Accuracy of percutaneous core needle biopsy in diagnosing papillary breast lesions and potential impact of sonographic features on their management.
نویسندگان
چکیده
OBJECTIVE To assess retrospectively the accuracy of core needle biopsy in diagnosing papillary breast lesions and evaluate the prediction of malignant papillary lesions based on sonographic features. METHODS Review of 130 papillary lesions diagnosed on core needle biopsy (2002-2008) in 110 patients. The biopsy results were compared with final surgical pathology or evolution on imaging follow-up. Lesion size, patient age, type of biopsy needle and guidance, and length of imaging follow-up were documented. Sonographic features were retrospectively reviewed according to the BI-RADS lexicon. Morphology, not part of BI-RADS, was assessed as intraductal, intracystic, or solid. RESULTS Of the 130 papillary lesions, 6 were sampled with an 11-G vacuum-assisted needle under stereotactic guidance and the remaining 124 were sampled under US guidance with a 14-G (n = 115), 18-G (n = 8), or 10-G (n = 1) needle. Initial core needle biopsy diagnosis was benign (n = 103), showed atypia (n = 20), or malignancy (n = 7). Thirty-seven (36%) benign lesions were surgically excised and 66 (64%) were followed up. On final outcome, 10 benign lesions were upgraded to malignancy (9.7%) and 3 to atypia (3.6%). There was no significant difference in the benign, malignant, and upgraded groups with respect to size, age, or BI-RADS sonographic characteristics. None of the oval-shaped lesions nor the intraductal ones were upgraded. CONCLUSIONS Although some sonographic features could favor a benign diagnosis, when a core biopsy yields the diagnosis of a papillary lesion, surgical excision is recommended to definitely exclude malignancy.
منابع مشابه
PERCUTANEOUS TRANSTHORACIC BIOPSY USING TRU-CUT NEEDLE
Biopsies of thoracic lesions guidance. 22 of the 1 12 lesions were mediastinal and 83 were pleuroparenchymal. A large-bore 14-gauge Tru-cut needle was used in all patients. Adequate specimens for histologic examination were obtained in 98%. The overall accuracy was 91 % with 9% false negative and no false positive diagnoses. Despite the large size of the needle, the total number of complic...
متن کاملThe Current Role of Vacuum Assisted Breast Biopsy System in Breast Disease
The gold standard for breast biopsy procedures is currently an open excision of the suspected lesion. However, an excisional biopsy inevitably makes a scar. The cost and morbidity associated with this procedure has prompted many physicians to evaluate less invasive, alternative procedures. More recently, image-guided percutaneous core-needle biopsy has become a frequently used method for diagno...
متن کاملConcordance Rate between Fine Needle Aspiration Biopsy and Core Needle Biopsy in Breast Lesions
Background and Objectives:Breast cancer is the most common cancer among women worldwide. Fine needle aspiration biopsy (FNAB) is one of the methods of breast biopsy which is fast, easy and cost effective. The aim of this study was to evaluate the concordance rate between pathologic results of sonography or stereotaxy guided FNAB and guided core needle biopsy (CNB) in the evaluation of breast le...
متن کاملNeedle Core Biopsy Should Replace Fine Needle Aspiration Cytology in Breast Lesions Diagnosis
متن کامل
تعیین ارزش تشخیصی بیوپسی سوزنی و آسپیراسیون در ضایعات استخوان و بافت نرم
Fine needle aspiration biopsy(FNAB) and core needle biopsy(CNBx) have proved to be accurate and cost-effective techniques for diagnosis of inflammatory and neoplastic lesions at different body sites. However, their applicability in bone and soft tissue pathology is still controversial. In this study, our experience with FNAB and CNBx of musculoskeletal lesions was prospectively investigat...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of clinical ultrasound : JCU
دوره 41 1 شماره
صفحات -
تاریخ انتشار 2013