Randomized prospective study of local transdermic anesthetic in fine needle aspiration biopsy for breast lumps.

AIM: To evaluate the use of local transdermic anesthetics in fine needle aspiration biopsy (FNAB) in breast lesions. METHODS: Prospective randomized study of 119 patients having breast lesions, all being indicated for FNAB. The patients were divided into three groups: 40 patients entered in the active group (lidocaine + prilocaine); 40 patients underwent the placebo group (aqueous extract of Triticum vulgaris); and a control group of 39 women in whom FNAB was performed without the administration of any substance. Both the anesthetic and placebo were administered an hour before FNAB. Pain was quantified through a visual analogic scale of pain. The type of pain was also classified in terms of occurrence: only during the puncture, only during the movements and both. RESULTS: The visual linear analogic scale of pain showed an average of 3.3 in the active group, 3.5 in the placebo and 4.0 in the control group (NS). Analysis of the type of pain which was referred by the patient showed that 15% of the patients in the active group, 12.5% of those in the placebo group and 5.1% in the control group did not refer to any sensation of pain. Pain, when felt, was similar in all three groups (p < 0.4). CONCLUSIONS: Both the quantification and the type of pain referred to were similar in all three groups. However, there was a tendency of the patient to refer to less pain when the active substance or the placebo were used, when results were compared to the control group.

Granulomatous mastitis caused by sparganum. A case report.

BACKGROUND: Sparganosis is not a common disease, and its rarity makes it difficult to distinguish from others. Close examination of fine needle aspiration biopsy (FNAB) samples, however, can aid in histologic examination of the lesion. CASE: A 64-year-old female, born and raised in a rural area in the state of Goiás, Brazil, presented with a relatively mobile and hard lump in the lower inner quadrant of the right breast. It was initially diagnosed as granulomatous mastitis, but cytologic examination of the surgical specimen revealed a sparganum larva, also revealed by anterior FNAB. CONCLUSION: Sparganum should be considered in the differential diagnosis of granulomatous mastitis, especially among Asians living in other countries.

Fine needle aspiration biopsy of solid tumours by auto-vacuum system: a study in rats.

A fine needle aspiration biopsy (FNAB) device was designed to utilize a steel spring located between the syringe and its plunger, which exerts a constant negative pressure (auto-vacuum). In 43 rats inoculated with breast tumour cells, the technique was compared with the standard procedure of FNAB (21 Sp1 and 22 Walker256 carcinosarcoma). Malignant cells were cytologically confirmed in all cases. Sufficient material was obtained in 95% of FNAB by auto-vacuum system versus 86% by standard technique. The superior results obtained with the auto-vacuum system was seen for both soft and hard tumours.

[Cytologic diagnosis of tuberculous mastitis. Report of a case and review of the literature]. / Diagnóstico citológico de mastite tuberculosa. Relato de caso e revisão da literatura.

A case of breast lump is reported in a 42-year old woman, clinically simulating carcinoma. A fine-neddle aspiration biopsy was performed, the cytology showing granulomatous inflammatory process and Mycobacterium tuberculosis. Review of the literature was undertaken and discussed with regard to incidence, clinical presentation, mode of infection, classification, treatment and diagnosis of tuberculous mastitis, focusing on the fine-needle aspiration biopsy as a diagnosis procedure and the cytologic examination findings in tuberculous mastitis.