Journal of Isfahan Medical School

Journal of Isfahan Medical School

Comparing the Results of Visual Inspection of Ultrasound-Guided Core Needle Biopsy Specimens with Pathology Outcomes in Patients with Breast Tumors

Document Type : Original Article (s)

Authors
Mahshid Haghighi 1
Reza Khosravi 2
1 Associate Professor, Department of Radiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22122/jims.v36i469.9387
Abstract
Background: The core needle biopsy (CNB) is a commonly used method and a gold standard for the diagnosis of breast lesions. The purpose of this study was to compare the results of visual inspection of ultrasound-guided core needle biopsy specimens with pathology outcomes in patients with breast tumors.Methods: In this cross-sectional descriptive study, 600 patients with breast tumors who were candidates for core needle biopsy with ultrasonography were entered into the study according to inclusion and exclusion criteria. Then, samples were taken by a radiologist who categorized the breast mass to malignant or benign according to its consistency and shape, based on observation, as well as the Breast Imaging Reporting and Data System (BIRADS). The results of the core specimen categorization were compared with the pathology outcomes.Findings: The sensitivity and specificity of the core specimen categorization were 97.48% and 94.10%, respectively. The positive and negative predictive values of this test were 85.64% and 99.05%, respectively.Conclusion: The sensitivity and specificity of the visual inspection of core specimen was high for detecting the type of mass. So, it can increase the accuracy of the biopsy of the breast lesions, especially in sizes less than 10 mm, reduce the number of cores taken from the lesion, and give the patient a relative assurance of benign lesion at the same time as performing a biopsy to remove his/her anxiety earlier.
Keywords
Observation
Needle
Biopsy
Breast tumors
Pathology
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Journal of Isfahan Medical School
Volume 36, Issue 469 - Serial Number 469
January and February 2018
Pages 148-155

  • Receive Date 27 December 2017
  • Accept Date 06 April 2022