Diagnosis Decision Tree - Fine Needle Aspirates of the Breast

Last updated 8 years ago

First published 26 February, 2017

English Rating: Above 18 Shortest path: 5 nodes Longest path: 9 nodes Possible solutions: 8

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Are there present some epithelial cells with nuclear diameters at least twice that of erythrocytes? No - epithelial cells with nuclear diameters at least twice that of erythrocytes NOT PRESENT. Yes - epithelial cells with nuclear diameters at least twice that of erythrocytes ARE PRESENT.
Do some epithelial cells contain intracytoplasmic lumina? No - epithelial cells DO NOT contain intracytoplasmic lumina. Yes - some epithelial cells DO CONTAIN intracytoplasmic lumina.
MALIGNANCY INDICATED.
Are more than three easily visible nucleoli present in some epithelial cells? NO - more than three easily visible nucleoli ARE NOT PRESENT in some epithelial cells. Yes - more than three easily visible nucleoli ARE PRESENT in some epithelial cells.
BENIGN - MALIGNANCY NOT INDICATED.
Is the patient age greater than 48 years? No - the patient age IS NOT GREATER than 48 years. Yes - the patient age IS GREATER than 48 years.
BENIGN - NO MALIGNANCY INDICATED.
MALIGNANCY INDICATED.
Is apocrine change present in the majority of epithelial cells? No - apocrine change IS NOT PRESENT in the majority of epithelial cells. Yes - apocrine change IS PRESENT in the majority of epithelial cells.
BENIGN - NO MALIGNANCY INDICATED.
Are bipolar 'naked' nuclei present in background? No - bipolar 'naked' nuclei ARE NOT PRESENT in the background. Yes - bipolar 'naked' nuclei ARE PRESENT in the background.
MALIGNANCY INDICATED.
Are some clusters of epithelial cells more than 2 nuclei thick, and this is not due to artefactual folding? No - clusters of epithelial cells ARE NOT more than 2 nuclei thick, and this is not due to artefactual folding. Yes - some clusters of epithelial cells ARE MORE THAN 2 nuclei thick, and this is not due to artefactual folding.
BENIGN - NO MALIGNANCY INDICATED.
MALIGNANCY INDICATED.