Axillary staging by percutaneous biopsy: sensitivity of fine-needle aspiration versus core needle biopsy
| Autor: | Roshni Rao, Lee R Radford, Valerie Andrews, Lisa Lilley, Michael Ulissey |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Core needle
Adult medicine.medical_specialty Percutaneous Axillary lymph nodes Biopsy Fine-Needle Breast Neoplasms Percutaneous biopsy Sensitivity and Specificity Breast cancer Biopsy medicine Humans skin and connective tissue diseases Aged Neoplasm Staging Aged 80 and over medicine.diagnostic_test business.industry Sentinel Lymph Node Biopsy General surgery Biopsy Needle Axillary Lymph Node Dissection Middle Aged medicine.disease Fine-needle aspiration medicine.anatomical_structure Oncology Axilla Lymph Node Excision Surgery Female Radiology Lymph Nodes business |
| Zdroj: | Annals of surgical oncology. 16(5) |
| ISSN: | 1534-4681 |
| Popis: | We sought to determine whether percutaneous core needle biopsy (CNB) of suspicious axillary lymph nodes in patients with breast cancer offers improved diagnostic accuracy compared with fine-needle aspiration (FNA).Records of 400 patients were reviewed to identify patients undergoing ultrasound-guided biopsy followed by surgical axillary evaluation (sentinel lymph node biopsy or axillary lymph node dissection). Patients underwent diagnosis and treatment at a single high-volume county hospital. Data collected included demographics, treatment, biopsy, and surgical pathology. Percutaneous biopsy results were compared with results of sentinel lymph node biopsy or axillary lymph node dissection.Forty-seven patients met final study criteria. Twenty-two patients underwent FNA, and 25 underwent CNB. Sensitivity of FNA was 75% vs. 82% for CNB. Specificity for both was 100%. Additionally, a cost comparison of CNB versus FNA revealed CNB to be $404; FNA cost was $237.The current data do not support the routine use of CNB over FNA for preoperative axillary staging in breast cancer patients with clinically negative axillas. Additionally, the substantial increase in cost without a marked improvement in sensitivity may favor the performance of FNA. |
| Databáze: | OpenAIRE |
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