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Does ultrasound core breast biopsy predict histologic finding on excisional biopsy? | LitMetric

AI Article Synopsis

  • The study aimed to evaluate how well ultrasound-guided core breast biopsy (USB) predicts the results of a later excisional breast procedure (EP).
  • Data from 832 USBs followed by EPs showed that USB histology matched the EP findings 90% of the time, with some instances where USB either overestimated or underestimated the results.
  • The findings suggest that while USB is a useful diagnostic tool, it does have some limitations in its sampling accuracy.

Article Abstract

Background: The purpose of this study was to determine whether ultrasound-guided core breast biopsy accurately predicts the histologic finding of a subsequent excisional procedure.

Methods: Data were collected prospectively from 1997 to 2001 for 832 ultrasound-guided core breast biopsies (USB) that were followed by excisional breast procedure (EP) within 1 year at our institution. The principal histologic finding obtained at USB and EP was identified for each procedure and the degree of agreement was assessed.

Results: The USB histology predicted EP histology in 90% (n = 746) of the procedures. The USB histology was more significant than EP histology in 3% (n = 22) of procedures; USB histology underdetermined EP histology in 7% (n = 64) of procedures. Overall, our results indicate moderate agreement between the principal histology identified at USB relative to that identified at EP.

Conclusions: Ultrasound-guided core breast biopsy is an effective diagnostic method, but sampling limitations do exist.

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Source
http://dx.doi.org/10.1016/s0002-9610(03)00281-2DOI Listing

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