Ultrasound-guided core biopsy of breast lesions in Ibadan: Our initial experience
| Autor: | Oku S Bassey, O. A. Mosuro, AO Afolabi, Abayomi Odetunde, Doyin Olusunmade, Adenike Temitayo Adeniji-Sofoluwe, Babatunde Adedokun, Temitope O Soyemi, A O Oluwasola, Millicent Olubunmi Obajimi, Chinwe E Ukaigwe, Adewunmi Adeoye, Oludamilola O Osofundiya, Theresa Nchekube Elumelu |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
lcsh:R5-920 medicine.diagnostic_test business.industry Breast imaging ultrasound Ultrasound Cancer core needle biopsy medicine.disease Surgery masses Breast cancer Biopsy medicine Histopathology Sampling (medicine) Radiology Breast business Prospective cohort study lcsh:Medicine (General) |
| Zdroj: | Journal of Clinical Sciences, Vol 12, Iss 1, Pp 3-8 (2015) |
| ISSN: | 2408-7408 2468-6859 |
| Popis: | Background and Objectives: Ultrasound-guided core needle or tru-cut biopsy is a new concept in breast cancer diagnosis and treatment in developing countries, including Nigeria. A tru-cut biopsy is less invasive surgery, replacing diagnostic surgical biopsies in many institutions. It has a known sensitivity of 94-100%, whether performed with ultrasound or stereotactic guidance. The technique is reliable, simple, reproducible, and relatively cheap. Aims: This is a premier report of ultrasound- guided core biopsy of the breast in Nigeria. This study will evaluate the sampling adequacy and diagnostic accuracy of sonomammographic-guided tru-cut biopsies in determining the nature of a breast lump sent for histopathological analysis. Materials and Methods: A prospective study involving 40 women with clinical suspicion of breast cancer and/or Breast Imaging-Reporting and Data System (BI-RADS) category 3-5 referred for breast imaging at the Department of Radiology of the University College Hospital, Ibadan. Core biopsy was performed with a manual BARD Magnum™ gun, a General Electric GE Logiq P5 ultrasound unit with a high frequency linear transducer. Statistical Package for social sciences [SPSS] Software version 17.0 was used for statistical analysis. Results: Forty core needle biopsies (CNB) were performed on palpable masses. Histopathology confirmed cancer in 24 (60%), while 10 (25%) were benign. Invasive ductal carcinoma accounted for 88% of cancers. Sensitivity and specificity of the core biopsies was found to be 100% and 80%, respectively. Conclusion: Ultrasound-guided biopsy for breast lesion assessment in our center shows high accuracy in determining the nature of a breast lump. Its routine use in countries with limited resources is recommended. |
| Databáze: | OpenAIRE |
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