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[Percutaneous core-needle biopsy of palpable breast tumors. Do we need ultrasound guidance?].
Rofo. 2002 Sep; 174(9):1142-6.ROFO

Abstract

INTRODUCTION

Percutaneous core-needle biopsy is widely accepted for preoperative histologic assessment of suspicious breast lesions. The purpose of this study was to asses the impact of continuous sonographic guidance on diagnostic accuracy of large core needle biopsy of palpable breast lesions.

METHOD

We analysed 170 breast lesions in a retrospective study. Percutaneous breast biopsies were performed by using a biopsy gun with 14-gauge needles. Eighty-eight biopsies were performed under continuous ultrasound guidance (group II) and 82 biopsies without ultrasound documentation of the procedure (group I). Core needle diagnoses were compared with the patients final tissue diagnosis as based on surgical excisional biopsy.

RESULTS

In patient group I, 17 lesions were categorized as core breast biopsy cancer misses (sensitivity 79 %). The sensitivity in this group showed an obvious dependency on tumor size. Among the 17 false negative lesions, 13 lesions were 3 cm in mean diameter or smaller. Two false negative findings occurred in group II (sensitivity 98 %), with a tumor size of 0.5 and 1.0 cm.

CONCLUSION

Sonographic guidance is indispensable to ensure adequate diagnostic accuracy for core-needle biopsy of palpable breast lesions.

Authors+Show Affiliations

Abteilung für Diagnostische und Interventionelle Radiologie. lorenzen@uke.uni-hamburg.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

ger

PubMed ID

12221573

Citation

Lorenzen, J, et al. "[Percutaneous Core-needle Biopsy of Palpable Breast Tumors. Do We Need Ultrasound Guidance?]." RoFo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin, vol. 174, no. 9, 2002, pp. 1142-6.
Lorenzen J, Welger J, Lisboa BW, et al. [Percutaneous core-needle biopsy of palpable breast tumors. Do we need ultrasound guidance?]. Rofo. 2002;174(9):1142-6.
Lorenzen, J., Welger, J., Lisboa, B. W., Riethof, L., Grzyska, B., & Adam, G. (2002). [Percutaneous core-needle biopsy of palpable breast tumors. Do we need ultrasound guidance?]. RoFo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin, 174(9), 1142-6.
Lorenzen J, et al. [Percutaneous Core-needle Biopsy of Palpable Breast Tumors. Do We Need Ultrasound Guidance?]. Rofo. 2002;174(9):1142-6. PubMed PMID: 12221573.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Percutaneous core-needle biopsy of palpable breast tumors. Do we need ultrasound guidance?]. AU - Lorenzen,J, AU - Welger,J, AU - Lisboa,B W, AU - Riethof,L, AU - Grzyska,B, AU - Adam,G, PY - 2002/9/11/pubmed PY - 2002/10/31/medline PY - 2002/9/11/entrez SP - 1142 EP - 6 JF - RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin JO - Rofo VL - 174 IS - 9 N2 - INTRODUCTION: Percutaneous core-needle biopsy is widely accepted for preoperative histologic assessment of suspicious breast lesions. The purpose of this study was to asses the impact of continuous sonographic guidance on diagnostic accuracy of large core needle biopsy of palpable breast lesions. METHOD: We analysed 170 breast lesions in a retrospective study. Percutaneous breast biopsies were performed by using a biopsy gun with 14-gauge needles. Eighty-eight biopsies were performed under continuous ultrasound guidance (group II) and 82 biopsies without ultrasound documentation of the procedure (group I). Core needle diagnoses were compared with the patients final tissue diagnosis as based on surgical excisional biopsy. RESULTS: In patient group I, 17 lesions were categorized as core breast biopsy cancer misses (sensitivity 79 %). The sensitivity in this group showed an obvious dependency on tumor size. Among the 17 false negative lesions, 13 lesions were 3 cm in mean diameter or smaller. Two false negative findings occurred in group II (sensitivity 98 %), with a tumor size of 0.5 and 1.0 cm. CONCLUSION: Sonographic guidance is indispensable to ensure adequate diagnostic accuracy for core-needle biopsy of palpable breast lesions. SN - 1438-9029 UR - https://www.unboundmedicine.com/medline/citation/12221573/[Percutaneous_core_needle_biopsy_of_palpable_breast_tumors__Do_we_need_ultrasound_guidance]_ L2 - https://www.thieme-connect.com/DOI/DOI?10.1055/s-2002-33943 DB - PRIME DP - Unbound Medicine ER -