Atypical ductal hyperplasia in stereotactic breast biopsies: enhanced accuracy of diagnosis with the mammotome.

There is little literature assessing the incidence of subsequent carcinoma in patients diagnosed with atypical ductal hyperplasia (ADH) by mammotome. We reviewed 216 stereotactic mammotome biopsies (SMBs) and compared the results to the 121 automated tru-cut biopsies (ATC) performed at our breast ca...

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Publicado en:Breast Journal Vol. 7; no. 4; pp. 207 - 214
Autores principales: Joshi M, Duva-Frissora A, Padmanabhan R, Greeley J, Ranjan A, Ferrucci F, Kwon J, Khettry U
Formato: research Journal Article
Publicado: Wiley-Blackwell Jul2001
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        10.1046/j.1524-4741.2001.99086.x
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        atl: Atypical ductal hyperplasia in stereotactic breast biopsies: enhanced accuracy of diagnosis with the mammotome.
      aug:
        au:
          Joshi M
          Duva-Frissora A
          Padmanabhan R
          Greeley J
          Ranjan A
          Ferrucci F
          Kwon J
          Khettry U
      sug:
        subj:
          Biopsy Equipment and Supplies
          Breast Neoplasms Diagnosis
          Breast Pathology
          Carcinoma in Situ Diagnosis
          Carcinoma, Ductal, Breast Diagnosis
          Adult
          Aged
          Aged, 80 and Over
          Biopsy Methods
          Breast Neoplasms Pathology
          Breast Neoplasms Surgery
          Carcinoma in Situ Pathology
          Carcinoma in Situ Surgery
          Carcinoma, Ductal, Breast Pathology
          Carcinoma, Ductal, Breast Surgery
          Diagnosis, Differential
          Female
          Hyperplasia
          Mammography
          Middle Age
          Retrospective Design
          Sensitivity and Specificity
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
      ab: There is little literature assessing the incidence of subsequent carcinoma in patients diagnosed with atypical ductal hyperplasia (ADH) by mammotome. We reviewed 216 stereotactic mammotome biopsies (SMBs) and compared the results to the 121 automated tru-cut biopsies (ATC) performed at our breast care center from June 1994 to July 1998. The median age in the mammotome series was 57 years, compared to 56 years in the ATC group. An increase in biopsies for microcalcifications (49% versus 41%) was noted in the SMB series. This was accompanied by an increase in the number of cases with a diagnosis of pure ductal carcinoma in situ (DCIS) (10% versus 4%). Compared to the tru-cut, in which 38% (3 of 8) of the cases diagnosed as atypical hyperplasia (AH) showed DCIS and/or invasive carcinoma on open biopsy, none of the cases diagnosed as AH on mammotome revealed carcinoma on open biopsy. ADH is more accurately diagnosed with SMB than by the ATC method and may not be an indication for subsequent open biopsy.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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