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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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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12.	李珂, 刘涛, 庆一, 等. CNB在女性乳腺疾病诊断中的应用[J]. 中国老年学杂志, 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.	孙龙, 陈小松, 沈坤炜. 空芯针穿刺活检在乳腺疾病诊治中应用价值研究进展[J]. 中华外科杂志, 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, 倪姗姗, 周俊, 等. 浙江地区女性乳腺癌危险因素的病例对照研究[J]. 浙江大学学报:医学版, 2012, 41(5):512-518.
3. 杨雷, 孙婷婷, 袁延楠, 等. 北京市女性居民乳腺癌发病与经济发展水平的相关性分析[J]. 中华肿瘤杂志,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. 丁华野, 薛卫成. 应关注乳腺癌病理诊断中的新问题[J]. 中华病理学杂志, 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. 卫旭彪, 韩铖琛, 白辰光, 等. 上海部分地区30年女性乳腺癌发生的临床病理学差异比较[J]. 临床与实验病理学杂志, 2010, 26(5):528-531.
10. 张黎峰, 茅群霞, 王献蜜, 等. 我国6省市育龄妇女乳腺疾病流行状况调查[J]. 中国计划生育学杂志, 2014, 22(10):658-660, 665.
11. 杨举伦, 王丽. 乳腺癌的分子病理学研究[J]. 临床与实验病理学杂志, 2011, 27(1):10-14.
12. 李珂, 刘涛, 庆一, 等. CNB在女性乳腺疾病诊断中的应用[J]. 中国老年学杂志, 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. 孙龙, 陈小松, 沈坤炜. 空芯针穿刺活检在乳腺疾病诊治中应用价值研究进展[J]. 中华外科杂志, 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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