Ultrasound-guided core needle biopsy of non-palpable breast lesions: a prospective analysis in 204 cases

Bolívar, A. Vega; Alonso-Bartolomé, Pilar; García, E. Ortega; Ayensa, F. Garijo

doi:10.1080/02841850500225740

Cited by 46 publications

(24 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It has been reported that the false negative rate of CNB is 1.1% to 3.3%, [6][7][8][9][10][11][12][13][14] whereas the corresponding rate of VAB is 0.6% to 3.5%. [15][16][17][18] Among lesions with ultrasonographyehistologic discordance, 21.4% are upgraded in the pathological diagnosis after VAB, according to Li et al 19 Furthermore, it has also been reported that VAB might be valuable for definitive diagnosis when pathological results with CNB are discordant with imaging findings.…”

Section: Discussionmentioning

confidence: 95%

Significance of Fine Needle Aspiration Cytology and Vacuum-Assisted Core Needle Biopsy for Small Breast Lesions

Nakano

Otsuka

Mibu

et al. 2015

Clinical Breast Cancer

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 95%

Significance of Fine Needle Aspiration Cytology and Vacuum-Assisted Core Needle Biopsy for Small Breast Lesions

Nakano

Otsuka

Mibu

et al. 2015

Clinical Breast Cancer

View full text Add to dashboard Cite

show abstract

“…For example, in a recent study by VEGA-BOLIVAR et al (22), a minimum of three cores per lesion obtained under US guidance of nonpalpable breast lesions was recommended. Our current results suggest that core needle biopsy with a 14/16-gauge needle is a reliable method in differentiating true fibroadenomas from phyllodes tumors.…”

Section: Discussionmentioning

confidence: 98%

Ultrasonography and core needle biopsy in the differential diagnosis of fibroadenoma and tumor phyllodes

2007

View full text Add to dashboard Cite

show abstract

“…The differences in diagnosis rates may be attributed to differences in CNB apparatuses or operational skills, but these differences may also stem from the objectives and methods of individual studies, including sample size, cohort characteristics, the presence or absence of an FA control group, and the presence or absence of a review of the CNB results. Bolívar et al (26) proposed obtaining a minimum of three specimens via ultrasound-guided CNB for cases of breast tumors that were difficult to examine via palpation. Bode et al (11) reported that using 14 G or 16 G biopsy needles could deliver a relatively improved outcome in differentiating a PTB specimen from that of FA.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic performance of core needle biopsy in identifying breast phyllodes tumors

Zhou¹,

Wang²,

Sun³

et al. 2016

J. Thorac. Dis.

View full text Add to dashboard Cite

Background: A retrospective analysis of diagnoses was performed in patients with phyllodes tumors of the breast (PTB) who received preoperative core needle biopsy (CNB) and had breast surgery at Fudan University Shanghai Cancer Center from January 1, 2002 to April 1, 2013. The resulting data allowed us to compare the accordance between CNB and excision diagnoses of PTB patients and evaluate the accuracy of CNB in preoperative diagnosis. Methods:Data from 128 patients with PTB who had undergone preoperative CNB and breast surgery were retrospectively analyzed. We reviewed the medical history, clinical follow-up data, and CNB diagnostic data. A diagnostic test was used to evaluate the sensitivity and specificity of CNB in diagnosing benign, borderline, and malignant phyllodes tumors.Results: The accuracy of CNB for diagnosing PTB was 13.3% (17/128). Of the remaining patients, 98(75.5% of the PTB patients) were diagnosed with fibroadenoma or fibroepithelial lesions. The sensitivity of CNB at diagnosing benign, borderline, and malignant phyllodes tumors were 4.9% (2/41), 4.2% (3/71), and 25.0% (4/16), respectively, whereas the corresponding specificity were 92.0%, 98.2%, and 100%, respectively. Some clinical features, such as large tumor size, rapid growth, or surgical history of fibroadenomas, were indicative of an increased possibility of PTB.Conclusions: CNB provides a pathological basis for the preoperative diagnosis of PTB, but it has a poor accuracy and offers limited guidance for surgical decisions. Considering CNB along with multiple histologic features may improve the ability to accurately diagnose PTB. An integrated assessment using CNBs in combination with clinical data and imaging features is suggested as a reliable strategy to assist PTB diagnosis.

show abstract

Ultrasound-guided core needle biopsy of non-palpable breast lesions: a prospective analysis in 204 cases

Abstract: US-guided core needle biopsy is a sensitive percutaneous biopsy method for diagnosing non-palpable breast lesions. To achieve a high diagnostic yield, a minimum number of three cores per lesion is advisable.

Cited by 46 publications

References 24 publications

Significance of Fine Needle Aspiration Cytology and Vacuum-Assisted Core Needle Biopsy for Small Breast Lesions

Significance of Fine Needle Aspiration Cytology and Vacuum-Assisted Core Needle Biopsy for Small Breast Lesions

Ultrasonography and core needle biopsy in the differential diagnosis of fibroadenoma and tumor phyllodes

Diagnostic performance of core needle biopsy in identifying breast phyllodes tumors

Contact Info

Product

Resources

About