Biopsija dojke pod kontrolom ultrazvuka - retrospektivna studija i pregled literature [Ultrasound guided breast biopsy - a retrospective study and literature review]

Prutki, Maja and Štern-Padovan, Ranka and Jakić-Razumović, Jasminka and Potočki, Kristina and Badovinac-Črnjević, Tanja and Golubić, Anja Tea (2012) Biopsija dojke pod kontrolom ultrazvuka - retrospektivna studija i pregled literature [Ultrasound guided breast biopsy - a retrospective study and literature review]. Liječnički vjesnik, 134 (9-10). pp. 270-275. ISSN 0024-3477

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Abstract

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 in 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.

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