Upstaging of Atypical Ductal Hyperplasia After Vacuum-Assisted 11-Gauge Stereotactic Core Needle Biopsy
BACKGROUND Nonpalpable mammographic abnormalities are frequently evaluated by means of a stereotactic core needle biopsy. This technique is a very sensitive indicator of invasive cancer, but is less reliable to discriminate between ductal carcinoma in situ and atypical ductal hyperplasia (ADH). The...
Gespeichert in:
| Veröffentlicht in: | Archives of surgery (Chicago. 1960) 2003-06, Vol.138 (6), p.619-623 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 623 |
|---|---|
| container_issue | 6 |
| container_start_page | 619 |
| container_title | Archives of surgery (Chicago. 1960) |
| container_volume | 138 |
| creator | Winchester, David J Bernstein, Joel R Jeske, Jan M Nicholson, Mary H Hahn, Elizabeth A Goldschmidt, Robert A Watkin, William G Sener, Stephen F Bilimoria, Malcolm B Barrera, Ermilio Winchester, David P |
| description | BACKGROUND Nonpalpable mammographic abnormalities are frequently evaluated by means of a stereotactic core needle biopsy. This technique is a very sensitive indicator of invasive cancer, but is less reliable to discriminate between ductal carcinoma in situ and atypical ductal hyperplasia (ADH). The objective of this study was to determine the correlation of the 11-gauge vacuum-assisted core needle biopsy to open biopsy when a diagnosis of ADH is obtained. HYPOTHESIS The use of 11-gauge vacuum-assisted stereotactic core needle biopsy does not conclusively diagnose ADH. DESIGN Retrospective analysis. SETTING University-affiliated teaching hospital. PATIENTS Mammographic findings were evaluated with an 11-gauge vacuum-assisted stereotactic core biopsy in 1750 patients. Seventy-seven patients were diagnosed as having ADH; of these, 65 underwent excisional biopsy. MAIN OUTCOME MEASURES Pathological upstaging rate. RESULTS Of the 65 patients who underwent excisional breast biopsy, 11 (17%) had their condition upstaged to a breast cancer diagnosis. These patients had presented at a later age than those who retained a benign diagnosis after excisional biopsy. The number of cores taken did not correlate with diagnostic accuracy. CONCLUSIONS Of the 65 patients who underwent open biopsy for ADH in this series, only 83% had an accurate diagnosis. A diagnosis of ADH by stereotactic core needle biopsy should be followed by an open excisional biopsy.Arch Surg. 2003;138:619-623--> |
| doi_str_mv | 10.1001/archsurg.138.6.619 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_73374922</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ama_id>394912</ama_id><sourcerecordid>357805791</sourcerecordid><originalsourceid>FETCH-LOGICAL-a388t-5fbbc7d60e4612e115c8ad19c888300283b66afd396763fae1a25b200adc6ebf3</originalsourceid><addsrcrecordid>eNpdkc1v1DAQxS1URLelfwA9VFYP3LL4I3Hs43ZLW6QKDtBerYkzCamSTeqPw_73GO0CEqcZ6f3e02geIZecrTlj_BN49zMk36-51Gu1Vty8ISteSV1IVZYnZMUYK4tMslNyFsJL3oQ24h055aI2RkqxIv3TEiL0w66nc0c3cb8MDkZ6m1zM42G_oF9GCAPQTRfR02dwKU3FJoQhRGwp58U9pB7p96ziHMHFwdHt7JF-RWxHpDfDvIT9e_K2gzHgxXGek6e7zz-2D8Xjt_sv281jAVLrWFRd07i6VQxLxQVyXjkNLTdOay0ZE1o2SkHXSqNqJTtADqJqBGPQOoVNJ8_Jx0Pu4ufXhCHaaQgOxxF2OKdgaynr0giRwev_wJc5-V2-zQopqtIoLTMkDpDzcwgeO7v4YQK_t5zZ3x3YPx3Y3IFVNneQTVfH5NRM2P6zHJ-egQ8HACb4q0pTGi7kL0CMjL8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>232549683</pqid></control><display><type>article</type><title>Upstaging of Atypical Ductal Hyperplasia After Vacuum-Assisted 11-Gauge Stereotactic Core Needle Biopsy</title><source>MEDLINE</source><source>American Medical Association Journals</source><source>Alma/SFX Local Collection</source><creator>Winchester, David J ; Bernstein, Joel R ; Jeske, Jan M ; Nicholson, Mary H ; Hahn, Elizabeth A ; Goldschmidt, Robert A ; Watkin, William G ; Sener, Stephen F ; Bilimoria, Malcolm B ; Barrera, Ermilio ; Winchester, David P</creator><creatorcontrib>Winchester, David J ; Bernstein, Joel R ; Jeske, Jan M ; Nicholson, Mary H ; Hahn, Elizabeth A ; Goldschmidt, Robert A ; Watkin, William G ; Sener, Stephen F ; Bilimoria, Malcolm B ; Barrera, Ermilio ; Winchester, David P</creatorcontrib><description>BACKGROUND