Positive predictive value for malignancy on surgical excision of breast lesions of uncertain malignant potential (B3) diagnosed by stereotactic vacuum-assisted needle core biopsy (VANCB): a large multi-institutional study in Italy
| Autor: | Bianchi, S, Caini, S, Renne, G, Cassano, E, Ambrogetti, D, Cattani, Mg, Saguatti, G, Chiaramondia, M, Bellotti, E, Bottiglieri, R, Ancona, A, Piubello, Q, Montemezzi, S, Ficarra, G, Mauri, C, Zito, Fa, Ventrella, V, Baccini, P, Calabrese, M, Palli, D, Antonacci, Cm, Bersiga, A, Carli, F, Carrillo, G, Castellano, Isabella, Dante, S, Di Loreto, C, Di Stefano, D, Fanelli, G, Ferrero, G, Galasso, Mg, Giardina, E, Grillo, L, Laurino, L, Naccarato, G, Querzoli, P, Sapino, Anna, Vezzosi, V, Amadori, S, Balestrieri, N, Bazzocchi, M, Belotti, E, Cilotti, A, Corcione, S, Durando, M, Faedda, C, Festa, R, Guerrieri, A, Ingianna, D, Maggian, P, Mariscotti, G, Massa, T, Mattei, M, Rizzo, Mf, Scalabrin, U, Trasente, I, Ventrella, V. |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Positive predictive value Percutaneous B3 lesions Positive predictive value Surgical excision Stereotactic vacuum-assisted needle core biopsy Non-palpable lesion Breast B3 lesions Breast Non-palpable lesion Positive predictive value Stereotactic vacuum-assisted needle core biopsy Surgical excision B3 lesions Surgical excision Stereotactic vacuum-assisted needle core biopsy Non-palpable lesion Breast Breast Neoplasms Malignancy NO Text mining Predictive Value of Tests Biopsy medicine Humans Early Detection of Cancer Retrospective Studies medicine.diagnostic_test business.industry Biopsy Needle Retrospective cohort study Stereotactic vacuum-assisted needle core General Medicine medicine.disease Italy Predictive value of tests Radiological weapon Surgery Female Radiology business |
| Popis: | Percutaneous core biopsy (CB) has been introduced to increase the ability of accurately diagnosing breast malignancies without the need of resorting to surgery. Compared to conventional automated 14 gauge needle core biopsy (NCB), vacuum-assisted needle core biopsy (VANCB) allows obtaining larger specimens and has recognized advantages particularly when the radiological pattern is represented by microcalcifications. Regardless of technical improvements, a small percentage of percutaneous CBs performed to detect breast lesions are still classified, according to European and UK guidelines, in the borderline B3 category, including a group of heterogeneous lesions with uncertain malignant potential. We aimed to assess the prevalence and positive predictive values (PPV) on surgical excision (SE) of B3 category (overall and by sub-categories) in a large series of non-palpable breast lesions assessed through VANCB, also comparison with published data on CB. Overall, 26,165 consecutive stereotactic VANCB were identified in 22 Italian centres: 3107 (11.9%) were classified as B3, of which 1644 (54.2%) proceeded to SE to establish a definitive histological diagnosis of breast pathology. Due to a high proportion of microcalcifications as main radiological pattern, the overall PPV was 21.2% (range 10.6%-27.3% for different B3 subtypes), somewhat lower than the average value (24.5%) from published studies (range 9.9%-35.1%). Our study, to date the largest series of B3 with definitive histological assessment on SE, suggests that B3 lesions should be referred for SE even if VANCB is more accurate than NCB in the diagnostic process of non-palpable, sonographically invisible breast lesions. |
| Databáze: | OpenAIRE |
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