NEDDLE-LOCALIZATION BIOPSY OF THE BREAST - IMPACT OF A SELECTIVE CORE NEEDLE-BIOPSY PROGRAM ON YIELD

被引:66
作者
RUBIN, E [1 ]
DEMPSEY, PJ [1 ]
PILE, NS [1 ]
BERNREUTER, WK [1 ]
URIST, MM [1 ]
SHUMATE, CR [1 ]
MADDOX, WA [1 ]
机构
[1] UNIV ALABAMA,DEPT SURG,BIRMINGHAM,AL 35233
关键词
BREAST; BIOPSY; BREAST NEOPLASMS; DIAGNOSIS; LOCALIZATION;
D O I
10.1148/radiology.195.3.7753985
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To determine the effect of a selective core biopsy program on the yield at needle-localization biopsy (NLB) of nonpalpable lesions. MATERIALS AND METHODS: Two hundred consecutive core biopsy samples of the breast were evaluated in an ongoing consecutive series of 1,172 NLB samples. RESULTS: Before implementation of the core biopsy program, the yield at NLB improved from 21% at 100 cases to 35% just before the introduction of core biopsy. After implementation, the yield increased gradually to 55% at 200 cases. The yield in masses increased from 21% at 100 cases to 43% just before the initiation of the core biopsy program and then increased dramatically to 72% at 200 cases. The percentage of small lesions detected did not change with implementation: 88% of invasive cancers measured less than 1.5 cm and 60% measured less than 1 cm in the last 100 cases. CONCLUSION: Appropriate selection of cases for core biopsy can more than double the yield of cancer in NLB samples without a decrease in the percentage of small cancers detected.
引用
收藏
页码:627 / 631
页数:5
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