Soyder Aykut, Taşkin Füsun, Ozbas Serdar
Department of General Surgery, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
Department of Radiology, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
Breast Care (Basel). 2015 Feb;10(1):33-7. doi: 10.1159/000370219.
The objectives of this study were to determine the frequency of imaging-histological discordance and to compare the frequency of carcinoma between discordant lesions at ultrasound (US)-guided core needle biopsy.
From November 2009 to June 2012, we performed US-guided 14-gauge core needle biopsies on 989 breast lesions in 961 women. We reviewed 58 (5.8%) cases that had imaging-histological discordance after percutaneous breast biopsy and underwent subsequent excisional biopsy. The clinical, radiological, and histological findings were reviewed for those 58 cases.
Among the 58 cases, subsequent excisions revealed 16 (27.5%) malignancies, which were categorized as 9 (15.5%) invasive ductal carcinomas, 4 (6.9%) malignant phyllodes tumors, and 3 (5.1%) ductal carcinomas in situ.
The malignancy rate of 27.5% suggests that surgical excision should be performed in those cases presenting with imaging-histological discordance after US-guided core biopsy. Careful correlation of clinical, radiological, and histological results as well as appropriate follow-up are essential. We have submitted a short version of this work as a poster presentation during the 2012 European Society of Surgery (ESS) Congress in Istanbul/Turkey.
本研究的目的是确定影像学-组织学不一致的频率，并比较超声（US）引导下粗针穿刺活检中不一致病变的癌发生率。
2009年11月至2012年6月，我们对961名女性的989个乳腺病变进行了US引导下的14G粗针穿刺活检。我们回顾了58例（5.8%）经皮乳腺活检后存在影像学-组织学不一致且随后接受切除活检的病例。对这58例病例的临床、放射学和组织学结果进行了回顾。
在这58例病例中，随后的切除显示16例（27.5%）为恶性肿瘤，其中9例（15.5%）为浸润性导管癌，4例（6.9%）为恶性叶状肿瘤，3例（5.1%）为导管原位癌。
27.5%的恶性率表明，对于US引导下粗针活检后出现影像学-组织学不一致的病例应进行手术切除。仔细关联临床、放射学和组织学结果以及适当的随访至关重要。我们已将这项工作的简短版本作为海报展示在2012年于土耳其伊斯坦布尔举行的欧洲外科学会（ESS）大会上。