Nonpalpable mammographic abnormalities are frequently evaluated by means of a stereotactic core needle biopsy. This technique is a very sensitive indicator of invasive cancer, but is less reliable to discriminate between ductal carcinoma in situ and atypical ductal hyperplasia (ADH). The objective of this study was to determine the correlation of the 11-gauge vacuum-assisted core needle biopsy to open biopsy when a diagnosis of ADH is obtained. HYPOTHESIS The use of 11-gauge vacuum-assisted stereotactic core needle biopsy does not conclusively diagnose ADH. DESIGN Retrospective analysis. SETTING University-affiliated teaching hospital. PATIENTS Mammographic findings were evaluated with an 11-gauge vacuum-assisted stereotactic core biopsy in 1750 patients. Seventy-seven patients were diagnosed as having ADH; of these, 65 underwent excisional biopsy. MAIN OUTCOME MEASURES Pathological upstaging rate. RESULTS Of the 65 patients who underwent excisional breast biopsy, 11 (17%) had their condition upstaged to a breast cancer diagnosis. These patients had presented at a later age than those who retained a benign diagnosis after excisional biopsy. The number of cores taken did not correlate with diagnostic accuracy. CONCLUSIONS Of the 65 patients who underwent open biopsy for ADH in this series, only 83% had an accurate diagnosis. A diagnosis of ADH by stereotactic core needle biopsy should be followed by an open excisional biopsy.Arch Surg. 2003;138:619-623--></description><identifier>ISSN: 0004-0010</identifier><identifier>ISSN: 2168-6254</identifier><identifier>EISSN: 1538-3644</identifier><identifier>EISSN: 2168-6262</identifier><identifier>DOI: 10.1001/archsurg.138.6.619</identifier><identifier>PMID: 12799332</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biopsy - methods ; Biopsy, Needle - methods ; Breast - pathology ; Breast - surgery ; Breast Neoplasms - pathology ; Carcinoma, Intraductal, Noninfiltrating - pathology ; Female ; Humans ; Hyperplasia ; Mammography ; Middle Aged ; Neoplasm Staging ; Precancerous Conditions - pathology ; Retrospective Studies ; Surgery, Computer-Assisted - methods</subject><ispartof>Archives of surgery (Chicago. 1960), 2003-06, Vol.138 (6), p.619-623</ispartof><rights>Copyright American Medical Association Jun 2003</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a388t-5fbbc7d60e4612e115c8ad19c888300283b66afd396763fae1a25b200adc6ebf3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jamasurgery/articlepdf/10.1001/archsurg.138.6.619$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jamasurgery/fullarticle/10.1001/archsurg.138.6.619$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,315,781,785,3341,27929,27930,76494,76497</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12799332$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Winchester, David J</creatorcontrib><creatorcontrib>Bernstein, Joel R</creatorcontrib><creatorcontrib>Jeske, Jan M</creatorcontrib><creatorcontrib>Nicholson, Mary H</creatorcontrib><creatorcontrib>Hahn, Elizabeth A</creatorcontrib><creatorcontrib>Goldschmidt, Robert A</creatorcontrib><creatorcontrib>Watkin, William G</creatorcontrib><creatorcontrib>Sener, Stephen F</creatorcontrib><creatorcontrib>Bilimoria, Malcolm B</creatorcontrib><creatorcontrib>Barrera, Ermilio</creatorcontrib><creatorcontrib>Winchester, David P</creatorcontrib><title>Upstaging of Atypical Ductal Hyperplasia After Vacuum-Assisted 11-Gauge Stereotactic Core Needle Biopsy</title><title>Archives of surgery (Chicago. 