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Accuracy of sonographically guided 14-gauge core-needle biopsy: results of 715 consecutive breast biopsies with at least two-year follow-up of benign lesions.
J Clin Ultrasound. 2005 Feb; 33(2):47-52.JC

Abstract

PURPOSE

The objective of this study was to examine the diagnostic accuracy of sonographically guided 14-gauge core-needle biopsy (CNB).

METHODS

Sonographically guided 14-gauge CNBs of 715 breast lesions were performed in 652 patients. Histopathologic results were correlated with imaging findings, and repeat biopsy was recommended in the cases of discordance between the radiologic and pathologic results. Long-term follow-up was used for patients with CNB findings of a benign lesion.

RESULTS

Sonographically guided CNB revealed malignancy in 311 lesions (43%). Thirty-one lesions with CNB findings indicating benign conditions underwent additional image-guided or excisional biopsy because of indeterminate pathologic features, disagreement between radiologic and pathologic results, surgeon preference, or patient request. Within these 31 cases, 9 malignancies were diagnosed. The duration of follow-up for the remaining 373 benign lesions varied from 27 to 60 months. In 3 of these 373 cases, carcinoma was diagnosed at the site of CNB. The false-negative rate of 14-gauge sonographically guided CNB was 3.7%, and the sensitivity of sonographically guided CNB for the diagnosis of breast cancer was 96.3%.

CONCLUSIONS

Sonographically guided 14-gauge CNB is a safe and accurate method for evaluating breast lesions that require tissue sampling. Radiologic-pathologic correlation and follow-up of benign lesions are essential for a successful breast biopsy program.

Authors+Show Affiliations

Department of Radiology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, P.O.B. 151, Beer-Sheva, 84105, Israel. pcrystal@bgumail.ac.ilNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15674836

Citation

Crystal, Pavel, et al. "Accuracy of Sonographically Guided 14-gauge Core-needle Biopsy: Results of 715 Consecutive Breast Biopsies With at Least Two-year Follow-up of Benign Lesions." Journal of Clinical Ultrasound : JCU, vol. 33, no. 2, 2005, pp. 47-52.
Crystal P, Koretz M, Shcharynsky S, et al. Accuracy of sonographically guided 14-gauge core-needle biopsy: results of 715 consecutive breast biopsies with at least two-year follow-up of benign lesions. J Clin Ultrasound. 2005;33(2):47-52.
Crystal, P., Koretz, M., Shcharynsky, S., Makarov, V., & Strano, S. (2005). Accuracy of sonographically guided 14-gauge core-needle biopsy: results of 715 consecutive breast biopsies with at least two-year follow-up of benign lesions. Journal of Clinical Ultrasound : JCU, 33(2), 47-52.
Crystal P, et al. Accuracy of Sonographically Guided 14-gauge Core-needle Biopsy: Results of 715 Consecutive Breast Biopsies With at Least Two-year Follow-up of Benign Lesions. J Clin Ultrasound. 2005;33(2):47-52. PubMed PMID: 15674836.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Accuracy of sonographically guided 14-gauge core-needle biopsy: results of 715 consecutive breast biopsies with at least two-year follow-up of benign lesions. AU - Crystal,Pavel, AU - Koretz,Michael, AU - Shcharynsky,Semyon, AU - Makarov,Victoria, AU - Strano,Selwyn, PY - 2005/1/28/pubmed PY - 2005/6/10/medline PY - 2005/1/28/entrez SP - 47 EP - 52 JF - Journal of clinical ultrasound : JCU JO - J Clin Ultrasound VL - 33 IS - 2 N2 - PURPOSE: The objective of this study was to examine the diagnostic accuracy of sonographically guided 14-gauge core-needle biopsy (CNB). METHODS: Sonographically guided 14-gauge CNBs of 715 breast lesions were performed in 652 patients. Histopathologic results were correlated with imaging findings, and repeat biopsy was recommended in the cases of discordance between the radiologic and pathologic results. Long-term follow-up was used for patients with CNB findings of a benign lesion. RESULTS: Sonographically guided CNB revealed malignancy in 311 lesions (43%). Thirty-one lesions with CNB findings indicating benign conditions underwent additional image-guided or excisional biopsy because of indeterminate pathologic features, disagreement between radiologic and pathologic results, surgeon preference, or patient request. Within these 31 cases, 9 malignancies were diagnosed. The duration of follow-up for the remaining 373 benign lesions varied from 27 to 60 months. In 3 of these 373 cases, carcinoma was diagnosed at the site of CNB. The false-negative rate of 14-gauge sonographically guided CNB was 3.7%, and the sensitivity of sonographically guided CNB for the diagnosis of breast cancer was 96.3%. CONCLUSIONS: Sonographically guided 14-gauge CNB is a safe and accurate method for evaluating breast lesions that require tissue sampling. Radiologic-pathologic correlation and follow-up of benign lesions are essential for a successful breast biopsy program. SN - 0091-2751 UR - https://www.unboundmedicine.com/medline/citation/15674836/Accuracy_of_sonographically_guided_14_gauge_core_needle_biopsy:_results_of_715_consecutive_breast_biopsies_with_at_least_two_year_follow_up_of_benign_lesions_ L2 - https://doi.org/10.1002/jcu.20089 DB - PRIME DP - Unbound Medicine ER -