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Changing attitudes toward needle biopsies of breast cancer in Shanghai: experience and current status over the past 8 years.

Hao S, Liu ZB, Ling H, Chen JJ, Shen JP, Yang WT, Shao ZM - Onco Targets Ther (2015)

Bottom Line: Approximately 81.0% of biopsied samples were histopathologically determined to be malignant lesions, 5.5% were determined to be high-risk lesions, and 13.5% were determined to be benign lesions.The number of patients choosing UCNB increased at the greatest rate, and UCNB has become a standard procedure for histodiagnosis because it is inexpensive, convenient, and accurate.The overall false-negative rate of CNB was 1.7%, and the specific false-negative rates for UCNB, UVAB, and XVAB, were 1.7%, 0%, and 0%, respectively.

View Article: PubMed Central - PubMed

Affiliation: Department of Breast Surgery, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China ; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China.

ABSTRACT
Diagnostic patterns in breast cancer have greatly changed over the past few decades, and core needle biopsy (CNB) has become a reliable procedure for detecting breast cancer without invasive surgery. To estimate the changing diagnostic patterns of breast cancer in urban Shanghai, 11,947 women with breast lesions detected by preoperative needle biopsy between January 1995 and December 2012 were selected from the Shanghai Cancer Data base, which integrates information from approximately 50% of breast cancer patients in Shanghai. The CNB procedure uses an automated prone unit, biopsy gun, and 14-gauge needles under freehand or ultrasound guidance and was performed by experienced radiologists and surgeons specializing in needle biopsies. Diagnosis and classification for each patient were independently evaluated by pathologists. Over the indicated 8-year period, biopsy type consisted of 11,947 ultrasound-guided core needle biopsies (UCNBs), 2,015 ultrasound-guided vacuum-assisted biopsies (UVABs), and 654 stereotactic X-ray-guided vacuum-assisted biopsies (XVABs). For all the 11,947 women included in this study, image-guided needle biopsy was the initial diagnostic procedure. Approximately 81.0% of biopsied samples were histopathologically determined to be malignant lesions, 5.5% were determined to be high-risk lesions, and 13.5% were determined to be benign lesions. The number of patients choosing UCNB increased at the greatest rate, and UCNB has become a standard procedure for histodiagnosis because it is inexpensive, convenient, and accurate. The overall false-negative rate of CNB was 1.7%, and the specific false-negative rates for UCNB, UVAB, and XVAB, were 1.7%, 0%, and 0%, respectively. This study suggests that the use of preoperative needle biopsy as the initial breast cancer diagnostic procedure is acceptable in urban Shanghai. Preoperative needle biopsy is now a standard procedure in the Shanghai Cancer Center because it may reduce the number of surgeries needed to treat breast cancer.

No MeSH data available.


Related in: MedlinePlus

Trends in CNB and OSB procedures.Notes: “After resection” refers to patients treated at our institution but diagnosed elsewhere; these were excluded.Abbreviations: CNB, core needle biopsy; VAB, vacuum-assisted biopsy; OSB, open surgical biopsy.
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f1-ott-8-2865: Trends in CNB and OSB procedures.Notes: “After resection” refers to patients treated at our institution but diagnosed elsewhere; these were excluded.Abbreviations: CNB, core needle biopsy; VAB, vacuum-assisted biopsy; OSB, open surgical biopsy.

Mentions: Figure 1 shows the percentage of patients undergoing CNB or OSB. The diagnostic patterns greatly changed during the past 8 years, with increasing numbers of patients choosing preoperative needle biopsy instead of intraoperative frozen section analysis. For patients who were diagnosed and ultimately underwent surgery in our hospital, the number of preoperative needle biopsies greatly increased. The ratio of lesions diagnosed by preoperative biopsy to those diagnosed by intraoperative frozen section analysis tremendously increased from 0.14 (103/731) to 4.6 (2,148/468).


