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Stereotactic core needle biopsy of nonpalpable breast lesions: initial experience with a promising technique.
Arch Surg. 1998 Apr; 133(4):366-72.AS

Abstract

OBJECTIVES

To evaluate the correlation between the pathological findings of stereotactic core needle biopsy (SCNB) and the prebiopsy mammographic findings, as well as the pathological findings of lesions that were subsequently removed by surgical excision.

DESIGN

A retrospective review of 97 consecutive patients who underwent 100 SCNBs of suspicious nonpalpable mammographic lesions. The criterion standard is surgical excisional biopsy with needle localization. Mammographic findings were graded according to the American College of Radiology Breast Imaging Reporting and Data System. The pathological findings of SCNB were categorized into 4 groups: benign and specific, benign and nonspecific, premalignant, and malignant. Surgical excision of the lesion was performed if the pathological finding on SCNB was nonconcordant with the prebiopsy mammogram and when premalignant or malignant lesions were found. The pathological findings of lesions that were subsequently removed by surgical excision were compared with those of SCNB.

SETTING

Community-based private multispecialty ambulatory practice.

PATIENTS

A population-based sample composed of 97 patients who had grade III, IV, or V lesions on routine screening mammograms.

INTERVENTION

Stereotactic core needle biopsy of nonpalpable mammographic lesions.

MAIN OUTCOME MEASURES

Percentage of patients whose SCNB results were concordant with the mammographic findings and the pathological findings on subsequent surgical excision.

RESULTS

Concordance between SCNB and mammography occurred in 97% of biopsy specimens. Concordance between the pathological findings of SCNB and those of surgically excised lesions occurred in 92.5% of biopsy specimens. We had 1 false-negative result. We had no false-positive diagnosis of cancer with SCNB.

CONCLUSION

On the basis of accumulating literature and our own initial experience, SCNB is a promising, safe, and cost-effective procedure.

Authors+Show Affiliations

Department of Surgery, University of Massachusetts Medical School, Berkshire Medical Center, Pittsfield 01201, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9565115

Citation

Seoudi, H, et al. "Stereotactic Core Needle Biopsy of Nonpalpable Breast Lesions: Initial Experience With a Promising Technique." Archives of Surgery (Chicago, Ill. : 1960), vol. 133, no. 4, 1998, pp. 366-72.
Seoudi H, Mortier J, Basile R, et al. Stereotactic core needle biopsy of nonpalpable breast lesions: initial experience with a promising technique. Arch Surg. 1998;133(4):366-72.
Seoudi, H., Mortier, J., Basile, R., & Curletti, E. (1998). Stereotactic core needle biopsy of nonpalpable breast lesions: initial experience with a promising technique. Archives of Surgery (Chicago, Ill. : 1960), 133(4), 366-72.
Seoudi H, et al. Stereotactic Core Needle Biopsy of Nonpalpable Breast Lesions: Initial Experience With a Promising Technique. Arch Surg. 1998;133(4):366-72. PubMed PMID: 9565115.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Stereotactic core needle biopsy of nonpalpable breast lesions: initial experience with a promising technique. AU - Seoudi,H, AU - Mortier,J, AU - Basile,R, AU - Curletti,E, PY - 1998/5/23/pubmed PY - 1998/5/23/medline PY - 1998/5/23/entrez SP - 366 EP - 72 JF - Archives of surgery (Chicago, Ill. : 1960) JO - Arch Surg VL - 133 IS - 4 N2 - OBJECTIVES: To evaluate the correlation between the pathological findings of stereotactic core needle biopsy (SCNB) and the prebiopsy mammographic findings, as well as the pathological findings of lesions that were subsequently removed by surgical excision. DESIGN: A retrospective review of 97 consecutive patients who underwent 100 SCNBs of suspicious nonpalpable mammographic lesions. The criterion standard is surgical excisional biopsy with needle localization. Mammographic findings were graded according to the American College of Radiology Breast Imaging Reporting and Data System. The pathological findings of SCNB were categorized into 4 groups: benign and specific, benign and nonspecific, premalignant, and malignant. Surgical excision of the lesion was performed if the pathological finding on SCNB was nonconcordant with the prebiopsy mammogram and when premalignant or malignant lesions were found. The pathological findings of lesions that were subsequently removed by surgical excision were compared with those of SCNB. SETTING: Community-based private multispecialty ambulatory practice. PATIENTS: A population-based sample composed of 97 patients who had grade III, IV, or V lesions on routine screening mammograms. INTERVENTION: Stereotactic core needle biopsy of nonpalpable mammographic lesions. MAIN OUTCOME MEASURES: Percentage of patients whose SCNB results were concordant with the mammographic findings and the pathological findings on subsequent surgical excision. RESULTS: Concordance between SCNB and mammography occurred in 97% of biopsy specimens. Concordance between the pathological findings of SCNB and those of surgically excised lesions occurred in 92.5% of biopsy specimens. We had 1 false-negative result. We had no false-positive diagnosis of cancer with SCNB. CONCLUSION: On the basis of accumulating literature and our own initial experience, SCNB is a promising, safe, and cost-effective procedure. SN - 0004-0010 UR - https://www.unboundmedicine.com/medline/citation/9565115/Stereotactic_core_needle_biopsy_of_nonpalpable_breast_lesions:_initial_experience_with_a_promising_technique_ L2 - https://jamanetwork.com/journals/jamasurgery/fullarticle/vol/133/pg/366 DB - PRIME DP - Unbound Medicine ER -