| Indeterminate breast fine-needle aspiration: repeat aspiration or core needle biopsy? | |
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MedLine Citation:
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PMID: 19050965 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Fine-needle aspiration (FNA) of breast lesions provides indeterminate (C1, C3, and C4) diagnoses in a high proportion of cases. The aim of the present study was to retrospectively determine whether repeat FNA or core needle biopsy (CNB) most frequently provides a correct and more conclusive diagnosis. All patients who had an indeterminate primary FNA followed by repeat FNA or CNB within 1 month from 1992 to 2007 were included. FNA was diagnosed as C1-C5; CNB was diagnosed as B1-B5. Improvement in preoperative diagnosis by repeat FNA or CNB was defined as C2/B2 in benign lesions, C3/B3 in premalignant lesions, C4/B4 or C5/B5 in malignant lesions where primary FNA was C1, and C5/B5 in malignant lesions where primary FNA was C3 or C4. Among 255 eligible cases, CNB improved the preoperative diagnosis more often than did repeat FNA (78.0% vs. 54.8%, odds ratio = 2.9, P < .001). When corrected for patient age, appearance on mammogram (mass or not), clinical findings (palpable or not), tumor size, and aspiration mode (freehand vs. image guided), this difference slightly increased (odds ratio = 3.0, P = .001). CNB should be performed after an indeterminate FNA of a breast lesion to obtain a reliable and clear preoperative diagnosis. |
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Authors:
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Bauke Kooistra; Carla Wauters; Luc Strobbe |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2008-12-03 |
Journal Detail:
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Title: Annals of surgical oncology Volume: 16 ISSN: 1534-4681 ISO Abbreviation: Ann. Surg. Oncol. Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-02-02 Completed Date: 2009-04-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9420840 Medline TA: Ann Surg Oncol Country: United States |
Other Details:
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Languages: eng Pagination: 281-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, Canisius Wilhelmina Ziekenhuis, Nijmegen, The Netherlands. baukekooistra@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Biopsy, Fine-Needle Biopsy, Needle Breast Neoplasms / pathology* Carcinoma in Situ / pathology* Carcinoma, Ductal, Breast / pathology* Carcinoma, Lobular / pathology* Diagnosis, Differential Female Follow-Up Studies Humans Middle Aged Neoplasm Staging Prognosis Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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