Changing attitudes toward needle biopsies of breast cancer in Shanghai: experience and current status over the past 8 years.

Hao S, Liu ZB, Ling H, Chen JJ, Shen JP, Yang WT, Shao ZM - Onco Targets Ther (2015)

Trends in CNB and OSB procedures.Notes: “After resection” refers to patients treated at our institution but diagnosed elsewhere; these were excluded.Abbreviations: CNB, core needle biopsy; VAB, vacuum-assisted biopsy; OSB, open surgical biopsy.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4608543&req=5

f1-ott-8-2865: Trends in CNB and OSB procedures.Notes: “After resection” refers to patients treated at our institution but diagnosed elsewhere; these were excluded.Abbreviations: CNB, core needle biopsy; VAB, vacuum-assisted biopsy; OSB, open surgical biopsy.
Mentions: Figure 1 shows the percentage of patients undergoing CNB or OSB. The diagnostic patterns greatly changed during the past 8 years, with increasing numbers of patients choosing preoperative needle biopsy instead of intraoperative frozen section analysis. For patients who were diagnosed and ultimately underwent surgery in our hospital, the number of preoperative needle biopsies greatly increased. The ratio of lesions diagnosed by preoperative biopsy to those diagnosed by intraoperative frozen section analysis tremendously increased from 0.14 (103/731) to 4.6 (2,148/468).

Bottom Line: Approximately 81.0% of biopsied samples were histopathologically determined to be malignant lesions, 5.5% were determined to be high-risk lesions, and 13.5% were determined to be benign lesions.The number of patients choosing UCNB increased at the greatest rate, and UCNB has become a standard procedure for histodiagnosis because it is inexpensive, convenient, and accurate.The overall false-negative rate of CNB was 1.7%, and the specific false-negative rates for UCNB, UVAB, and XVAB, were 1.7%, 0%, and 0%, respectively.

View Article: PubMed Central - PubMed

Affiliation: Department of Breast Surgery, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China ; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China.

ABSTRACT
Diagnostic patterns in breast cancer have greatly changed over the past few decades, and core needle biopsy (CNB) has become a reliable procedure for detecting breast cancer without invasive surgery. To estimate the changing diagnostic patterns of breast cancer in urban Shanghai, 11,947 women with breast lesions detected by preoperative needle biopsy between January 1995 and December 2012 were selected from the Shanghai Cancer Data base, which integrates information from approximately 50% of breast cancer patients in Shanghai. The CNB procedure uses an automated prone unit, biopsy gun, and 14-gauge needles under freehand or ultrasound guidance and was performed by experienced radiologists and surgeons specializing in needle biopsies. Diagnosis and classification for each patient were independently evaluated by pathologists. Over the indicated 8-year period, biopsy type consisted of 11,947 ultrasound-guided core needle biopsies (UCNBs), 2,015 ultrasound-guided vacuum-assisted biopsies (UVABs), and 654 stereotactic X-ray-guided vacuum-assisted biopsies (XVABs). For all the 11,947 women included in this study, image-guided needle biopsy was the initial diagnostic procedure. Approximately 81.0% of biopsied samples were histopathologically determined to be malignant lesions, 5.5% were determined to be high-risk lesions, and 13.5% were determined to be benign lesions. The number of patients choosing UCNB increased at the greatest rate, and UCNB has become a standard procedure for histodiagnosis because it is inexpensive, convenient, and accurate. The overall false-negative rate of CNB was 1.7%, and the specific false-negative rates for UCNB, UVAB, and XVAB, were 1.7%, 0%, and 0%, respectively. This study suggests that the use of preoperative needle biopsy as the initial breast cancer diagnostic procedure is acceptable in urban Shanghai. Preoperative needle biopsy is now a standard procedure in the Shanghai Cancer Center because it may reduce the number of surgeries needed to treat breast cancer.

No MeSH data available.


Related in: MedlinePlus