TITLE

Comparison of Preoperative Simultaneous Stereotactic Fine Needle Aspiration Biopsy and Stereotactic Core Needle Biopsy in Ductal Carcinoma In Situ of the Breast

AUTHOR(S)
Leifland, K; Lundquist, H; Lagerstedt, U; Svane, G
PUB. DATE
March 2003
SOURCE
Acta Radiologica;Mar2003, Vol. 44 Issue 2, p213
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract Purpose: To compare the preoperative results of stereotactic fine needle aspiration biopsy (S-FNAB) with stereotactic core needle biopsy (S-CNB) performed simultaneously in breast lesions with the postoperative histopathological diagnosis of ductal carcinoma in situ (DCIS) of all histological grades. Material and Methods: 733 consecutive stereotactic biopsies were performed between May 1993 and June 1999. In 72 patients with mammographic findings suspicious of malignancy who were subjected to breast surgery, postoperative histopathology showed DCIS. Preoperatively, S-FNAB and S-CNB had been done simultaneously in all patients, S-FNAB with spinal needle 0.7 or 0.9 mm and S-CNB was performed with an automated 2.1-mm biopsy gun. An average of 3 S-FNABs and 3 S-CNBs were performed in each patient. Results: In 56 (78%) of the 72 patients S-CNB showed DCIS. In 3 patients (4%) the S-CNB revealed “probable carcinoma”, in 7 patients (10%) “atypia” and in 6, the lesions were benign. In 34 (47%) of the 72 women S-FNABs showed carcinoma, not otherwise specified. In 6 cases (8%) the S-FNABs showed “probable carcinoma” and in 12 patients (17%) “atypia”; 8 lesions were benign and 12 not diagnostic. Conclusion: S-CNB was superior to S-FNAB in diagnosing DCIS. Only 6 patients (8%) received a benign or non-diagnostic preoperative diagnosis with S-CNB compared to 20 patients (28%) with S-FNAB. S-CNB was superior to S-FNAB for preoperative diagnosis of DCIS, but S-FNAB could further increase the sensitivity of the biopsy since it diagnosed cancer in 4 cases where S-CNB showed benign material.
ACCESSION #
9510404

 

Related Articles

  • Stereotaxic localization and core needle biopsy of... Head, Jonathan F.; Haynes, Allison E. // American Surgeon;Dec1996, Vol. 62 Issue 12, p1018 

    Presents a study of patients with abnormal mammograms to determine the clinical efficacy of stereotaxic localization and needle biopsy of nonpalpable breast lesions. Two main drawbacks from aspiration cytology; Benefits of core needle biopsy; Results of study.

  • Stereotaxic core needle biopsy of breast microcalcifications obtained using a standard... Ward, Susan E.; Taves, Donald H.; McCurdy, Lauren I. // Canadian Association of Radiologists Journal;Feb2000, Vol. 51 Issue 1, p10 

    Evaluates the reliability of stereotaxic core needle biopsy of indeterminate breast microcalcifications using a standard mammography table with an add-on unit. Pathologic results of core biopsies; Retrieval of calcifications according to the number of microcalcifications per square centimeter;...

  • Better biopsies. Wernick, Sarah // Working Mother;Sep94, p18 

    Reports on the findings that needle biopsy is a reliable alternative to surgical biopsy in detecting breast cancer. Explanation of how the procedure works; Advantage of using needle biopsy over surgical biopsy.

  • Reliability of Histologic Diagnosis of Breast Cancer with Stereotactic Vacuum-Assisted Biopsy. Brem, Rachel F.; Schoonjans, Joelle M.; Sanow, Lieba; Gatewood, Olga M. B. // American Surgeon;Apr2001, Vol. 67 Issue 4, p388 

    The purpose of this study was to determine the accuracy of 11-gauge stereotactic vacuum-assisted breast biopsy (SVAB) for the diagnosis of breast cancer. Percutaneous biopsies of 426 suspicious breast lesions in 365 patients using 11-gauge SVAB were performed between September 1996 and June...

  • Different techniques used to determine lesion types. SARTORM, TAMMY // Burnet Bulletin (Texas);10/22/2014, Vol. 141 Issue 44, p10A 

    The article presents the author's suggestions on how to diagnose breast cancer including by conducting a mammogram, stereotactic biopsy and an excisional biopsy.

  • Stereotactic Breast Biopsy: A Study of First Core Samples. Kaufman, Henry J.; Witherspoon, Laura E.; Gwin Jr., John L.; Greer, Michael S.; Burns, R. Phillip // American Surgeon;Jun2001, Vol. 67 Issue 6, p572 

    Stereotactic core needle biopsy (SCNB) is a sensitive and specific indicator of breast pathology. Commonly the first biopsy core is taken from the center of the lesion in question. Multiple cores are then taken from points peripheral to the central core. The sensitivity and specificity of the...

  • Large-core needle biopsy is accurate for sampling breast tumors.  // American Family Physician;9/1/1994, Vol. 50 Issue 3, p659 

    Reports on the efficacy of radiologically guided large-core needle biopsy as a method for obtaining specimens for the diagnosis of breast tumors. Description of procedure; Equipment; Complications.

  • Learning Curve for Add‐on Stereotactic Core Needle Breast Biopsy. Koskela, A.; Berg, M.; Sudah, M.; Malinen, A.; Kärjä, V.; Mustonen, P.; Kataja, V.; Soimakallio, S.; Vanninen, R. // Acta Radiologica;Jun2006, Vol. 47 Issue 5, p454 

    Purpose: To evaluate the learning curve for an add‐on 14 G stereotactic core needle biopsy (SCNB). Material and Methods: A total of 231 non‐palpable breast lesions that had undergone add‐on SCNB were evaluated in this prospective study. Five radiologists performed their first...

  • Does exhaustive search for microcalcifications improve diagnostic yield in stereotactic core needle breast biopsies? Grimes, Margaret M.; Karageorge, Lampros S.; Hogge, Jacquelyn P.; Grimes, M M; Karageorge, L S; Hogge, J P // Modern Pathology;Apr2001, Vol. 14 Issue 4, p350 

    Stereotactic core needle biopsy (SCNB) of the breast is a cost-effective alternative to needle localization biopsy for the diagnosis of mammographic calcifications. We questioned whether an exhaustive search for calcium in the small samples obtained in SCNB yields more diagnostic information...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics