OBJECTIVE: To assess the accuracy of large-core needle biopsy in evaluating palpable and nonpalpable breast lesions. METHODS AND PATIENTS: Stereotaxic and ultrasound (US) guided core biopsies were performed in 103 breast lesions in 97 patients. Subsequently, all patients underwent surgery. All specimens (core biopsy and surgical) underwent radiography for evaluation of microcalcifications. The histopathologic findings of the core biopsies and the surgical specimens were correlated. RESULTS: Core biopsies and surgery findings were concordant in 100% of the 27 palpable lesions and in 89% of the 76 nonpalpable lesions. One case of malignancy, ductal carcinoma in situ (DCIS), was not diagnosed by core biopsy. In 102 (99%) of the 103 breast lesions, a correct choice for additional diagnostic procedure or definitive treatment could have been made upon histopathologic findings of core biopsy. CONCLUSION: Stereotaxic and ultrasound-guided core biopsy are safe, reliable and less traumatic than excisional biopsy. Special attention is necessary when atypical ductal hyperplasia (ADH) or DCIS without invasive carcinoma is found. Radiography of the biopsy specimens for detection of microcalcifications is essential.
OBJECTIVE: To assess the accuracy of large-core needle biopsy in evaluating palpable and nonpalpable breast lesions. METHODS AND PATIENTS: Stereotaxic and ultrasound (US) guided core biopsies were performed in 103 breast lesions in 97 patients. Subsequently, all patients underwent surgery. All specimens (core biopsy and surgical) underwent radiography for evaluation of microcalcifications. The histopathologic findings of the core biopsies and the surgical specimens were correlated. RESULTS: Core biopsies and surgery findings were concordant in 100% of the 27 palpable lesions and in 89% of the 76 nonpalpable lesions. One case of malignancy, ductal carcinoma in situ (DCIS), was not diagnosed by core biopsy. In 102 (99%) of the 103 breast lesions, a correct choice for additional diagnostic procedure or definitive treatment could have been made upon histopathologic findings of core biopsy. CONCLUSION: Stereotaxic and ultrasound-guided core biopsy are safe, reliable and less traumatic than excisional biopsy. Special attention is necessary when atypical ductal hyperplasia (ADH) or DCIS without invasive carcinoma is found. Radiography of the biopsy specimens for detection of microcalcifications is essential.
Authors: A E Ibrahim; A C Bateman; J M Theaker; J L Low; B Addis; P Tidbury; C Rubin; M Briley; G T Royle Journal: J Clin Pathol Date: 2001-02 Impact factor: 3.411
Authors: Adam M Zysk; Freddy T Nguyen; Eric J Chaney; Jan G Kotynek; Uretz J Oliphant; Frank J Bellafiore; Patricia A Johnson; Kendrith M Rowland; Stephen A Boppart Journal: Technol Cancer Res Treat Date: 2009-10
Authors: Mohammad Motamedolshariati; Bahram Memar; Mohsen Aliakbaian; Mohammad T Shakeri; Mohammad Samadi; Ali Jangjoo Journal: Breast Care (Basel) Date: 2014-05 Impact factor: 2.860
Authors: H M Verkooijen; P H Peeters; E Buskens; V C Koot; I H Borel Rinkes; W P Mali; T J van Vroonhoven Journal: Br J Cancer Date: 2000-03 Impact factor: 7.640
Authors: C Daveau; S Baulies; M Lalloum; M Bollet; B Sigal-Zafrani; X Sastre; A Vincent-Salomon; A Tardivon; F Thibault; J Y Pierga; P Cottu; M P Sablin; R Rouzier; C Malhaire; P Mallon; F Reyal Journal: Br J Cancer Date: 2014-04-08 Impact factor: 7.640
Authors: Helen M Heneghan; Ruth S Prichard; Amanda Devaney; Karl J Sweeney; C Malone; Ray McLaughlin; Michael J Kerin Journal: BMC Surg Date: 2009-09-18 Impact factor: 2.102
Authors: J H Groenewoud; R M Pijnappel; M E van den Akker-Van Marle; E Birnie; T Buijs-van der Woude; W P Th M Mali; H J de Koning; E Buskens Journal: Br J Cancer Date: 2004-01-26 Impact factor: 7.640