Reducing the Number of Unnecessary Percutaneous Biopsies: The Role of Second Opinion by Expert Breast Center Radiologists
| Autor: | Alberto Collura, Daniela Tosti, Feliciana Lamacchia, Francesca Ricci, Marco Materazzo, Michela Censi, Gianluca Vanni, Tommaso Perretta, Chiara Adriana Pistolese, Oreste Claudio Buonomo, Francesca Di Giuliano, Lucia Anemona |
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| Rok vydání: | 2019 |
| Předmět: |
Core needle
Data Analysis Image-Guided Biopsy Cancer Research medicine.medical_specialty Percutaneous Biopsy Biopsy Fine-Needle Clinical Decision-Making breast imaging reporting and data system Breast Neoplasms Fine needle aspiration cytology breast lesions Tru-Cut needle biopsy breast cancer cancer multidisciplinary team tertiary care center Biopsy Large-Core Needle Disease Management Expert Testimony Female Humans Mammography Radiologists Referral and Consultation Workflow 03 medical and health sciences 0302 clinical medicine Breast cancer Settore MED/36 medicine Family history skin and connective tissue diseases medicine.diagnostic_test business.industry Second opinion Cancer General Medicine medicine.disease Fine-needle aspiration Oncology 030220 oncology & carcinogenesis Fine-Needle Large-Core Needle Radiology business |
| Zdroj: | Anticancer research. 40(2) |
| ISSN: | 1791-7530 |
| Popis: | BACKGROUND/AIM The research objectives of this study were the estimation of the number of misdiagnosed breast lesions by non-expert-center-breast-radiologists (NEBR) and the investigation of the discordant rate (DR) calculated between initial and second opinion. Moreover, this study evaluated the impact of second opinion and the factors associated with DR. MATERIALS AND METHODS A total of 399 patients were sent to our Tertiary Breast Cancer (BC) Center to perform fine needle aspiration/core needle biopsy (FNAC/CNB) after external examination. Lesions were reclassified according to Breast Imaging-Reporting and Data System (BI-RADS). External examinations were classified as breast-expert, not-breast-expert and physicians as expert-center-breast-radiologists (EBR), NEBR, and non-radiologists (NR). Personal/family history of breast cancer (BC), breast-density and presence of prior imaging were collected. RESULTS DR was 74.3%. After second opinion, FNAC/CNB was proposed in 25.7% of cases and 2 additional cancers were detected. About 59.5% of unnecessary FNAC/CNB were avoided. Dense breast, no prior imaging examination and BC family-history were associated with higher DR (p-value |
| Databáze: | OpenAIRE |
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