RT Book, Section A1 Krishnamurthy, Savitri A2 Kuerer, Henry M. SR Print(0) ID 6409975 T1 Chapter 24. Cytology in Breast Care Management T2 Kuerer's Breast Surgical Oncology YR 2010 FD 2010 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-160178-8 LK accesssurgery.mhmedical.com/content.aspx?aid=6409975 RD 2023/05/30 AB Cytopathology is a specialized branch of pathology related to the study of cells derived from either fine-needle aspiration biopsy (FNAB) or exfoliation including effusions, washings, brushings, or body fluids. FNAB is performed using a 23- or 25-gauge hypodermic needle attached to a 10-mL plastic syringe. FNAB can be performed blindly for palpable masses or under radiologic guidance including ultrasound (US), computed tomography (CT), or magnetic resonance imaging (MRI) for nonpalpable lesions. Specimens obtained from any of these sources can be prepared in several ways for conventional cytopathologic evaluation and ancillary studies. Smears can be made directly or from the cell pellet obtained after centrifugation of the specimen following admixture with a liquid base such as RPMI or Cytolyt solution. Monolayer preparation of the specimen can also be made using different techniques such as Thin Prep and Sure Path. Smears prepared by any of the techniques are usually fixed in alcohol for Papanicalaou staining, or air-dried for Diff-Quik staining. In addition, aspirated material from FNA or exfoliative specimens can be rinsed in RPMI or Cytolyt solution to prepare tissue blocks that are fixed in formalin, processed routinely similar to surgical tissues, embedded in paraffin, and subsequently cut at 5 μm and finally stained by the hematoxylin and eosin (H&E) method.