دورية أكاديمية
Outcomes of high-risk breast lesions diagnosed using image-guided core needle biopsy: results from a multicenter retrospective study.
| العنوان: | Outcomes of high-risk breast lesions diagnosed using image-guided core needle biopsy: results from a multicenter retrospective study. |
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| المؤلفون: | Oktay A; Department of Radiology, Ege University Faculty of Medicine, İzmir, Turkey., Aslan Ö; Department of Radiology, Ege University Faculty of Medicine, İzmir, Turkey., Taşkın F; Department of Radiology, Acıbadem MAA University Faculty of Medicine; Acıbadem MAA University Senology Research Institute, Acıbadem Atakent Hospital, İstanbul, Turkey., Tunçbilek N; Department of Radiology, Trakya University Faculty of Medicine, Edirne, Turkey., Esen İçten SG; Department of Radiology, Acıbadem MAA University Faculty of Medicine; Acıbadem MAA University Senology Research Institute, İstanbul, Turkey., Balcı P; Department of Radiology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey., Arıbal ME; Department of Radiology, Acıbadem MAA University Faculty of Medicine, İstanbul, Turkey., Çelik L; Department of Radiology, Maltepe University Faculty of Medicine; İstanbul, Turkey., Örgüç İŞ; Department of Radiology, Manisa Celal Bayar University Faculty of Medicine, Manisa, Turkey., Başaran Demirkazık F; Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey., Gültekin S; Department of Radiology, Gazi University Faculty of Medicine, Ankara, Turkey., Aydın AM; Department of Radiology, Fırat University Faculty of Medicine, Elazığ, Turkey., Durmaz E; Department of Radiology, Akdeniz University Faculty of Medicine, Antalya, Turkey., Kul S; Department of Radiology, Karadeniz Techinal University Faculty of Medicine, Trabzon, Turkey., Binokay F; Department of Radiology, Çukurova University Faculty of Medicine, Adana, Turkey., Çetin M; Department of Radiology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey., Emlik GD; Department of Radiology, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey., Akpınar MG; Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey., Kadıoğlu Voyvoda SN; Department of Radiology, University of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Turkey., Polat AV; Department of Radiology, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey., Başara Akın I; Department of Radiology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey., Yıldız Ş; Department of Radiology, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Turkey., Poyraz N; Department of Radiology, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey., Özsoy A; Department of Radiology, University of Health Sciences Turkey, Ankara City Hospital, Ankara, Turkey., Öztekin PS; Department of Radiology, Ankara Training and Research Hospital, Ankara, Turkey., Elverici E; Department of Radiology, University of Health Sciences Turkey, Ankara City Hospital, Ankara, Turkey., Bayrak İK; Department of Radiology, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey., İkizceli T; Department of Radiology, University of Health Sciences Turkey, İstanbul Haseki Training and Research Hospital, İstanbul, Turkey., Dinç F; Department of Radiology, Muğla Sıtkı Koman University Faculty of Medicine, Muğla Turkey., Sezgin G; Department of Radiology, İzmir Katip Çelebi University, Atatürk Training and Research Hospital, İzmir, Turkey., Gülşen G; Department of Radiology, University of Health Sciences Turkey, İstanbul Haseki Training and Research Hospital, İstanbul, Turkey., Tunçbilek I; Department of Radiology, Medsentez Private Clinic, Ankara, Turkey., Yalçın SR; Department of Radiology, Medsentez Private Clinic, Ankara, Turkey., Çolakoğlu G; Department of Radiology, University of Health Sciences Turkey, İzmir Tepecik Training and Research Hospital, İzmir, Turkey., Ağlamış S; Department of Radiology, Fırat University Faculty of Medicine, Elazığ, Turkey., Yılmaz R; Department of Radiology, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey., Rona G; Department of Radiology, University of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Turkey., Durhan G; Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey., Güner DC; Department of Radiology, Maltepe University Faculty of Medicine; İstanbul, Turkey., Çelik Yabul F; Department of Radiology, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Turkey., Günbey Karabekmez L; Department of Radiology, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey., Tutar B; Department of Radiology, Acıbadem Maslak Hospital, İstanbul, Turkey., Göktaş M; Department of Radiology, Ministry of Health Çerkezköy State Hospital, İstanbul, Turkey., Buğdaycı O; Department of Radiology, Marmara University Faculty of Medicine, İstanbul, Turkey., Suner A; Department of Biostatistics and Medical Informatics, Ege University Faculty of Medicine, İzmir, Turkey., Özdemirhttps/Orcid Org/ N; Department of Medical Pathology, Ege University Faculty of Medicine, İzmir, Turkey. |
| المصدر: | Diagnostic and interventional radiology (Ankara, Turkey) [Diagn Interv Radiol] 2023 Jul 20; Vol. 29 (4), pp. 579-587. Date of Electronic Publication: 2023 Jan 09. |
| نوع المنشور: | Multicenter Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Galenos Publishing House Country of Publication: Turkey NLM ID: 101241152 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1305-3612 (Electronic) Linking ISSN: 13053825 NLM ISO Abbreviation: Diagn Interv Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Istanbul : Galenos Publishing House Original Publication: Ankara, Turkey : Turkish Society of Radiology, [2005]- |
| مواضيع طبية MeSH: | Breast Neoplasms*/pathology , Carcinoma, Intraductal, Noninfiltrating*, Humans ; Female ; Biopsy, Large-Core Needle/methods ; Retrospective Studies ; Image-Guided Biopsy/methods |
| مستخلص: | Purpose: The clinical management of high-risk lesions using image-guided biopsy is challenging. This study aimed to evaluate the rates at which such lesions were upgraded to malignancy and identify possible predictive factors for upgrading high-risk lesions. Methods: This retrospective multicenter analysis included 1.343 patients diagnosed with high-risk lesions using an image-guided core needle or vacuum-assisted biopsy (VAB). Only patients managed using an excisional biopsy or with at least one year of documented radiological follow-up were included. For each, the Breast Imaging Reporting and Data System (BI-RADS) category, number of samples, needle thickness, and lesion size were correlated with malignancy upgrade rates in different histologic subtypes. Pearson's chi-squared test, the Fisher-Freeman-Halton test, and Fisher's exact test were used for the statistical analyses. Results: The overall upgrade rate was 20.6%, with the highest rates in the subtypes of intraductal papilloma (IP) with atypia (44.7%; 55/123), followed by atypical ductal hyperplasia (ADH) (38.4%; 144/375), lobular neoplasia (LN) (12.7%; 7/55), papilloma without atypia (9.4%; 58/611), flat epithelial atypia (FEA) (8.7%; 10/114), and radial scars (RSs) (4.6%; 3/65). There was a significant relationship between the upgrade rate and BI-RADS category, number of samples, and lesion size Lesion size was the most predictive factor for an upgrade in all subtypes. Conclusion: ADH and atypical IP showed considerable upgrade rates to malignancy, requiring surgical excision. The LN, IP without atypia, pure FEA, and RS subtypes showed lower malignancy rates when the BI-RADS category was lower and in smaller lesions that had been adequately sampled using VAB. After being discussed in a multidisciplinary meeting, these cases could be managed with follow-up instead of excision. |
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| فهرسة مساهمة: | Keywords: B3 lesions; Core needle biopsy; breast cancer; image guided breast biopsy; vacuum assisted biopsy |
| تواريخ الأحداث: | Date Created: 20230330 Date Completed: 20230721 Latest Revision: 20231206 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10679644 |
| DOI: | 10.4274/dir.2022.221790 |
| PMID: | 36994925 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1305-3612 |
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| DOI: | 10.4274/dir.2022.221790 |