Stereotactic Breast Core Needle Biopsy in a Tertiary Breast Center of Tehran University of Medical Sciences
Publish place: Archives of Breast Cancer، Vol: 2، Issue: 1
Publish Year: 1394
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_ARCHB-2-1_005
تاریخ نمایه سازی: 24 خرداد 1400
Abstract:
Background: The purpose of this study was to evaluate the results ofstereotactic breast core needle biopsy in a tertiary breast center of TehranUniversity of Medical Sciences.Methods: Patients who were candidates for mammography-guidedstereotactic breast core biopsy from March ۲۰۱۱ to December ۲۰۱۳ were includedin this study. Stereotactic biopsy was performed by a dedicated prone Hologicmammography unit employing an automatic biopsy device with a ۱۴-gaugeneedle. Patients with malignant or premalignant biopsy results were followed upwith surgical pathology reports and patients with benign core biopsy findings werefollowed up with mammograms.Results: Among the ۱۵۰ patients who were included in the final analyses, ۳۰had malignant findings on stereotactic biopsy and ۱۰ patients had a premalignantpathology result on stereotactic biopsy. The remaining ۱۱۰ patients had benignresults on histopathology; however, in ۳۰ patients, wire localization and surgery ofthe same area were performed due to either discordant mammography-pathologyfindings or clinical suspicion of malignancy and in two of them, advancingpathologic grade was witnessed.Atotal of ۸۰ patients with benign histopathologicresults had follow-up mammograms and the follow-up period was between ۱۲months to ۳ years. The sensitivity and specificity of stereotactic breast core biopsyin this study were۹۴%and ۹۶%, respectively.Conclusions: Stereotactic breast core needle biopsy is an effective and safemethod in evaluation of suspicious mammography-detected lesions but cautionshould be warranted when taking results into account, especially inmammography-pathology discordance and in patients with premalignantpathology reports.
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Authors
Afsaneh Alikhassi
Radiology Department, Breast Clinic, Cancer Institute, Imam Khomeini Hospital Complex, TehranUniversity of Medical Sciences, Tehran, Iran
Nasrin Ahmadinejad
Radiology Department, Breast Clinic, Cancer Institute, Imam Khomeini Hospital Complex, TehranUniversity of Medical Sciences, Tehran, Iran
Nahid Sedighi
Radiology Department, Breast Clinic, Cancer Institute, Imam Khomeini Hospital Complex, TehranUniversity of Medical Sciences, Tehran, Iran
Massoome Najafi
Surgery Department, Breast Clinic, Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran