Role of core needle biopsy in the treatment of radial scar.
Breast
; 21(6): 761-3, 2012 Dec.
Article
em En
| MEDLINE
| ID: mdl-22397896
ABSTRACT
Invasive tumor or ductal carcinoma in situ occur in radial sclerosing lesions in one third of the cases therefore, surgical excision is mandatory. Forty-five patients with radial scar morphology were examined. Ultrasound guided fine-needle aspiration biopsy (FNAB) and core biopsy (CB) were performed in all cases. The postoperative pathological findings were compared to the results of preoperative biopsies. Sensitivity of preoperative percutaneous biopsies (FNAB and CB) was 17.6% and 70.6%, false-negative rate was 82.4% with FNAB and 29.4% with CB. The negative predictive value was 48.1% and 84.8% respectively. Had we done preoperative cytology only, we would have had to perform a two-step procedure (sentinel lymph node biopsy) in 7 patients (15.6%), while with preoperative core biopsy it has decreased to 2 patients (4.4%). Preoperative CB in small radial stellate lesions is recommended to achieve accurate diagnosis in order to avoid a two-step surgical procedures.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Lesões Pré-Cancerosas
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Mama
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Neoplasias da Mama
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Mamografia
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Carcinoma Ductal de Mama
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Carcinoma Intraductal não Infiltrante
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Biópsia com Agulha de Grande Calibre
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Adult
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Aged
/
Aged80
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Female
/
Humans
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Middle aged
Idioma:
En
Revista:
Breast
Ano de publicação:
2012
Tipo de documento:
Article