Diagnostic strategies in non-palpable breast lesions

被引:7
作者
Pijnappel, RM
Peeters, PHM
van den Donk, M
Holland, R
Hendriks, JHCL
Deurloo, EE
Mali, WPTM
机构
[1] Martini Hosp, Dept Radiol, NL-9700 RM Groningen, Netherlands
[2] Univ Utrecht, Sch Med, Julius Ctr Gen Practice & Patient Oriented Res, NL-3508 GA Utrecht, Netherlands
[3] Univ Nijmegen, Med Ctr, Dept Epidemiol, NL-6500 HB Nijmegen, Netherlands
[4] Univ Nijmegen, Ctr Med, Natl Expert & Training Ctr Breast Canc Screening, NL-6500 HB Nijmegen, Netherlands
[5] Netherlands Canc Inst, Dept Radiol, Antoni van Leeuwenhock Hosp, NL-1066 CX Amsterdam, Netherlands
[6] Univ Utrecht, Med Ctr, Dept Radiol, NL-3508 GA Utrecht, Netherlands
关键词
breast; non-palpable; FNA; core; biopsy; microcalcifications; ultrasound;
D O I
10.1016/S0959-8049(01)00409-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The number of non-palpable breast lesions is growing. Needle-localised breast biopsy (NLBB) is the gold standard for evaluating these lesions. Cost-saving techniques and less invasive alternatives such as core-needle biopsy (LCNB) and fine-needle aspiration (FNA) have emerged. The aim of this study was to find out if the lesions of patients who were sent directly for Surgery to undergo a NLBB differed from lesions of patients who were send for a non-operative procedure. Furthermore, if a benign result was obtained, we assessed the total and kind of subsequent diagnostic procedures that were undertaken. A retrospective study on 718 women with 749 non-palpable breast lesions was performed. In 58% of women with non-palpable breast lesion, a non-surgical procedure was chosen. Lesions sent directly for surgery were more frequently not visible on ultrasound (62%) and mainly consisted of micro-calcifications only (56%). In 45%, this primary surgical approach could have been avoided. If the non-operative procedure showed a non-malignant result, 41% of these women received an additional surgical diagnostic procedure. These figures obtained from routine daily practice show the importance of protocols in order to standardise diagnostic procedures and prevent unnecessary (C) 2002 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:550 / 555
页数:6
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