Radiation change

FNA cytology of radiated breast can be a diagnostic challenge. Histologic changes include epithelial atypia in the terminal duct-lobular units and in larger ducts. Therefore, having knowledge of prior irradiation therapy is crucial to avoid a false-positive diagnosis of malignancy.

FNA smears show atypical cells with nuclear and cytoplasmic enlargement and degenerative features, including smudged nuclear chromatin and frayed cytoplasmic borders.