur]
Wright, Corrina [Auteur]
Takats, Zoltan [Auteur]
Imperial College London
Protéomique, Réponse Inflammatoire, Spectrométrie de Masse (PRISM) - U1192
Leff, Daniel Richard [Auteur]
The Hamlyn Centre [London]
Gandhewar, Rishikesh [Auteur]
Chauhan, Hemali [Auteur]
Ashrafian, Hutan [Auteur]
Kumar, Swathica [Auteur]
Wright, Corrina [Auteur]
Takats, Zoltan [Auteur]
Imperial College London
Protéomique, Réponse Inflammatoire, Spectrométrie de Masse (PRISM) - U1192
Leff, Daniel Richard [Auteur]
The Hamlyn Centre [London]
Titre de la revue :
Annals of Surgical Oncology
Nom court de la revue :
Ann. Surg. Oncol.
Numéro :
28
Éditeur :
Springer Verlag
Date de publication :
2020-11-09
ISSN :
1068-9265
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
PURPOSE: To calculate the diagnostic accuracy of nipple aspirate fluid (NAF) cytology. BACKGROUND: Evaluation of NAF cytology in asymptomatic patients conceptually offers a non-invasive method for either screening for ...
Lire la suite >PURPOSE: To calculate the diagnostic accuracy of nipple aspirate fluid (NAF) cytology. BACKGROUND: Evaluation of NAF cytology in asymptomatic patients conceptually offers a non-invasive method for either screening for breast cancer or else predicting or stratifying future cancer risk. METHODS: Studies were identified by performing electronic searches up to August 2019. A meta-analysis was conducted to attain an overall pooled sensitivity and specificity of NAF for breast cancer detection. RESULTS: A search through 938 studies yielded a total of 19 studies. Overall, 9308 patients were examined, with cytology results from 10,147 breasts [age (years), mean +/- SD = 49.73 +/- 4.09 years]. Diagnostic accuracy meta-analysis of NAF revealed a pooled specificity of 0.97 (95% CI 0.97-0.98), and sensitivity of 0.64 (95% CI 0.62-0.66). CONCLUSIONS: The diagnostic accuracy of nipple smear cytology is limited by poor sensitivity. If nipple fluid assessment is to be used for diagnosis, then emerging technologies for fluid biomarker analysis must supersede the current diagnostic accuracy of NAF cytology.Lire moins >
Lire la suite >PURPOSE: To calculate the diagnostic accuracy of nipple aspirate fluid (NAF) cytology. BACKGROUND: Evaluation of NAF cytology in asymptomatic patients conceptually offers a non-invasive method for either screening for breast cancer or else predicting or stratifying future cancer risk. METHODS: Studies were identified by performing electronic searches up to August 2019. A meta-analysis was conducted to attain an overall pooled sensitivity and specificity of NAF for breast cancer detection. RESULTS: A search through 938 studies yielded a total of 19 studies. Overall, 9308 patients were examined, with cytology results from 10,147 breasts [age (years), mean +/- SD = 49.73 +/- 4.09 years]. Diagnostic accuracy meta-analysis of NAF revealed a pooled specificity of 0.97 (95% CI 0.97-0.98), and sensitivity of 0.64 (95% CI 0.62-0.66). CONCLUSIONS: The diagnostic accuracy of nipple smear cytology is limited by poor sensitivity. If nipple fluid assessment is to be used for diagnosis, then emerging technologies for fluid biomarker analysis must supersede the current diagnostic accuracy of NAF cytology.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
INSERM
Université de Lille
Université de Lille
Collections :
Date de dépôt :
2022-06-15T13:57:52Z
2023-04-12T09:06:09Z
2023-04-12T09:06:09Z
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