Liječnički vjesnik, Vol. 134 No. 9-10, 2012.
Original scientific paper
ULTRASOUND GUIDED BREAST BIOPSY – A RETROSPECTIVE STUDY AND LITERATURE REVIEW
Maja Prutki
Ranka Štern-Padovan
Jasminka Jakić-Razumović
Kristina Potočki
Tanja Badovinac-Črnjević
Anja Tea Golubić
Abstract
Aim. The purpose of this study is to determine the accuracy and clinical usefulness of ultrasound guided core biopsy for diagnosing suspicious radiologically detected breast lesions. Patients and methods. We retrospectively evaluated the results of percutaneous core biopsy with 14-gauge needles performed over a period of 14 months on 229 suspicious lesions detectable on mammography and/or ultrasound exam (BI-RADS 4 or 5). The imaging-histological concordance was ascertained for each lesion. In cases of discordance, repeat biopsy or surgical excision was performed. Six-month ultrasound control was recommended in cases of benign lesions. For borderline and malignant lesions a surgical excision was done. Concordance between biopsy results and subsequent examinations (surgical excision or follow-up) was also evaluated. Results. Histological analysis of core biopsy samples showed 143 (62.4%) benign lesions, 21 (9.2%) borderline lesions and 65 (28.4%) malignant lesions. Follow-up, repeated biopsy, or surgical excision showed four false negative cases. Accuracy of ultrasound guided core biopsy was 98.3%. Conclusion. Ultrasound guided core biopsy is a safe and reliable method for diagnosing suspicious breast lesions without any significant complications as was reported in previous studies.
Keywords
Breast neoplasms – pathology, ultrasonography, radiography; Biopsy, needle – methods; Ultrasonography, mammary – methods; Sensitivity and specificity
Hrčak ID:
172443
URI
Publication date:
31.10.2012.
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