The diagnosis of non-malignant papillary lesions of the breast: Comparison of ultrasound-guided automated gun biopsy and vacuum-assisted removal

M. J. Kim, S. I. Kim, J. H. Youk, H. J. Moon, J. Y. Kwak, B. W. Park, E. K. Kim

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Abstract

Aim: To compare the histological upgrade rate of ultrasound (US)-guided vacuum-assisted removal (VAR) and US-14 G-automated core needle biopsy (ACNB) in the diagnosis of papillary breast lesions. Materials and methods: Two hundred and seventy-one biopsies of 230 papillary lesions were examined, which underwent subsequent surgical excision or long-term follow-up after US-ACNB (n = 206) or US-VAR (n = 65). The false-negative and atypical papilloma underestimation rate were compared between the ACNB and VAR groups. Patient and lesion characteristics were collected. The histological upgrade rates of the diagnosis were estimated and compared. Results: Out of 271 papillary lesions, 195 (80.0%) were benign, 21 (7.7%) were atypical, and 55 (20.3%) were malignant. There were no false negatives or underestimated atypical papillomas in the VAR group. However, in the ACNB group, the false-negative rate was 7.6% (12 of 157 benign papillomas, 95% CI; 4.4-12.9%, p = 0.039) and the atypical papilloma underestimation rate was 33% (five of 15 atypical papillomas, 95% CI; 15.2-58.3%, p = 0.135). The histological upgrade rates of the diagnosis for papillary breast lesions were 0% for the VAR (0 of 66) group and 10.2% for the ACNB (21 of 206) group before adjusting for the population (p = 0.003). Conclusions: ACNB was associated with significantly higher false-negative and histological upgrade rates of diagnosis for papillary breast lesions than VAR.

Original languageEnglish
Pages (from-to)530-535
Number of pages6
JournalClinical Radiology
Volume66
Issue number6
DOIs
Publication statusPublished - 2011 Jun 1

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Large-Core Needle Biopsy
Firearms
Vacuum
Papilloma
Breast
Biopsy
Population

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

@article{5602847c2a564e23834638838ffbbc50,
title = "The diagnosis of non-malignant papillary lesions of the breast: Comparison of ultrasound-guided automated gun biopsy and vacuum-assisted removal",
abstract = "Aim: To compare the histological upgrade rate of ultrasound (US)-guided vacuum-assisted removal (VAR) and US-14 G-automated core needle biopsy (ACNB) in the diagnosis of papillary breast lesions. Materials and methods: Two hundred and seventy-one biopsies of 230 papillary lesions were examined, which underwent subsequent surgical excision or long-term follow-up after US-ACNB (n = 206) or US-VAR (n = 65). The false-negative and atypical papilloma underestimation rate were compared between the ACNB and VAR groups. Patient and lesion characteristics were collected. The histological upgrade rates of the diagnosis were estimated and compared. Results: Out of 271 papillary lesions, 195 (80.0{\%}) were benign, 21 (7.7{\%}) were atypical, and 55 (20.3{\%}) were malignant. There were no false negatives or underestimated atypical papillomas in the VAR group. However, in the ACNB group, the false-negative rate was 7.6{\%} (12 of 157 benign papillomas, 95{\%} CI; 4.4-12.9{\%}, p = 0.039) and the atypical papilloma underestimation rate was 33{\%} (five of 15 atypical papillomas, 95{\%} CI; 15.2-58.3{\%}, p = 0.135). The histological upgrade rates of the diagnosis for papillary breast lesions were 0{\%} for the VAR (0 of 66) group and 10.2{\%} for the ACNB (21 of 206) group before adjusting for the population (p = 0.003). Conclusions: ACNB was associated with significantly higher false-negative and histological upgrade rates of diagnosis for papillary breast lesions than VAR.",
author = "Kim, {M. J.} and Kim, {S. I.} and Youk, {J. H.} and Moon, {H. J.} and Kwak, {J. Y.} and Park, {B. W.} and Kim, {E. K.}",
year = "2011",
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language = "English",
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TY - JOUR

T1 - The diagnosis of non-malignant papillary lesions of the breast

T2 - Comparison of ultrasound-guided automated gun biopsy and vacuum-assisted removal

AU - Kim, M. J.

AU - Kim, S. I.

AU - Youk, J. H.

AU - Moon, H. J.

AU - Kwak, J. Y.

AU - Park, B. W.

AU - Kim, E. K.

PY - 2011/6/1

Y1 - 2011/6/1

N2 - Aim: To compare the histological upgrade rate of ultrasound (US)-guided vacuum-assisted removal (VAR) and US-14 G-automated core needle biopsy (ACNB) in the diagnosis of papillary breast lesions. Materials and methods: Two hundred and seventy-one biopsies of 230 papillary lesions were examined, which underwent subsequent surgical excision or long-term follow-up after US-ACNB (n = 206) or US-VAR (n = 65). The false-negative and atypical papilloma underestimation rate were compared between the ACNB and VAR groups. Patient and lesion characteristics were collected. The histological upgrade rates of the diagnosis were estimated and compared. Results: Out of 271 papillary lesions, 195 (80.0%) were benign, 21 (7.7%) were atypical, and 55 (20.3%) were malignant. There were no false negatives or underestimated atypical papillomas in the VAR group. However, in the ACNB group, the false-negative rate was 7.6% (12 of 157 benign papillomas, 95% CI; 4.4-12.9%, p = 0.039) and the atypical papilloma underestimation rate was 33% (five of 15 atypical papillomas, 95% CI; 15.2-58.3%, p = 0.135). The histological upgrade rates of the diagnosis for papillary breast lesions were 0% for the VAR (0 of 66) group and 10.2% for the ACNB (21 of 206) group before adjusting for the population (p = 0.003). Conclusions: ACNB was associated with significantly higher false-negative and histological upgrade rates of diagnosis for papillary breast lesions than VAR.

AB - Aim: To compare the histological upgrade rate of ultrasound (US)-guided vacuum-assisted removal (VAR) and US-14 G-automated core needle biopsy (ACNB) in the diagnosis of papillary breast lesions. Materials and methods: Two hundred and seventy-one biopsies of 230 papillary lesions were examined, which underwent subsequent surgical excision or long-term follow-up after US-ACNB (n = 206) or US-VAR (n = 65). The false-negative and atypical papilloma underestimation rate were compared between the ACNB and VAR groups. Patient and lesion characteristics were collected. The histological upgrade rates of the diagnosis were estimated and compared. Results: Out of 271 papillary lesions, 195 (80.0%) were benign, 21 (7.7%) were atypical, and 55 (20.3%) were malignant. There were no false negatives or underestimated atypical papillomas in the VAR group. However, in the ACNB group, the false-negative rate was 7.6% (12 of 157 benign papillomas, 95% CI; 4.4-12.9%, p = 0.039) and the atypical papilloma underestimation rate was 33% (five of 15 atypical papillomas, 95% CI; 15.2-58.3%, p = 0.135). The histological upgrade rates of the diagnosis for papillary breast lesions were 0% for the VAR (0 of 66) group and 10.2% for the ACNB (21 of 206) group before adjusting for the population (p = 0.003). Conclusions: ACNB was associated with significantly higher false-negative and histological upgrade rates of diagnosis for papillary breast lesions than VAR.

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U2 - 10.1016/j.crad.2011.01.008

DO - 10.1016/j.crad.2011.01.008

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VL - 66

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JO - Clinical Radiology

JF - Clinical Radiology

SN - 0009-9260

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