Authors: Joris P Bulte Lenny Polman Margrethe SchloozVries Annelies Werner Renate Besselink Kelly Sessink Roel Mus Susanne Lardenoije Mechli ImhofTas Johan Bulten Adriana C H van Engenvan Grunsven Ewout Schaafsma Luc J A Strobbe Peter Bult Johannes H W De Wilt
Publish Date: 2012/12/14
Volume: 137, Issue: 2, Pages: 609-616
Abstract
Many attempts have been made to combine the high diagnostic accuracy and conclusive rate of core needle biopsy CNB with the speed of fine needle aspiration cytology in evaluation of solid breast lesions Multiple hybrid techniques have been developed to achieve this We describe a cohort of patients for whom we used a relatively new accelerated method of CNB processing allowing for a definitive diagnosis the same day All patients visiting the Radboud University Nijmegen Medical Centre breast clinic during a 4year period were reviewed to identify all CNBs in this period performed in a sameday diagnosis track CNB result was compared to postoperative pathology reports when available and to followup when patients were not surgically treated 1060 patients underwent CNB of 1383 lesions 898 of which in a sameday diagnosis track with a sensitivity of 969 and a specificity of 994 The inconclusive rate was 92 For a sameday diagnosis for solid breast lesions we could give a conclusive diagnosis with accelerated CNB processing in 65 of our patients requiring CNB This technique can be used reliably in a sameday diagnosis breast clinic with a very high sensitivity specificity and conclusive rate
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