Visual inspection results of ultrasound guided biopsy specimens and compared with open biopsy pathologic in patients with breast lesions.

IF 1.4 Q4 IMMUNOLOGY American journal of clinical and experimental immunology Pub Date : 2020-06-15 eCollection Date: 2020-01-01
Amirmohammad Ghanei, Sadegh Sabouhi, Sepehr Eslami, Mina Shakery, Maryam Fahim
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Abstract

Background: Core needle biopsy (CNB) method is a common method and a gold standard for the diagnosis of breast lesions. The purpose of this study was to compare the results of visual inspection of ultrasound guided biopsy specimens with pathologic outcomes in patients with breast lesions.

Methods: This cross-sectional descriptive was conducted on 600 patients with breast lesions who were candidates for ultrasonography with CNB were entered into the study. Then, patients underwent sonography with needle biopsy, in a sample taken by The radiologist classifies the breast mass according to its consistency and shape based on observation to the malignant or benign, as well as the Breast Imaging Reporting and Data System or Mass BIRADs. visual inspection results were compared with the CNB pathology of patients.

Results: In this study, the sensitivity and specificity of the lesion were 97.48% and 94.10%, respectively, and positive and negative predictive values of this test were 85.64% and 99.05%, respectively.

Conclusion: Given that the sensitivity and specificity of the biopsy lesions to detect the type of mass was higher than the pathology of the sample, it can be ensured that the biopsy of breast lesions, especially in sizes less than 10 mm in time Increased the biopsy and reduced the number of cores taken from the lesion.

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超声引导下活检标本的目视检查结果与乳腺病变患者开放活检病理比较。
背景:核心穿刺活检(CNB)方法是诊断乳腺病变的常用方法和金标准。本研究的目的是比较超声引导活检标本的视觉检查结果与乳腺病变患者的病理结果。方法:对600例乳腺病变患者进行横断面描述,这些患者是CNB超声检查的候选者。然后,对患者行超声穿刺活检,放射科医师在采集的样本中,根据肿块的一致性和形状,根据观察到的恶性或良性,以及乳腺成像报告和数据系统(mass BIRADs)对肿块进行分类。将目视检查结果与患者CNB病理进行比较。结果:本研究对病变的敏感性和特异性分别为97.48%和94.10%,阳性预测值和阴性预测值分别为85.64%和99.05%。结论:鉴于活检病变对肿块类型检测的敏感性和特异性高于病理标本,可以确保对乳腺病变特别是小于10 mm的病变及时活检,增加活检次数,减少病灶取芯次数。
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