Stereotaxic core biopsy of breast carcinoma: accuracy at predicting invasion
Autor: | D. David Dershaw, Laura Liberman, Andrea F. Abramson, Lucy E. Hann, Catherine S. Giess, Michael A. Cohen, Paul Peter Rosen |
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Rok vydání: | 1995 |
Předmět: |
Pathology
medicine.medical_specialty Mammary gland Breast Neoplasms Radiography Interventional Stereotaxic Techniques Predictive Value of Tests Biopsy medicine Humans Mammography Neoplasm Invasiveness Radiology Nuclear Medicine and imaging Breast skin and connective tissue diseases Invasive carcinoma medicine.diagnostic_test business.industry Biopsy Needle Carcinoma Ductal Breast Ductal carcinoma Prone position medicine.anatomical_structure Radiology Breast carcinoma business Core biopsy Carcinoma in Situ |
Zdroj: | Radiology. 194:379-381 |
ISSN: | 1527-1315 0033-8419 |
Popis: | To assess the accuracy with which stereotaxic core biopsy of breast carcinoma predicts the presence of invasion.Stereotaxic core biopsy was performed in 63 breast carcinomas in 59 patients in the prone position. All patients subsequently underwent surgery. Histopathologic results of stereotaxic core biopsy and surgery were correlated.Results of stereotaxic core biopsy and surgery were concordant in 58 (92%) of the 63 cases, yielding invasive carcinoma in 46 cases and ductal carcinoma in situ (DCIS) in 12 cases. Results were discordant in five cases (8%), including three cases for which stereotaxic core biopsy results indicated DCIS but surgery yielded invasive ductal carcinoma. The positive predictive value of stereotaxic core biopsy for the presence of invasion was 98% (47 of 48 cases) and the negative predictive value was 80% (12 of 15 cases).Stereotaxic core biopsy of breast carcinoma can help confirm invasion with high accuracy but cannot reliably indicate the absence of tumor invasion when only DCIS is found. |
Databáze: | OpenAIRE |
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