The histological underestimation of stereotactic core needle biopsy in breast lesions
- VernacularTitle:乳腺立体定位核芯针活检的病理组织学低估原因分析
- Author:
Jie MA
;
Jianmin XU
;
Mu DU
;
Yangyang ZHOU
;
Da ZANG
;
Zhong YANG
;
Dongxian ZHOU
;
Peicheng MAI
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Mammography;
Biopsy;
Radiosurgery
- From:
Chinese Journal of Radiology
2008;42(6):597-600
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the histological underestimation of stereotactic core needle biopsy (SNCB).and tO attract clinicians' attention.Methods SNCB was performed in 146 patients with 179 lesions from September 2000 to June 2005.and 21 lesions were underestimated histologically.0f 21 nonpalpable breast lesions(NPBL).6 lesions were diagnosed as BI-RADS nl,12 8S BI-RADS Ⅳ,3 as BI-RADS V according to BI-RADS before biopsy.Mammography showed 16 lesions with calicification, 2 cases with masses,1 case with asymmetry density and 2 cases with stellate sign.Results Eleven lesions diagnosed as fibrocystic disease with atypical ductal hyperplasia by biopsy were proved to be ductal carcinoma in situ (DCIS)in 7 lesions and early infiltration in 4 lesions by pathology.3 lesions diagnosed as severe atypical hyperplasia by biopsy were finally proved to be 1 carcinoma in situ and early infiltration in 2 lesions by pathology.3 lesions diagnosed as DCIS by biopsy were invasive carcinoma.4 lesions diagnosed papillary lesions by biopsy and finally were 1 carcinoma in situ,1 early infiltration,1 infiltrating ductal carcinoma and l intraductal papillary adenocarcinoma.Conclusion The histological underestimation of SCNB Was related to the stereotactic location technology,lesion and doctor'S understanding,the radiologist should master the biopsy skills.
