Borderline breast lesions: comparison of malignancy underestimation rates with 14-gauge core needle biopsy versus 11-gauge vacuum-assisted device.
Objective: To compare malignancy underestimation rates in the case of percutaneous diagnosis of borderline breast lesions(B3) at 14-g core-needle-biopsy (CNB) and at 11-g vacuum-assisted-biopsy (VAB).Methods: The histological results of 4764 image-guided breast biopsies were retrospectively reviewed...
| Publicado en: | European Radiology Vol. 21; no. 6; pp. 1200 - 1207 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Jun2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104891253&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104891253 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Jun2011 vid: 21 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104891253 60411132 NLM21225267 2011040864 10.1007/s00330-010-2053-7 NLM21225267 104891253 ppf: 1200 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Borderline breast lesions: comparison of malignancy underestimation rates with 14-gauge core needle biopsy versus 11-gauge vacuum-assisted device. aug: au: Londero V Zuiani C Linda A Battigelli L Brondani G Bazzocchi M Londero, Viviana Zuiani, Chiara Linda, Anna Battigelli, Luisa Brondani, Giovanni Bazzocchi, Massimo affil: Institute of Radiology, University of Udine, Azienda Ospedaliero Universitaria di Udine, P.le S.Maria della Misericordia, 33100, Udine, Italy sug: subj: Biopsy, Needle Equipment and Supplies Breast Neoplasms Pathology Needles Ultrasonography Methods Adult Aged Aged, 80 and Over Biopsy Breast Neoplasms Ultrasonography Equipment Failure False Negative Results Female Middle Age Reproducibility of Results Sensitivity and Specificity Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female ab: Objective: To compare malignancy underestimation rates in the case of percutaneous diagnosis of borderline breast lesions(B3) at 14-g core-needle-biopsy (CNB) and at 11-g vacuum-assisted-biopsy (VAB).Methods: The histological results of 4764 image-guided breast biopsies were retrospectively reviewed. 300 B3, 151 benign papillomas, 88 radial sclerosing lesions, 46 lobular neoplasia, 15 atypical ductal hyperplasia diagnosed at ultrasound-guided 14-g CNB (76%) or stereotactically-guided 11-g VAB (24%) were identified. On average, 5 cores were obtained with CNB and 12 with VAB. Biopsy variables were reviewed and correlated with surgical excision or follow-up (>24 months). Lesion- and device-specific underestimation rates of malignancy were calculated.Results: Surgical excision was performed on 237 lesions: 178 were benign, 21 atypical, 38 cancers. The remaining 63 lesions were unchanged at follow-up. Overall malignancy underestimation rate was 12.7% at 14-g CNB and 12.5% at 11-g VAB. Based on excision histology or follow-up, lesion-specific underestimation rates were: benign papillomas: 14-g CNB 11%, 11-g VAB 0%; RSL: 14-g CNB 6%, 11-g VAB 4%; LN: 14-g CNB 40%, 11-g VAB 23%; ADH: 14-g CNB 33%; 11-g VAB 22%.Conclusion: In the case of percutaneous diagnosis of B3 lesions, underestimation of malignancy occurs regardless of the biopsy method. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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