Role of core needle biopsy in the treatment of radial scar

Dezso Tóth, Éva Sebo, László Sarkadi, Ilona Kovács, Csongor Kiss, László Damjanovich

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Invasive tumor or ductal carcinoma in situ occur in radial sclerosing lesions in one third of the cases therefore, surgical excision is mandatory.Forty-five patients with radial scar morphology were examined. Ultrasound guided fine-needle aspiration biopsy (FNAB) and core biopsy (CB) were performed in all cases. The postoperative pathological findings were compared to the results of preoperative biopsies. Sensitivity of preoperative percutaneous biopsies (FNAB and CB) was 17.6% and 70.6%, false-negative rate was 82.4% with FNAB and 29.4% with CB. The negative predictive value was 48.1% and 84.8% respectively. Had we done preoperative cytology only, we would have had to perform a two-step procedure (sentinel lymph node biopsy) in 7 patients (15.6%), while with preoperative core biopsy it has decreased to 2 patients (4.4%).Preoperative CB in small radial stellate lesions is recommended to achieve accurate diagnosis in order to avoid a two-step surgical procedures.

Original languageEnglish
Pages (from-to)761-763
Number of pages3
JournalBreast
Volume21
Issue number6
DOIs
Publication statusPublished - Dec 2012

Keywords

  • Core needle biopsy
  • Fine-needle biopsy
  • Radial scar
  • Sensitivity and specificity

ASJC Scopus subject areas

  • Surgery

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