Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1986 Apr;203(4):399–402. doi: 10.1097/00000658-198604000-00010

Monoclonal antibody B72.3 as a diagnostic adjunct in fine needle aspirates of breast masses.

J Lundy, M Lozowski, Y Mishriki
PMCID: PMC1251124  PMID: 3008673

Abstract

Fine needle aspirations of breast masses were evaluated to establish a cytologic diagnosis. In 45 cases, the sensitivity was 73%, specificity 100%, and diagnostic accuracy 84%. Fifty cases (27 malignant and 23 benign) were evaluated by immunoperoxidase staining of the needle aspirates, using the monoclonal antibody B72.3. Twenty-six of 27 malignant cases stained positively, and 22 of 23 benign cases were negative. The sensitivity was 96%, specificity was 96%, and diagnostic accuracy was 96%. All cases considered malignant cytologically were confirmed by immunocytochemistry. In addition, the B72.3 monoclonal antibody appears to be a valuable diagnostic adjunct in atypical and suspicious cases, particularly those in which hypocellularity and/or cellular monomorphism preclude a diagnosis of malignancy by routine cytologic examination.

Full text

PDF
399

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Azzarelli A., Guzzon A., Pilotti S., Quagliuolo V., Bono A., Di Pietro S. Accuracy of breast cancer diagnosis by physical, radiologic and cytologic combined examinations. Tumori. 1983 Apr 30;69(2):137–141. doi: 10.1177/030089168306900209. [DOI] [PubMed] [Google Scholar]
  2. Coates M. R., Pilch Y. H., Benfield J. R. Changing concepts in establishing the diagnosis of breast masses. Am J Surg. 1977 Jul;134(1):77–81. doi: 10.1016/0002-9610(77)90287-2. [DOI] [PubMed] [Google Scholar]
  3. Colcher D., Hand P. H., Nuti M., Schlom J. A spectrum of monoclonal antibodies reactive with human mammary tumor cells. Proc Natl Acad Sci U S A. 1981 May;78(5):3199–3203. doi: 10.1073/pnas.78.5.3199. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Egan R. L., Goldstein G. T., McSweeney M. M. Conventional mammography, physical examination, thermography and xeroradiography in the detection of breast cancer. Cancer. 1977 May;39(5):1984–1992. doi: 10.1002/1097-0142(197705)39:5<1984::aid-cncr2820390513>3.0.co;2-q. [DOI] [PubMed] [Google Scholar]
  5. Fisher B. Reappraisal of breast biopsy prompted by the use of lumpectomy. Surgical strategy. JAMA. 1985 Jun 28;253(24):3585–3588. [PubMed] [Google Scholar]
  6. Hajdu S. I., Melamed M. R. Limitations of aspiration cytology in the diagnosis of primary neoplasms. Acta Cytol. 1984 May-Jun;28(3):337–345. [PubMed] [Google Scholar]
  7. Hsu S. M., Raine L., Fanger H. Use of avidin-biotin-peroxidase complex (ABC) in immunoperoxidase techniques: a comparison between ABC and unlabeled antibody (PAP) procedures. J Histochem Cytochem. 1981 Apr;29(4):577–580. doi: 10.1177/29.4.6166661. [DOI] [PubMed] [Google Scholar]
  8. Kline T. S. Masquerades of malignancy: a review of 4,241 aspirates from the breast. Acta Cytol. 1981 May-Jun;25(3):263–266. [PubMed] [Google Scholar]
  9. McCrea E. S., Johnston C., Haney P. J. Metastases to the breast. AJR Am J Roentgenol. 1983 Oct;141(4):685–690. doi: 10.2214/ajr.141.4.685. [DOI] [PubMed] [Google Scholar]
  10. Nuti M., Teramoto Y. A., Mariani-Costantini R., Hand P. H., Colcher D., Schlom J. A monoclonal antibody (B72.3) defines patterns of distribution of a novel tumor-associated antigen in human mammary carcinoma cell populations. Int J Cancer. 1982 May 15;29(5):539–545. doi: 10.1002/ijc.2910290509. [DOI] [PubMed] [Google Scholar]
  11. Russ J. E., Winchester D. P., Scanlon E. F., Christ M. A. Cytologic findings of aspiration of tumors of the breast. Surg Gynecol Obstet. 1978 Mar;146(3):407–411. [PubMed] [Google Scholar]
  12. Shabot M. M., Goldberg I. M., Schick P., Nieberg R., Pilch Y. H. Aspiration cytology is superior to Tru-Cut needle biopsy in establishing the diagnosis of clinically suspicious breast masses. Ann Surg. 1982 Aug;196(2):122–126. doi: 10.1097/00000658-198208000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Szpak C. A., Johnston W. W., Lottich S. C., Kufe D., Thor A., Schlom J. Patterns of reactivity of four novel monoclonal antibodies (B72.3, DF3, B1.1 and B6.2) with cells in human malignant and benign effusions. Acta Cytol. 1984 Jul-Aug;28(4):356–367. [PubMed] [Google Scholar]
  14. Wollenberg N. J., Caya J. G., Clowry L. J. Fine needle aspiration cytology of the breast. A review of 321 cases with statistical evaluation. Acta Cytol. 1985 May-Jun;29(3):425–429. [PubMed] [Google Scholar]
  15. Zajdela A., Ghossein N. A., Pilleron J. P., Ennuyer A. The value of aspiration cytology in the diagnosis of breast cancer: experience at the Fondation Curie. Cancer. 1975 Feb;35(2):499–506. doi: 10.1002/1097-0142(197502)35:2<499::aid-cncr2820350231>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES