Analysis of the Consistency between Core Needle Biopsy by Color Ultrasound Location and Surgical Biopsy in the Diagnosis of Breast Diseases_West China Medical Journal

Authors：

 CuiBin ¹ , HuangHeng ² , JiangHanguo ³

1. Department of Pathology, People's Hospital of Lianjiang, Lianjiang, Guangdong 524400, P. R. China;
2. Department of Breast Surgery, People's Hospital of Lianjiang, Lianjiang, Guangdong 524400, P. R. China;
3. Department of Pathology, Guangdong Medical College, Zhanjiang, Guangdong 524023, P. R. China;

Corresponding?author：

Keywords：

Mammary cancer; Core needle biopsy; Histological examination

DOI：

10.7507/1002-0179.201600337

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the consistency between core needle biopsy (CNB) by color ultrasound location and surgical biopsy in the diagnosis of breast diseases. Methods Between March 2012 and March 2015, the results of ultrasound-guided CNB pathological examination of 218 cases of breast diseases were retrospectively analyzed, which were compared with the results of postoperative histopathological diagnosis to evaluate the ultrasound-guided CNB diagnosis. Results In the 218 cases, 156 of mammary cancer were confirmed by CNB histopathological diagnosis, and 160 were confirmed by the postoperative pathological histological diagnosis; the false negative diagnosis by CNB pathological diagnosis was 4. The two methods were highly matched with each other (k=0.958,P<0.001). The sensitivity of CNB histopathological diagnosis for mammary cancer was 97.5%, while the specificity was 100.0% and the accuracy rate was 98.2%. Conclusion CNB histopathologic diagnosis of breast lesions had high accuracy and high consistency with postoperative histopathological diagnosis results, which is a reliable biopsy method for breast lesions.

Citation： CuiBin, HuangHeng, JiangHanguo. Analysis of the Consistency between Core Needle Biopsy by Color Ultrasound Location and Surgical Biopsy in the Diagnosis of Breast Diseases. West China Medical Journal, 2016, 31(7): 1240-1242. doi: 10.7507/1002-0179.201600337 Copy

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8.	Chen X, Sun L, Mao Y, et al. Preoperative core needle biopsy is accurate in determining molecular subtypes in invasive breast cancer[J]. BMC Cancer, 2013(13):390.
9.	衛旭彪, 韓鋮琛, 白辰光, 等. 上海部分地區30年女性乳腺癌發生的臨床病理學差異比較[J]. 臨床與實驗病理學雜志, 2010, 26(5):528-531.
10.	張黎峰, 茅群霞, 王獻蜜, 等. 我國6省市育齡婦女乳腺疾病流行狀況調查[J]. 中國計劃生育學雜志, 2014, 22(10):658-660, 665.
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12.	李珂, 劉濤, 慶一, 等. CNB在女性乳腺疾病診斷中的應用[J]. 中國老年學雜志, 2014, 34(16):4516-4518.
13.	Parker SH, Jobe WE, Dennis MA, et al. US-guided automated largecore breast biopsy[J]. Radiology, 1993, 187(2):507.
14.	孫龍, 陳小松, 沈坤煒. 空芯針穿刺活檢在乳腺疾病診治中應用價值研究進展[J]. 中華外科雜志, 2013, 51(6):565-567.

1. Lee MC, Joh JE, Chau A. Axillary staging prior to neoadjuvant chemotherapy:the roles of sentinel lymph node biopsy and axillary ultrasonography[J]. Cancer Control, 2012, 19(4):277-285.
2. 姚雪英, 倪姍姍, 周俊, 等. 浙江地區女性乳腺癌危險因素的病例對照研究[J]. 浙江大學學報:醫學版, 2012, 41(5):512-518.
3. 楊雷, 孫婷婷, 袁延楠, 等. 北京市女性居民乳腺癌發病與經濟發展水平的相關性分析[J]. 中華腫瘤雜志,2014, 36(9):713-716.
4. Hoda S, Harigopal M, Harris GC, et al. Expert opinion:reporting needle core biopsies of breast carcinomas[J]. Histopathology, 2003, 43(1):84-90.
5. Renshaw A. Adequate histologic sampling of breast core needle biopsies[J]. Arch Pathol Lad Med, 2001, 125(8):1055-1057.
6. Ellis IO, Humphrey S, Mitchell M, et al. Guidlines for breast needle core biopsy handing and reporting in breast screening assessment[J]. J Clin Patrol, 2004, 57(9):897-902.
7. 丁華野, 薛衛成. 應關注乳腺癌病理診斷中的新問題[J]. 中華病理學雜志, 2008, 37(2):75-78.
8. Chen X, Sun L, Mao Y, et al. Preoperative core needle biopsy is accurate in determining molecular subtypes in invasive breast cancer[J]. BMC Cancer, 2013(13):390.
9. 衛旭彪, 韓鋮琛, 白辰光, 等. 上海部分地區30年女性乳腺癌發生的臨床病理學差異比較[J]. 臨床與實驗病理學雜志, 2010, 26(5):528-531.
10. 張黎峰, 茅群霞, 王獻蜜, 等. 我國6省市育齡婦女乳腺疾病流行狀況調查[J]. 中國計劃生育學雜志, 2014, 22(10):658-660, 665.
11. 楊舉倫, 王麗. 乳腺癌的分子病理學研究[J]. 臨床與實驗病理學雜志, 2011, 27(1):10-14.
12. 李珂, 劉濤, 慶一, 等. CNB在女性乳腺疾病診斷中的應用[J]. 中國老年學雜志, 2014, 34(16):4516-4518.
13. Parker SH, Jobe WE, Dennis MA, et al. US-guided automated largecore breast biopsy[J]. Radiology, 1993, 187(2):507.
14. 孫龍, 陳小松, 沈坤煒. 空芯針穿刺活檢在乳腺疾病診治中應用價值研究進展[J]. 中華外科雜志, 2013, 51(6):565-567.

West China Medical Journal

Analysis of the Consistency between Core Needle Biopsy by Color Ultrasound Location and Surgical Biopsy in the Diagnosis of Breast Diseases

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