1960)</title><addtitle>Arch Surg</addtitle><description>BACKGROUND Nonpalpable mammographic abnormalities are frequently evaluated by means of a stereotactic core needle biopsy. This technique is a very sensitive indicator of invasive cancer, but is less reliable to discriminate between ductal carcinoma in situ and atypical ductal hyperplasia (ADH). The objective of this study was to determine the correlation of the 11-gauge vacuum-assisted core needle biopsy to open biopsy when a diagnosis of ADH is obtained. HYPOTHESIS The use of 11-gauge vacuum-assisted stereotactic core needle biopsy does not conclusively diagnose ADH. DESIGN Retrospective analysis. SETTING University-affiliated teaching hospital. PATIENTS Mammographic findings were evaluated with an 11-gauge vacuum-assisted stereotactic core biopsy in 1750 patients. Seventy-seven patients were diagnosed as having ADH; of these, 65 underwent excisional biopsy. MAIN OUTCOME MEASURES Pathological upstaging rate. RESULTS Of the 65 patients who underwent excisional breast biopsy, 11 (17%) had their condition upstaged to a breast cancer diagnosis. These patients had presented at a later age than those who retained a benign diagnosis after excisional biopsy. The number of cores taken did not correlate with diagnostic accuracy. CONCLUSIONS Of the 65 patients who underwent open biopsy for ADH in this series, only 83% had an accurate diagnosis. A diagnosis of ADH by stereotactic core needle biopsy should be followed by an open excisional biopsy.Arch Surg. 2003;138:619-623--></description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biopsy - methods</subject><subject>Biopsy, Needle - methods</subject><subject>Breast - pathology</subject><subject>Breast - surgery</subject><subject>Breast Neoplasms - pathology</subject><subject>Carcinoma, Intraductal, Noninfiltrating - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperplasia</subject><subject>Mammography</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Precancerous Conditions - pathology</subject><subject>Retrospective Studies</subject><subject>Surgery, Computer-Assisted - methods</subject><issn>0004-0010</issn><issn>2168-6254</issn><issn>1538-3644</issn><issn>2168-6262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1v1DAQxS1URLelfwA9VFYP3LL4I3Hs43ZLW6QKDtBerYkzCamSTeqPw_73GO0CEqcZ6f3e02geIZecrTlj_BN49zMk36-51Gu1Vty8ISteSV1IVZYnZMUYK4tMslNyFsJL3oQ24h055aI2RkqxIv3TEiL0w66nc0c3cb8MDkZ6m1zM42G_oF9GCAPQTRfR02dwKU3FJoQhRGwp58U9pB7p96ziHMHFwdHt7JF-RWxHpDfDvIT9e_K2gzHgxXGek6e7zz-2D8Xjt_sv281jAVLrWFRd07i6VQxLxQVyXjkNLTdOay0ZE1o2SkHXSqNqJTtADqJqBGPQOoVNJ8_Jx0Pu4ufXhCHaaQgOxxF2OKdgaynr0giRwev_wJc5-V2-zQopqtIoLTMkDpDzcwgeO7v4YQK_t5zZ3x3YPx3Y3IFVNneQTVfH5NRM2P6zHJ-egQ8HACb4q0pTGi7kL0CMjL8</recordid><startdate>20030601</startdate><enddate>20030601</enddate><creator>Winchester, David J</creator><creator>Bernstein, Joel R</creator><creator>Jeske, Jan M</creator><creator>Nicholson, Mary H</creator><creator>Hahn, Elizabeth A</creator><creator>Goldschmidt, Robert A</creator><creator>Watkin, William G</creator><creator>Sener, Stephen F</creator><creator>Bilimoria, Malcolm B</creator><creator>Barrera, Ermilio</creator><creator>Winchester, David P</creator><general>American Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20030601</creationdate><title>Upstaging of Atypical Ductal Hyperplasia After Vacuum-Assisted 11-Gauge Stereotactic Core Needle Biopsy</title><author>Winchester, David J ; Bernstein, Joel R ; Jeske, Jan M ; Nicholson, Mary H ; Hahn, Elizabeth A ; Goldschmidt, Robert A ; Watkin, William G ; Sener, Stephen F ; Bilimoria, Malcolm B ; Barrera, Ermilio ; Winchester, David P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a388t-5fbbc7d60e4612e115c8ad19c888300283b66afd396763fae1a25b200adc6ebf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biopsy - methods</topic><topic>Biopsy, Needle - methods</topic><topic>Breast - pathology</topic><topic>Breast - surgery</topic><topic>Breast Neoplasms - pathology</topic><topic>Carcinoma, Intraductal, Noninfiltrating - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperplasia</topic><topic>Mammography</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Precancerous Conditions - pathology</topic><topic>Retrospective Studies</topic><topic>Surgery, Computer-Assisted - methods</topic><toplevel>online_resources</toplevel><creatorcontrib>Winchester, David J</creatorcontrib><creatorcontrib>Bernstein, Joel R</creatorcontrib><creatorcontrib>Jeske, Jan M</creatorcontrib><creatorcontrib>Nicholson, Mary H</creatorcontrib><creatorcontrib>Hahn, Elizabeth A</creatorcontrib><creatorcontrib>Goldschmidt, Robert A</creatorcontrib><creatorcontrib>Watkin, William G</creatorcontrib><creatorcontrib>Sener, Stephen F</creatorcontrib><creatorcontrib>Bilimoria, Malcolm B</creatorcontrib><creatorcontrib>Barrera, Ermilio</creatorcontrib><creatorcontrib>Winchester, David P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of surgery (Chicago. 