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유방 병변의 초음파-유도하 중심생검: 2018년 의학적 감사

Other Titles
 Sonographically Guided 14-Guage Core Needle Biopsy: Medical Audit for One Year of 2018 
Authors
 노미리비  ;   김가람  ;   박영진  ;   윤정현  ;   문희정  ;   김은경  ;   김민정 
Citation
 Journal of Korean Society of Breast Screening (대한유방검진학회지), Vol.17(1) : 44-51, 2020-04 
Journal Title
 Journal of Korean Society of Breast Screening (대한유방검진학회지) 
ISSN
 1738-3501 
Issue Date
2020-04
Keywords
Breast ; Biopsy ; Ultrasound guidance ; Breast cancer diagnosis
Abstract
Purpose: To determine the diagnostic accuracy, underestimation rate and false negative rate of sonographically guided core needle biopsy for breast lesions. Materials and Methods: We included 1,110 breast lesions from 966 patients who had undergone sonographically guided 14-gauge core needle biopsies between January 2018 and December 2018. The sonographic BI-RADSⓇ category of breast lesions and the pathologic results of core needle biopsies were reviewed and correlated with that of surgery or vacuum-assisted biopsy, or >1year follow-up. The positive predictive value for each BI-RADSⓇ category, sensitivity, underestimation rate and false negative rate of core needle biopsy were evaluated. Results: Of the 1,110 core biopsy lesions, benign pathology was found in 37.6%, high-risk results in 18.2%, and malignant results in 44.2%. The positive predictive values for each sonographic category were as follows: 5% in category 3; 19.1% in category 4a; 74.6% in category 4b; 93.7% in category 4c and 99.5% in category 5. The sensitivity of core needle biopsy was 93.7% (491/524). The underestimation rate was 14.4% (29/202) for high-risk and 42.4% (39/92) for ductal carcinoma in situ. The false negative rate was 1.0% (4/417). Conclusion: Sonographically guided core needle biopsy for 2018 year in our hospital was accurate diagnostic tool for evaluating breast lesion.
Files in This Item:
T202001651.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ga Ram(김가람) ORCID logo https://orcid.org/0000-0002-4481-5792
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
Rho, Miribi(노미리비) ORCID logo https://orcid.org/0000-0002-1703-7657
Moon, Hee Jung(문희정) ORCID logo https://orcid.org/0000-0002-5643-5885
Park, Vivian Youngjean(박영진) ORCID logo https://orcid.org/0000-0002-5135-4058
Yoon, Jung Hyun(윤정현) ORCID logo https://orcid.org/0000-0002-2100-3513
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/176217
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