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[Sonographical breast biopsy: how many core biopsy specimens are needed?].
Rofo. 2003 Jan; 175(1):94-8.ROFO

Abstract

PURPOSE

To determine the optimum number of specimens of a sonographically guided core biopsy of the breast.

MATERIALS AND METHODS

From January 2001 to April 2001, sonographically guided core biopsies (coaxial needle: 11 G; core needle: 12 G) were performed on 106 patients with 115 BI-RADS trade mark 4-5 lesions that had corresponding sonographic findings. Five specimens were obtained in anteroposterior direction parallel to the chest wall and each specimen examined histologically.

RESULTS

A total of 575 core biopsies produced 545 specimens (94.8 %), with no material obtained in 30 biopsies (5.2 %). The first and second specimen confirmed the diagnosis in 99 of 115 lesions (86 %), with subsequent specimens confirming the diagnosis in 87 % (3 rd specimen), 88 % (4 th specimen) and 82 % (5 th specimen). The additive accuracy of the five core breast specimens was 86 %, 96 %, 98 %, 99 % and 100 %. The possible volume of 78.9 mm 3 as determined by the sample notch of the core needle only furnished an average volume of 38.1 mm 3 (41.1 mm 3 for the 1 st, 40.1 mm 3 for the 2 nd, 37.5 mm 3 for the 3 rd, 36.7 mm 3 for the 4 th and 35.0 mm 3 for 5 th core specimen).

CONCLUSION

Sonographically guided core breast biopsy (coaxial needle: 11 G; core needle: 12 G) may require five passes to achieve a diagnostic accuracy of more than 99 %.

Authors+Show Affiliations

Institut für Diagnostische Radiologie der Universität Erlangen-Nürnberg, Germany. Ruediger.Schulz-Wendtland@idr.imed.uni-erangen.deNo affiliation info availableNo 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

12525988

Citation

Schulz-Wendtland, R, et al. "[Sonographical Breast Biopsy: How Many Core Biopsy Specimens Are Needed?]." RoFo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin, vol. 175, no. 1, 2003, pp. 94-8.
Schulz-Wendtland R, Aichinger U, Krämer S, et al. [Sonographical breast biopsy: how many core biopsy specimens are needed?]. Rofo. 2003;175(1):94-8.
Schulz-Wendtland, R., Aichinger, U., Krämer, S., Tartsch, M., Kuchar, I., Magener, A., & Bautz, W. (2003). [Sonographical breast biopsy: how many core biopsy specimens are needed?]. RoFo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin, 175(1), 94-8.
Schulz-Wendtland R, et al. [Sonographical Breast Biopsy: How Many Core Biopsy Specimens Are Needed?]. Rofo. 2003;175(1):94-8. PubMed PMID: 12525988.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Sonographical breast biopsy: how many core biopsy specimens are needed?]. AU - Schulz-Wendtland,R, AU - Aichinger,U, AU - Krämer,S, AU - Tartsch,M, AU - Kuchar,I, AU - Magener,A, AU - Bautz,W, PY - 2003/1/15/pubmed PY - 2003/2/25/medline PY - 2003/1/15/entrez SP - 94 EP - 8 JF - RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin JO - Rofo VL - 175 IS - 1 N2 - PURPOSE: To determine the optimum number of specimens of a sonographically guided core biopsy of the breast. MATERIALS AND METHODS: From January 2001 to April 2001, sonographically guided core biopsies (coaxial needle: 11 G; core needle: 12 G) were performed on 106 patients with 115 BI-RADS trade mark 4-5 lesions that had corresponding sonographic findings. Five specimens were obtained in anteroposterior direction parallel to the chest wall and each specimen examined histologically. RESULTS: A total of 575 core biopsies produced 545 specimens (94.8 %), with no material obtained in 30 biopsies (5.2 %). The first and second specimen confirmed the diagnosis in 99 of 115 lesions (86 %), with subsequent specimens confirming the diagnosis in 87 % (3 rd specimen), 88 % (4 th specimen) and 82 % (5 th specimen). The additive accuracy of the five core breast specimens was 86 %, 96 %, 98 %, 99 % and 100 %. The possible volume of 78.9 mm 3 as determined by the sample notch of the core needle only furnished an average volume of 38.1 mm 3 (41.1 mm 3 for the 1 st, 40.1 mm 3 for the 2 nd, 37.5 mm 3 for the 3 rd, 36.7 mm 3 for the 4 th and 35.0 mm 3 for 5 th core specimen). CONCLUSION: Sonographically guided core breast biopsy (coaxial needle: 11 G; core needle: 12 G) may require five passes to achieve a diagnostic accuracy of more than 99 %. SN - 1438-9029 UR - https://www.unboundmedicine.com/medline/citation/12525988/[Sonographical_breast_biopsy:_how_many_core_biopsy_specimens_are_needed]_ DB - PRIME DP - Unbound Medicine ER -