| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
1
Department of Radiology, Brigham and Women's Hospital, 75 Francis St., Boston,
MA 02115.
2
Department of Pathology, Brigham and Women's Hospital, Boston, MA 02115.
3
Department of Surgery, Brigham and Women's Hospital, Boston, MA 02115.
OBJECTIVE. This investigation compares the frequency of histologic underestimation of breast carcinoma that occurs when a large-core needle biopsy reveals atypical ductal hyperplasia or ductal carcinoma in situ with the automated 14-gauge needle, the 14-gauge directional vacuum-assisted biopsy device, and the 11-gauge directional vacuum-assisted biopsy device.
SUBJECTS AND METHODS. Evaluation of 428 large-core needle biopsies yielding atypical ductal hyperplasia (139 lesions) or ductal carcinoma in situ (289 lesions) was performed. The results of subsequent surgical excision were retrospectively compared with the needle biopsy results.
RESULTS. For lesions initially diagnosed as ductal carcinoma in situ, underestimation of invasive ductal carcinoma was significantly less frequent using the 11-gauge directional vacuum-assisted biopsy device when compared with the automated 14-gauge needle (10% versus 21%, p < 0.05) but was not significantly less frequent when compared with the 14-gauge directional vacuum-assisted device (10% versus 17%, p > 0.1). For lesions diagnosed initially as atypical ductal hyperplasia, underestimation of ductal carcinoma in situ and invasive ductal carcinoma was significantly less frequent using the 11-gauge directional vacuum-assisted biopsy device compared with the 14-gauge directional vacuum-assisted device (19% versus 39%, p = 0.025) and with the automated 14-gauge needle (19% versus 44%, p = 0.01).
CONCLUSION. The frequency of histologic underestimation of breast carcinoma in lesions initially diagnosed as atypical ductal hyperplasia or ductal carcinoma in situ using large-core needle biopsy is substantially lower with the 11-gauge directional vacuum-assisted device than with the automated 14-gauge needle and with the 14-gauge directional vacuum-assisted device.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  J. H. Youk, E.-K. Kim, and M. J. Kim Atypical Ductal Hyperplasia Diagnosed at Sonographically Guided 14-Gauge Core Needle Biopsy of Breast Mass Am. J. Roentgenol., April 1, 2009; 192(4): 1135 - 1141. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Jackman, F. A. Marzoni Jr., and J. Rosenberg False-Negative Diagnoses at Stereotactic Vacuum-Assisted Needle Breast Biopsy: Long-Term Follow-Up of 1,280 Lesions and Review of the Literature Am. J. Roentgenol., February 1, 2009; 192(2): 341 - 351. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. J. Wagoner, C. Laronga, and G. Acs Extent and Histologic Pattern of Atypical Ductal Hyperplasia Present on Core Needle Biopsy Specimens of the Breast Can Predict Ductal Carcinoma In Situ in Subsequent Excision Am J Clin Pathol, January 1, 2009; 131(1): 112 - 121. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. R. Eby, J. E. Ochsner, W. B. DeMartini, K. H. Allison, S. Peacock, and C. D. Lehman Frequency and Upgrade Rates of Atypical Ductal Hyperplasia Diagnosed at Stereotactic Vacuum-Assisted Breast Biopsy: 9-Versus 11-Gauge Am. J. Roentgenol., January 1, 2009; 192(1): 229 - 234. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. R. Eby, J. E. Ochsner, W. B. DeMartini, K. H. Allison, S. Peacock, and C. D. Lehman Is Surgical Excision Necessary for Focal Atypical Ductal Hyperplasia Found at Stereotactic Vacuum-Assisted Breast Biopsy? Ann. Surg. Oncol., November 1, 2008; 15(11): 3232 - 3238. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Jang, N. Cho, W. K. Moon, J. S. Park, M. H. Seong, and I. A. Park Underestimation of Atypical Ductal Hyperplasia at Sonographically Guided Core Biopsy of the Breast Am. J. Roentgenol., November 1, 2008; 191(5): 1347 - 1351. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. R. Porembka, R. L. Abraham, J. A. Sefko, A. D. Deshpande, D. B. Jeffe, and J. A. Margenthaler Factors Associated with Lymph Node Assessment in Ductal Carcinoma in situ: Analysis of 1988-2002 Seer Data Ann. Surg. Oncol., October 1, 2008; 15(10): 2709 - 2719. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. F. Brem, M. C. Lechner, R. J. Jackman, J. A. Rapelyea, W. P. Evans, L. E. Philpotts, J. Hargreaves, and S. Wasden Lobular Neoplasia at Percutaneous Breast Biopsy: Variables Associated with Carcinoma at Surgical Excision Am. J. Roentgenol., March 1, 2008; 190(3): 637 - 641. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. P. Lourenco, M. B. Mainiero, E. Lazarus, D. Giri, and B. Schepps Stereotactic Breast Biopsy: Comparison of Histologic Underestimation Rates with 11- and 9-Gauge Vacuum-Assisted Breast Biopsy Am. J. Roentgenol., November 1, 2007; 189(5): W275 - W279. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. C. Boughey, R. J. Gonzalez, E. Bonner, and H. M. Kuerer Current Treatment and Clinical Trial Developments for Ductal Carcinoma In Situ of the Breast Oncologist, November 1, 2007; 12(11): 1276 - 1287. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Pandey, M. J. Kornstein, W. Shank, and E. S. de Paredes Columnar Cell Lesions of the Breast: Mammographic Findings with Histopathologic Correlation RadioGraphics, October 1, 2007; 27(suppl_1): S79 - S89. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Sohn, Z. Arthurs, G. Herbert, J. Keylock, J. Perry, M. Eckert, D. Fellabaum, D. Smith, and T. Brown Atypical Ductal Hyperplasia: Improved Accuracy with the 11-Gauge Vacuum-Assisted versus the 14-Gauge Core Biopsy Needle Ann. Surg. Oncol., September 1, 2007; 14(9): 2497 - 2501. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. R. Margolin, L. Kaufman, R. P. Jacobs, S. R. Denny, and J. D. Schrumpf Stereotactic Core Breast Biopsy of Malignant Calcifications: Diagnostic Yield of Cores with and Cores without Calcifications on Specimen Radiographs Radiology, October 1, 2004; 233(1): 251 - 254. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. M. Lomoschitz, T. H. Helbich, M. Rudas, G. Pfarl, K. F. Linnau, A. Stadler, and R. J. Jackman Stereotactic 11-gauge Vacuum-assisted Breast Biopsy: Influence of Number of Specimens on Diagnostic Accuracy Radiology, September 1, 2004; 232(3): 897 - 903. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. C. Foster, M. A. Helvie, N. E. Gregory, M. Rebner, A. V. Nees, and C. Paramagul Lobular Carcinoma in Situ or Atypical Lobular Hyperplasia at Core-Needle Biopsy: Is Excisional Biopsy Necessary? Radiology, June 1, 2004; 231(3): 813 - 819. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. J. Burstein, K. Polyak, J. S. Wong, S. C. Lester, and C. M. Kaelin Ductal Carcinoma in Situ of the Breast N. Engl. J. Med., April 1, 2004; 350(14): 1430 - 1441. [Full Text] [PDF]
|
|
|
|
|
|
L. E. Hoorntje, M. E. I. Schipper, P. H. M. Peeters, F. Bellot, R. K. Storm, and I. H. M. Borel Rinkes The Finding of Invasive Cancer After a Preoperative Diagnosis of Ductal Carcinoma-In-Situ: Causes of Ductal Carcinoma-In-Situ Underestimates With Stereotactic 14-Gauge Needle Biopsy Ann. Surg. Oncol., August 1, 2003; 10(7): 748 - 753. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Shousha Issues in the Interpretation of Breast Core Biopsies International Journal of Surgical Pathology, July 1, 2003; 11(3): 167 - 176. [Abstract] [PDF]
|
|
|
|
|
|
S. Huber, M. Wagner, M. Medl, and H. Czembirek Benign Breast Lesions: Minimally Invasive Vacuum-assisted Biopsy with 11-Gauge Needles—Patient Acceptance and Effect on Follow-up Imaging Findings Radiology, March 1, 2003; 226(3): 783 - 790. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. W. Jakub, S. Pendas, and D. S. Reintgen Current Status of Sentinel Lymph Node Mapping and Biopsy: Facts and Controversies Oncologist, February 1, 2003; 8(1): 59 - 68. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Liberman, J. B. Kaplan, E. A. Morris, A. F. Abramson, J. H. Menell, and D. D. Dershaw To Excise or To Sample the Mammographic Target: What Is the Goal of Stereotactic II-Gauge Vacuum-Assisted Breast Biopsy? Am. J. Roentgenol., September 1, 2002; 179(3): 679 - 683. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Jackman, R. L. Birdwell, and D. M. Ikeda Atypical Ductal Hyperplasia: Can Some Lesions Be Defined as Probably Benign after Stereotactic 11-gauge Vacuum-assisted Biopsy, Eliminating the Recommendation for Surgical Excision? Radiology, August 1, 2002; 224(2): 548 - 554. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Georgian-Smith, C. D'Orsi, E. Morris, C. F. Clark Jr., E. Liberty, and C. D. Lehman Stereotactic Biopsy of the Breast Using an Upright Unit, a Vacuum-Suction Needle, and a Lateral Arm-Support System Am. J. Roentgenol., April 1, 2002; 178(4): 1017 - 1024. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Liberman, S. L. Goodstine, D. D. Dershaw, E. A. Morris, L. R. LaTrenta, A. F. Abramson, and K. J. V. Zee One Operation After Percutaneous Diagnosis of Nonpalpable Breast Cancer: Frequency and Associated Factors Am. J. Roentgenol., March 1, 2002; 178(3): 673 - 679. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Perez-Fuentes, I. R. Longobardi, V. F. Acosta, C. E. Marin, and L. Liberman Sonographically Guided Directional Vacuum-Assisted Breast Biopsy: Preliminary Experience in Venezuela Am. J. Roentgenol., December 1, 2001; 177(6): 1459 - 1463. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Liberman, C. A. Gougoutas, M. F. Zakowski, L. R. LaTrenta, A. F. Abramson, E. A. Morris, and D. D. Dershaw Calcifications Highly Suggestive of Malignancy: Comparison of Breast Biopsy Methods Am. J. Roentgenol., July 1, 2001; 177(1): 165 - 172. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Guenin, M. L. R. Darling, D. N. Smith, and S. C. Lester Less Is Not More in Stereotactic Biopsy Am. J. Roentgenol., July 1, 2001; 177(1): 250 - 251. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
