Patient satisfaction with a rapid diagnosis of suspicious breast lesions: Association with distress and anxiety

Boinon, Diane; Dauchy, Sarah; Fasse, Léonor; Cano, Alejandra; Balleyguier, Corinne; Mazouni, Chafika; Caron, Hélène; Vielh, Philippe; Delaloge, Suzette

doi:10.1111/tbj.12856

Cited by 17 publications

(13 citation statements)

References 26 publications

(55 reference statements)

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“…ROSE provides the opportunity to immediately assess the FNAB material for adequacy and triage the case for the most cost-effective further diagnostic procedures including immediate CNB [17, 95]. When a cytopathologist has made the provisional diagnosis at ROSE this can guide discussion with the patient, greatly reducing patient anxiety [96]. …”

Section: Resultsmentioning

confidence: 99%

The International Academy of Cytology Yokohama System for Reporting Breast Fine-Needle Aspiration Biopsy Cytopathology

et al. 2019

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The International Academy of Cytology (IAC) gathered together a group of cytopathologists expert in breast cytology who, working with clinicians expert in breast diagnostics and management, have developed the IAC Yokohama System for Reporting Breast Fine-Needle Aspiration Biopsy (FNAB) Cytology. The project was initiated with the first cytopathology group meeting in Yokohama at the 2016 International Congress of Cytology. This IAC Yokohama System defines five categories for reporting breast cytology, each with a clear descriptive term for the category, a definition, a risk of malignancy (ROM) and a suggested management algorithm. The key diagnostic cytopathology features of each of the lesions within each category will be presented more fully in a subsequent atlas. The System emphasizes that the crucial requirements for diagnostic breast FNAB cytology are a high standard for the performance of the FNAB and for the making of direct smears, and well-trained experienced cytopathologists to interpret the material. The performance indicators of breast FNAB, including specificity and sensitivity, negative predictive value, positive predictive value and ROM stated in this article have been derived from the recent literature. The current practice of breast FNAB has evolved with the increasing use of ultrasound guidance and rapid on-site evaluation. Two recent publications have shown a range of ROM for the insufficient/inadequate category of 2.6–4.8%, benign 1.4–2.3%, atypical 13–15.7%, suspicious of malignancy 84.6–97.1%, and malignant 99.0–100%. The management algorithm in the System provides options because there are variations in the management of breast lesions using FNAB and core-needle biopsy in those countries utilizing the “triple test” of clinical, imaging, and FNAB assessment, and also variations in the availability of CNB and imaging in low- and middle-income countries. The System will stimulate further discussion and research, particularly in the cytological diagnostic features of specific lesions within each category and in management recommendations. This will lead to continuing improvements in the care of patients with breast lesions and possible modifications to the IAC Yokohama System.

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Section: Resultsmentioning

confidence: 99%

The International Academy of Cytology Yokohama System for Reporting Breast Fine-Needle Aspiration Biopsy Cytopathology

et al. 2019

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“…This type of management has been proven to be cost-effective and accurate [94]. However, efforts should be made to decrease distress and anxiety of the patients also in this setting in regards to the quality of the patient-doctor relationship and doctors' interpersonal skills, doctors' availability, and waiting time [95], which are important general aspects to be improved in breast image-guided interventions.…”

Section: Post-procedural Recommendations and Communication Of Resultsmentioning

confidence: 99%

Image-guided breast biopsy and localisation: recommendations for information to women and referring physicians by the European Society of Breast Imaging

et al. 2020

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We summarise here the information to be provided to women and referring physicians about percutaneous breast biopsy and lesion localisation under imaging guidance. After explaining why a preoperative diagnosis with a percutaneous biopsy is preferred to surgical biopsy, we illustrate the criteria used by radiologists for choosing the most appropriate combination of device type for sampling and imaging technique for guidance. Then, we describe the commonly used devices, from fine-needle sampling to tissue biopsy with larger needles, namely core needle biopsy and vacuum-assisted biopsy, and how mammography, digital breast tomosynthesis, ultrasound, or magnetic resonance imaging work for targeting the lesion for sampling or localisation. The differences among the techniques available for localisation (carbon marking, metallic wire, radiotracer injection, radioactive seed, and magnetic seed localisation) are illustrated. Type and rate of possible complications are described and the issue of concomitant antiplatelet or anticoagulant therapy is also addressed. The importance of pathological-radiological correlation is highlighted: when evaluating the results of any needle sampling, the radiologist must check the concordance between the cytology/pathology report of the sample and the radiological appearance of the biopsied lesion. We recommend that special attention is paid to a proper and tactful approach when communicating to the woman the need for tissue sampling as well as the possibility of cancer diagnosis, repeat tissue sampling, and or even surgery when tissue sampling shows a lesion with uncertain malignant potential (also referred to as "high-risk" or B3 lesions). Finally, seven frequently asked questions are answered.

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“…It is known that lengthy delays to diagnosis for women with abnormal screening mammography causes anxiety and distress 30,31 . Waiting in itself is thought to cause unintended harm, ‘the nocebo effect’ 32 .…”

Section: Discussionmentioning

confidence: 99%

Anxiety and stress in women with suspected endometrial cancer: Survey and paired observational study

et al. 2021

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Objective To determine the anxiety and stress levels of women with suspected endometrial cancer and factors affecting this. Methods Prospective survey and paired observational study of consecutive women with suspected endometrial cancer in a rapid access gynaecology clinic. Structured questionnaire including a GAD‐7 anxiety test and a modified stress thermometer were used. Patients ranked their perception of a cancer diagnosis on 0‐5 Likert scale (0 = confident not cancer and 5 = cancer). Patients requiring an endometrial tissue biopsy were asked to rank their pain on a visual analogue scale (VAS), this was paired with the survey results. Results 250 patients completed the study and 23 of which underwent an endometrial tissue biopsy. The median age was 50‐59 years old and 59% of women spoke English as their first language. 32% of patients had significant levels of anxiety with GAD‐7 score ≥10. The median stress score was three out of five on Likert scale. GAD‐7 anxiety scores were higher in women who perceived that they received insufficient information prior to clinic (sufficient information 5 vs. insufficient information 9.5, P = 0.00036) or had a disability (disability 9 vs. no disability 5.5, P = 0.00374). The median VAS score from the biopsies was seven out of 10 (range 1‐10). Patients with higher anxiety levels (GAD‐7 scores) were more likely to believe they had cancer P <0.00001. Conclusions These findings confirm high levels of anxiety and stress in women with suspected endometrial cancer. Adequate pre‐clinic information is essential, particularly for minority groups.

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Patient satisfaction with a rapid diagnosis of suspicious breast lesions: Association with distress and anxiety

Cited by 17 publications

References 26 publications

The International Academy of Cytology Yokohama System for Reporting Breast Fine-Needle Aspiration Biopsy Cytopathology

The International Academy of Cytology Yokohama System for Reporting Breast Fine-Needle Aspiration Biopsy Cytopathology

Image-guided breast biopsy and localisation: recommendations for information to women and referring physicians by the European Society of Breast Imaging

Anxiety and stress in women with suspected endometrial cancer: Survey and paired observational study

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