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Breast lesions with ultrasound imaging-histologic discordance at 16-gauge core needle biopsy: can re-biopsy with 10-gauge vacuum-assisted system get definitive diagnosis?
Breast. 2010 Dec; 19(6):446-9.B

Abstract

The aim of this study was to evaluate if re-biopsy with 10-gauge vacuum-assisted biopsy (VAB) could get definitive diagnosis for breast lesions with ultrasound (US) imaging-histologic discordance at 16-gauge core needle biopsy (CNB). From January 2007 to June 2008, a consecutive biopsy was performed on 1069 lesions with US-guided 16-gauge CNB. A total of 28 lesions were considered to be US imaging-histologic discordant and all of them underwent subsequent 10-gauge VAB. All malignant lesions located at VAB were treated with subsequent surgery and all benign lesions at VAB were followed up for at least 1 year. Six of the 28 lesions (21.4%) had pathologic upgrade after VAB. In them, one case upgraded from adenosis to ductal carcinoma in situ (DCIS); one case upgraded from adenosis to infiltrating ductal carcinoma (IDC); one case upgraded from atypical ductal hyperplasia to IDC; two cases upgraded from intraductal papilloma to DCIS; and one case upgraded from sclerosing adenosis to invasive lobular carcinoma (ILC). The subsequent surgery further demonstrated the diagnosis of VAB for all the lesions with histologic upgrade. Re-biopsy could improve diagnostic accuracy in patients with breast lesions showing imaging-histologic discordance during CNB, and 10-gauge VAB was a valuable method to deal with re-biopsy.

Authors+Show Affiliations

Department of Ultrasound, Chinese People's Liberation Army General Hospital, 28 Fuxing Road, Beijing 100853, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

20869243

Citation

Li, Jun Lai, et al. "Breast Lesions With Ultrasound Imaging-histologic Discordance at 16-gauge Core Needle Biopsy: Can Re-biopsy With 10-gauge Vacuum-assisted System Get Definitive Diagnosis?" Breast (Edinburgh, Scotland), vol. 19, no. 6, 2010, pp. 446-9.
Li JL, Wang ZL, Su L, et al. Breast lesions with ultrasound imaging-histologic discordance at 16-gauge core needle biopsy: can re-biopsy with 10-gauge vacuum-assisted system get definitive diagnosis? Breast. 2010;19(6):446-9.
Li, J. L., Wang, Z. L., Su, L., Liu, X. J., & Tang, J. (2010). Breast lesions with ultrasound imaging-histologic discordance at 16-gauge core needle biopsy: can re-biopsy with 10-gauge vacuum-assisted system get definitive diagnosis? Breast (Edinburgh, Scotland), 19(6), 446-9. https://doi.org/10.1016/j.breast.2010.04.003
Li JL, et al. Breast Lesions With Ultrasound Imaging-histologic Discordance at 16-gauge Core Needle Biopsy: Can Re-biopsy With 10-gauge Vacuum-assisted System Get Definitive Diagnosis. Breast. 2010;19(6):446-9. PubMed PMID: 20869243.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breast lesions with ultrasound imaging-histologic discordance at 16-gauge core needle biopsy: can re-biopsy with 10-gauge vacuum-assisted system get definitive diagnosis? AU - Li,Jun Lai, AU - Wang,Zhi Li, AU - Su,Li, AU - Liu,Xiao Jun, AU - Tang,Jie, Y1 - 2010/09/24/ PY - 2009/11/24/received PY - 2010/04/04/revised PY - 2010/04/08/accepted PY - 2010/9/28/entrez PY - 2010/9/28/pubmed PY - 2011/3/25/medline SP - 446 EP - 9 JF - Breast (Edinburgh, Scotland) JO - Breast VL - 19 IS - 6 N2 - The aim of this study was to evaluate if re-biopsy with 10-gauge vacuum-assisted biopsy (VAB) could get definitive diagnosis for breast lesions with ultrasound (US) imaging-histologic discordance at 16-gauge core needle biopsy (CNB). From January 2007 to June 2008, a consecutive biopsy was performed on 1069 lesions with US-guided 16-gauge CNB. A total of 28 lesions were considered to be US imaging-histologic discordant and all of them underwent subsequent 10-gauge VAB. All malignant lesions located at VAB were treated with subsequent surgery and all benign lesions at VAB were followed up for at least 1 year. Six of the 28 lesions (21.4%) had pathologic upgrade after VAB. In them, one case upgraded from adenosis to ductal carcinoma in situ (DCIS); one case upgraded from adenosis to infiltrating ductal carcinoma (IDC); one case upgraded from atypical ductal hyperplasia to IDC; two cases upgraded from intraductal papilloma to DCIS; and one case upgraded from sclerosing adenosis to invasive lobular carcinoma (ILC). The subsequent surgery further demonstrated the diagnosis of VAB for all the lesions with histologic upgrade. Re-biopsy could improve diagnostic accuracy in patients with breast lesions showing imaging-histologic discordance during CNB, and 10-gauge VAB was a valuable method to deal with re-biopsy. SN - 1532-3080 UR - https://www.unboundmedicine.com/medline/citation/20869243/Breast_lesions_with_ultrasound_imaging_histologic_discordance_at_16_gauge_core_needle_biopsy:_can_re_biopsy_with_10_gauge_vacuum_assisted_system_get_definitive_diagnosis L2 - https://linkinghub.elsevier.com/retrieve/pii/S0960-9776(10)00110-4 DB - PRIME DP - Unbound Medicine ER -