Parker S H, Burbank F, Jackman R J, Aucreman C J, Cardenosa G, Cink T M, Coscia J L, Eklund G W, Evans W P, Garver P R
Breast Diagnostic and Counseling Centre, Radiology Imaging Associates, Englewood, CO 80111.
Radiology. 1994 Nov;193(2):359-64. doi: 10.1148/radiology.193.2.7972743.
To assess the reliability and reproducibility of automated large-core breast biopsy.
A consortium of 20 institutions reported, in a standardized fashion, their core breast biopsy data. All biopsies were performed with "long-throw" (2.3-cm) automated core biopsy devices fitted with 14-gauge needles. Needle guidance was accomplished by means of either a dedicated, stereotaxic device, in which the patient lies in the prone position, or high-frequency electronically focused ultrasound equipment.
The data in 6,152 lesions were gathered. Clinical or surgical follow-up was available in 3,765 lesions; 1,363 of these lesions were subsequently surgically excised, and the core histologic study showed cancer in 910 lesions, mammary intraepithelial neoplasia in 173 lesions, and benign disease in 280 lesions. In these 280 lesions, there were 15 false-negative core biopsies.
The data show that percutaneous large-core breast biopsy is a reproducible and reliable alternative to surgical biopsy.
评估乳腺自动大芯针活检的可靠性和可重复性。
20家机构组成的联盟以标准化方式报告了他们的乳腺芯针活检数据。所有活检均使用配备14号针的“长投式”（2.3厘米）自动芯针活检装置进行。针引导通过专用立体定位装置（患者俯卧位）或高频电子聚焦超声设备完成。
收集了6152个病灶的数据。3765个病灶有临床或手术随访资料；其中1363个病灶随后接受了手术切除，芯针组织学研究显示910个病灶为癌，173个病灶为乳腺上皮内瘤变，280个病灶为良性疾病。在这280个病灶中，有15例假阴性芯针活检。
数据表明，经皮乳腺大芯针活检是手术活检可重复且可靠的替代方法。
