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Imaging-histologic discordance at sonographically guided percutaneous biopsy of breast lesions

Authors
 Min Jung Kim  ;  Eun-Kyung Kim  ;  Sun Young Park  ;  Hae Kyoung Jung  ;  Byeong-Woo Park  ;  Haeryung Kim  ;  Ki Keun Oh 
Citation
 EUROPEAN JOURNAL OF RADIOLOGY, Vol.65(1) : 163-169, 2008 
Journal Title
 EUROPEAN JOURNAL OF RADIOLOGY 
ISSN
 0720-048X 
Issue Date
2008
MeSH
Adult ; Aged ; Biopsy, Needle/methods* ; Breast Neoplasms/diagnostic imaging* ; Breast Neoplasms/pathology ; Female ; Humans ; Middle Aged ; Prospective Studies ; Retrospective Studies ; Ultrasonography, Interventional* ; Ultrasonography, Mammary*
Keywords
Breast, biopsy ; Breast, US ; Breast neoplasm ; Breast neoplasm, diagnosis ; Breast neoplasm, US
Abstract
OBJECTIVE: To determine the frequency of imaging-histologic discordance at percutaneous breast biopsy and to evaluate differences in clinical and radiologic findings between pathologically upgraded lesions and non-upgraded lesions. MATERIALS AND METHODS: From February 2000 to June 2005, we reviewed 386 cases that had suspicious imaging findings but yielded benign histology at US-core needle biopsy and that underwent subsequent excisional biopsy. In 74 of 386 cases, the benign histology at core needle biopsy could not provide a satisfactory explanation for the radiologically suspicious lesions. The clinical, radiologic and histologic findings were reviewed for those 74 cases that were classified as the upgrade group and the non-upgrade group after excisional biopsy. RESULTS: The upgrade rate was 17.6% (95% confidence interval, 10.6-27.8%, 13 of 74 cases) revealed upgraded pathology at the subsequent excisional biopsy. Besides the size of masses, there were no statistically significant differences in imaging findings between the upgrade and non-upgrade groups at excisional biopsy. CONCLUSION: This upgrade rate of 17.6% suggests that excisional biopsy or re-biopsy is warranted in those cases presenting imaging-histologic discordance at US-guided core biopsy.
Full Text
http://www.sciencedirect.com/science/article/pii/S0720048X07001544
DOI
10.1016/j.ejrad.2007.03.016
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Kim, Hae Ryoung(김혜령)
Park, Byeong Woo(박병우) ORCID logo https://orcid.org/0000-0003-1353-2607
Park, Sun Young(박선영)
Oh, Ki Keun(오기근)
Jung, Hae Kyoung(정혜경)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106311
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