Biopsija dojke pod kontrolom ultrazvuka - retrospektivna studija i pregled literature

Scientific paper - Review paper

• Title (english): Ultrasound guided breast biopsy - a retrospective study and literature review
• Author: Maja Prutki
• Author: Ranka Štern-Padovan
• Author: Jasminka Jakić-Razumović
• Author: Kristina Potočki
• Author: Tanja Badovinac-Črnjević
• Author: Anja Tea Golubić
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

AIM:

The purpose of this study is to determine the accuracy and clinical usefulness of ultrasound guided core biopsy for diagnosing suspicious radiologically detected breast lesions. ----- PATIENTS AND METHODS:

We retrospectively evaluated the results of percutaneous core biopsy with 14-gauge needles performed over a period of 14 months on 229 suspicious lesions detectable on mammography and/or ultrasound exam (BI-RADS 4 or 5). The imaging-histological concordance was ascertained for each lesion. In cases of discordance, repeat biopsy or surgical excision was performed. Six-month ultrasound control was recommended in cases of benign lesions. For borderline and malignant lesions a surgical excision was done. Concordance between biopsy results and subsequent examinations (surgical excision or follow-up) was also evaluated. ----- RESULTS:

Histological analysis of core biopsy samples showed 143 (62.4%) benign lesions, 21 (9.2%) borderline lesions and 65 (28.4%) malignant lesions. Follow-up, repeated biopsy, or surgical excision showed four false negative cases. Accuracy of ultrasound guided core biopsy was 98.3%. ----- CONCLUSION:

Ultrasound guided core biopsy is a safe and reliable method for diagnosing suspicious breast lesions without any significant complications as was reported in previous studies.

Abstract (croatian)

Cilj. Svrha je istraživanja retrospektivno analizirati točnost i kliničku vrijednost biopsije širokom iglom pod kontrolom
ultrazvuka (UZ) sumnjivih lezija u dojci. ----- Materijali i metode. Retrospektivno su analizirani nalazi patohistološke analize
229 sumnjivih lezija u dojci koji su dobiveni biopsijom širokom iglom pod UZ kontrolom u razdoblju od 14 mjeseci. Sumnjive su
lezije otkrivene mamografijom i/ili ultrazvukom (BI-RADS 4 ili 5). Ako je nakon biopsije postojala nepodudarnost radiološkog
i patohistološkog nalaza, ponovila se biopsija širokom iglom ili se učinila kirurška biopsija lezije. U slučaju benignih
lezija bolesnice su bile naručene na UZ kontrolu za šest mjeseci, a za granično maligne lezije i maligne lezije preporučena
je kirurška ekscizija. Uspoređeni su nalazi biopsije širokom iglom i kirurške ekscizije. ----- Rezultati. Patohistološkom analizom
bioptiranih lezija otkrivene su 143 (62,4%) benigne lezije, 21 (9,2%) granično maligna lezija i 65 (28,4%) malignih lezija.
Praćenjem, ponovljenom biopsijom ili kirurškom ekscizijom dokazana su četiri lažno negativna nalaza. Točnost biopsije širokom
iglom pod UZ kontrolom iznosila je 98,3%. ----- Zaključak. Biopsija širokom iglom pouzdana je metoda za postavljanje dijagnoze
sumnjivih lezija u dojci bez značajnijih komplikacija.

• Keywords (english): Biopsy, Large-Core Needle; Breast/pathology; Breast Neoplasms/diagnosis; Female; Humans; Ultrasonography, Interventional
• Language: croatian
• Publication type: Scientific paper - Review paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 134, no. 9-10, pp. 270-275
• p-ISSN: 0024-3477
• URN:NBN: urn:nbn:hr:105:508851
• Publication: 2012-09
• Document URL: http://lijecnicki-vjesnik.hlz.hr/lijecnicki-vjesnik/biopsija-dojke-pod-kontrolom-ultrazvuka-retrospektivna-studija-i-pregled-literature/
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-27 19:57:47