The American surgeon
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The American surgeon · Mar 1995
Fine needle aspiration cytology in the diagnosis and management of ectopic breast tissue.
Ectopic breast tissue presents as solitary or multiple masses in young women along the milk line. The most common site is in the axilla. This may present a diagnostic problem as lymphadenopathy, either primary or secondary, or other soft tissue tumors that may present in a similar way. ⋯ Five aspirates revealed epithelial cells consistent with breast tissue; one showed adipose tissue; and two were non-diagnostic. This information helped prevent surgery in one pregnant and one lactating woman. Therefore, FNA examination is helpful in the diagnosis of management of ectopic breast tissue.
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The use of antibiotics for patients undergoing tube thoracostomy was determined to be highly variable based on a study conducted at a national meeting of surgeons. A meta-analysis of six randomized studies previously reported was performed. The analysis was carried out using the Confidence Profile Method software FAST*PRO. ⋯ The results of this meta-analysis suggest that antibiotics should be used in patients undergoing tube thoracostomy. Antibiotic selection should maximize therapy for Staph. aureus. The implementation of this practice guideline will require the co-operation of multiple specialty oriented physicians and surgeons.