STEREOTAXIC FINE NEEDLE-BIOPSY OF THE BREAST

被引:12
作者
OLIVER, DJ
FRAYNE, JR
STERRETT, G
机构
[1] Sir Charles Gairdner Hospital, Perth, Western Australia, Nedlands
[2] Perth, Western Australia, Forrest Road, Cottesloe
[3] Hospital and University Pathology Service, Queen Elizabeth II Medical Centre, Perth, Western Australia, Nedlands
来源
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1992年 / 62卷 / 06期
关键词
MAMMOGRAPHY; NEEDLE BIOPSY; STEREOTAXIC;
D O I
10.1111/j.1445-2197.1992.tb07226.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
The experience of the use of the TRC-Mammotest machine for stereotactic fine needle biopsy (SFNB) of the breast in Perth is presented. During the period 20 October 1988 to 10 January 1990, 404 SFNB were performed on 389 women with impalpable, mammographically detected lesions of the breast. Surgical biopsy was performed in 73 cases, of which 38 were malignant, giving a benign to malignant ratio in < 1:1. The sensitivity for detecting cancer was 95%, with a positive predictive value of 100%. Using a combination of the mammographic and cytologic rating for the likelihood of cancer, all the cancers were detected and no cancers have developed in those considered mammographically and cytologically benign. The importance of a combined assessment of mammography and cytology in the management of patients with mammographically detected abnormalities is stressed.
引用
收藏
页码:463 / 467
页数:5
相关论文
共 12 条
  • [1] Shapiro S., Strax P., Venet L., Periodic breast cancer screening in reducing mortality from breast cancer, JAMA, 215, pp. 1777-1785, (1971)
  • [2] Tabar L., Fagerberg C., Gad A., Et al., Reduction in mortality from breast cancer after mass screening with mammography: Randomized trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare, Lancet, 1, pp. 829-832, (1985)
  • [3] Andersson I., Aspegren K., Janzon L., Et al., Mammographic screening and mortality from breast cancer: the Malmö Mammographic Screening Trial, Br. Med. J., 297, pp. 943-948, (1988)
  • [4] Bolmegren J., Jacobsen B., Nordenstrom B., Instrument for needle biopsy of the mamma, Am. J. Roentgenol., 129, pp. 121-125, (1977)
  • [5] Svane G., Silfversward C., Stereotaxic needle biopsy of non‐palpable breast lesions. Cytologic and histopathologic findings, Acta Radiol. Diagn., 24, pp. 283-288, (1983)
  • [6] Gent H., Sprenger E., Dowlatshahi K., Stereotaxic needle localization and cytological diagnosis of occult breast lesions, Ann. Surg., 204, pp. 580-584, (1986)
  • [7] Lofgren M., Andersson K., Lindholm K., X‐ray guided fine‐needle aspiration for the cytologic diagnosis of nonpalpable breast lesions, Cancer, 61, pp. 1032-1039, (1988)
  • [8] Dowlatshahi K., Gent H., Schmidt R., Jokich P., Bibbo M., Sprenger E., Non‐palpable breast tumours: Diagnosis with stereotactic localization and fine‐needle aspiration, Radiology, 170, pp. 427-433, (1989)
  • [9] Azavedo E., Svane G., Auer G., Stereotactic fine‐needle biopsy in 2594 mammographically detected non‐palpable lesions, Lancet, 1, pp. 1033-1035, (1989)
  • [10] Lofgren M., Andersson K., Lindholm K., Stereotactic fine‐needle aspiration for cytologic diagnosis of nonpalpable breast lesions, Am. J. Roentgenol., 154, pp. 1191-1195, (1990)