The utility of ultrasonographically guided large‐core needle biopsy: results from 500 consecutive breast biopsies

Five hundred ultrasonographically guided large‐core needle breast biopsies of solid masses were performed in 446 women. Histopathologic results were correlated with imaging findings. Ultrasonographically guided large‐core needle biopsy resulted in diagnosis of malignancy (n = 124) or severe atypical...

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Published inJournal of ultrasound in medicine Vol. 20; no. 1; pp. 43 - 49
Main Authors Smith, D N, Rosenfield Darling, M L, Meyer, J E, Denison, C M, Rose, D I, Lester, S, Richardson, A, Kaelin, C M, Rhei, E, Christian, R L
Format Journal Article
LanguageEnglish
Published Laurel, MD American Institute of Ultrasound in Medicine 01.01.2001
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Biopsy, Needle - methods
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - pathology
Female
Genital system. Mammary gland
Humans
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Middle Aged
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Ultrasonography
Sonography
Human
Premalignant lesion
Hyperplasia
Malignant tumor
Guidance
Mammary gland diseases
Pathology
Biopsy
Needle
Echography
Diagnosis
Mammary gland
Benign neoplasm
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Summary:Five hundred ultrasonographically guided large‐core needle breast biopsies of solid masses were performed in 446 women. Histopathologic results were correlated with imaging findings. Ultrasonographically guided large‐core needle biopsy resulted in diagnosis of malignancy (n = 124) or severe atypical ductal hyperplasia (n = 4) in 128 lesions (26%). In the remaining 372 lesions (74%), ultrasonographically guided large‐core needle biopsy yielded benign pathologic results. Follow‐up of more than 1 year (n = 225), results of surgical excision (n = 50), or both were obtainable in 275 (74%) of the benign lesions. No malignancies were discovered at surgical excision or during follow‐up of this group of benign lesions. There were no complications related to large‐core needle biopsy that required additional treatment. Ultrasonographically guided large‐core needle biopsy is a safe and accurate method for evaluating breast lesions that require tissue sampling.
Bibliography:ObjectType-Article-1
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ISSN:0278-4297
1550-9613
DOI:10.7863/jum.2001.20.1.43