The International Academy of Cytology Yokohama System for Reporting Breast Fine Needle Aspiration Biopsy Cytopathology: Analysis and discussion of the response to a web‐based survey. Issue 6 (23rd December 2020)

• Record Type: Journal Article
• Authors: Field, Andrew S.; Kurtycz, Daniel F. I.; Raymond, Wendy A.; Schmitt, Fernando
• Is Part Of: Cancer cytopathology. Volume 129:Issue 6(2021)
• Page Start: 450
• Page End: 459
• Publication Date: 2020-12-23
• Subjects: atypical -- benign -- breast -- IAC Yokohama System for Reporting Breast Fine Needle Aspiration Biopsy Cytopathology -- insufficient -- malignant -- survey -- suspicious of malignancy; Cancer -- Cytopathology -- Periodicals; Pathology, Cellular -- Periodicals; Cytology -- Technique -- Periodicals; 611.01815
• DOI: 10.1002/cncy.22397
• Languages: English
• ISSNs: 1934-662X

Abstract

Abstract : Background: A group of international experts in breast fine needle aspiration biopsy (FNAB) cytopathology, supported by the International Academy of Cytology (IAC), drafted a comprehensive system for reporting breast FNAB cytopathology in 2017‐2018. The editorial team produced a survey to assess the international response to the proposed category structure, definitions, and management recommendations in this draft. Methods: A web‐based survey of 186 questions was generated using the Qualtrics software package (Provo, Utah) supported by the Division of Information Technology at the University of Wisconsin–Madison. The survey was advertised widely—including through the IAC, American Society of Cytopathology, Japanese Society of Clinical Cytology, Papanicolaou Society of Cytopathology, and Australian Society of Cytology and to audiences at national and international meetings—and was available from April to June 2018. The data obtained from the 265 respondents was assessed by the editorial team. Results: The survey provided a snapshot of the current role and use of breast FNAB and the international variations. Demographic questions were followed by specific questions based on the draft category definitions and statements and focused on issues that had generated discussion among the authors, including the FNAB diagnosis of ductal carcinoma in situ. Conclusion: The survey results strongly supported the development of the IAC Yokohama System and informed subsequent discussions among the authors regarding the final text. Abstract : The responses to the online survey of the late‐stage drafts of the International Academy of Cytology Yokohama System for Reporting Breast Fine Needle Aspiration Biopsy (FNAB) Cytopathology supported the structure, definitions, approach to diagnosis, and management recommendations of the system; led to several minor changes in the final text; and highlighted specific contentious issues that require further investigation. This analysis and discussion of this detailed survey will help refine the development of new FNAB reporting systems.