1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Winchester, David J</au><au>Bernstein, Joel R</au><au>Jeske, Jan M</au><au>Nicholson, Mary H</au><au>Hahn, Elizabeth A</au><au>Goldschmidt, Robert A</au><au>Watkin, William G</au><au>Sener, Stephen F</au><au>Bilimoria, Malcolm B</au><au>Barrera, Ermilio</au><au>Winchester, David P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Upstaging of Atypical Ductal Hyperplasia After Vacuum-Assisted 11-Gauge Stereotactic Core Needle Biopsy</atitle><jtitle>Archives of surgery (Chicago. 1960)</jtitle><addtitle>Arch Surg</addtitle><date>2003-06-01</date><risdate>2003</risdate><volume>138</volume><issue>6</issue><spage>619</spage><epage>623</epage><pages>619-623</pages><issn>0004-0010</issn><issn>2168-6254</issn><eissn>1538-3644</eissn><eissn>2168-6262</eissn><abstract>BACKGROUND Nonpalpable mammographic abnormalities are frequently evaluated by means of a stereotactic core needle biopsy. This technique is a very sensitive indicator of invasive cancer, but is less reliable to discriminate between ductal carcinoma in situ and atypical ductal hyperplasia (ADH). The objective of this study was to determine the correlation of the 11-gauge vacuum-assisted core needle biopsy to open biopsy when a diagnosis of ADH is obtained. HYPOTHESIS The use of 11-gauge vacuum-assisted stereotactic core needle biopsy does not conclusively diagnose ADH. DESIGN Retrospective analysis. SETTING University-affiliated teaching hospital. PATIENTS Mammographic findings were evaluated with an 11-gauge vacuum-assisted stereotactic core biopsy in 1750 patients. Seventy-seven patients were diagnosed as having ADH; of these, 65 underwent excisional biopsy. MAIN OUTCOME MEASURES Pathological upstaging rate. RESULTS Of the 65 patients who underwent excisional breast biopsy, 11 (17%) had their condition upstaged to a breast cancer diagnosis. These patients had presented at a later age than those who retained a benign diagnosis after excisional biopsy. The number of cores taken did not correlate with diagnostic accuracy. CONCLUSIONS Of the 65 patients who underwent open biopsy for ADH in this series, only 83% had an accurate diagnosis. A diagnosis of ADH by stereotactic core needle biopsy should be followed by an open excisional biopsy.Arch Surg. 2003;138:619-623--></abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>12799332</pmid><doi>10.1001/archsurg.138.6.619</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0004-0010 |
| ispartof | Archives of surgery (Chicago. 1960), 2003-06, Vol.138 (6), p.619-623 |
| issn | 0004-0010 2168-6254 1538-3644 2168-6262 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_73374922 |
| source | MEDLINE; American Medical Association Journals; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Biopsy - methods Biopsy, Needle - methods Breast - pathology Breast - surgery Breast Neoplasms - pathology Carcinoma, Intraductal, Noninfiltrating - pathology Female Humans Hyperplasia Mammography Middle Aged Neoplasm Staging Precancerous Conditions - pathology Retrospective Studies Surgery, Computer-Assisted - methods |
| title | Upstaging of Atypical Ductal Hyperplasia After Vacuum-Assisted 11-Gauge Stereotactic Core Needle Biopsy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-12T06%3A43%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Upstaging%20of%20Atypical%20Ductal%20Hyperplasia%20After%20Vacuum-Assisted%2011-Gauge%20Stereotactic%20Core%20Needle%20Biopsy&rft.jtitle=Archives%20of%20surgery%20(Chicago.%201960)&rft.au=Winchester,%20David%20J&rft.date=2003-06-01&rft.volume=138&rft.issue=6&rft.spage=619&rft.epage=623&rft.pages=619-623&rft.issn=0004-0010&rft.eissn=1538-3644&rft_id=info:doi/10.1001/archsurg.138.6.619&rft_dat=%3Cproquest_cross%3E357805791%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=232549683&rft_id=info:pmid/12799332&rft_ama_id=394912&rfr_iscdi=true |