The efficacy of specimen radiography in evaluating the surgical margins of impalpable breast carcinoma
The purpose of this study was to determine if the presence or absence of tumor at the surgical margin in cases of impalpable breast carcinoma could be predicted accurately with specimen radiography. We obtained single-view radiographs of 119 consecutive surgical biopsy specimens of impalpable invasi...
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| Veröffentlicht in: | American journal of roentgenology (1976) 1994-01, Vol.162 (1), p.33-36 |
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| container_title | American journal of roentgenology (1976) |
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| creator | Graham, RA Homer, MJ Sigler, CJ Safaii, H Schmid, CH Marchant, DJ Smith, TJ |
| description | The purpose of this study was to determine if the presence or absence of tumor at the surgical margin in cases of impalpable breast carcinoma could be predicted accurately with specimen radiography.
We obtained single-view radiographs of 119 consecutive surgical biopsy specimens of impalpable invasive or in situ ductal carcinoma. Radiographic lesions were classified as a mass with moderately well defined margins, a mass with poorly defined margins, or microcalcifications without an associated mass. The radiographic appearance of the impalpable cancer, the margin as judged from the specimen radiograph, the tumor's histologic appearance, and the histologic appearance of the tumor margin were then correlated.
Specimen radiographs showed tumor at the surgical margin in 63 cases; 62 of these were confirmed histologically (positive predictive value, 98%). Specimen radiographs showed tumor-free surgical margins in 56 cases; 18 of these were confirmed histologically (negative predictive value, 32%). These results were independent of the radiographic appearance of the lesion or the tumor's histologic appearance.
Decisions based on findings on specimen radiographs were valid only if the radiographs showed tumor at the margin of the specimen. |
| doi_str_mv | 10.2214/ajr.162.1.8273685 |
| format | Article |
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We obtained single-view radiographs of 119 consecutive surgical biopsy specimens of impalpable invasive or in situ ductal carcinoma. Radiographic lesions were classified as a mass with moderately well defined margins, a mass with poorly defined margins, or microcalcifications without an associated mass. The radiographic appearance of the impalpable cancer, the margin as judged from the specimen radiograph, the tumor's histologic appearance, and the histologic appearance of the tumor margin were then correlated.
Specimen radiographs showed tumor at the surgical margin in 63 cases; 62 of these were confirmed histologically (positive predictive value, 98%). Specimen radiographs showed tumor-free surgical margins in 56 cases; 18 of these were confirmed histologically (negative predictive value, 32%). These results were independent of the radiographic appearance of the lesion or the tumor's histologic appearance.
Decisions based on findings on specimen radiographs were valid only if the radiographs showed tumor at the margin of the specimen.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/ajr.162.1.8273685</identifier><identifier>PMID: 8273685</identifier><identifier>CODEN: AAJRDX</identifier><language>eng</language><publisher>Leesburg, VA: Am Roentgen Ray Soc</publisher><subject>Biological and medical sciences ; Biopsy ; Breast Neoplasms - diagnostic imaging ; Breast Neoplasms - pathology ; Carcinoma in Situ - diagnostic imaging ; Carcinoma in Situ - pathology ; Carcinoma, Ductal, Breast - diagnostic imaging ; Carcinoma, Ductal, Breast - pathology ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; In Vitro Techniques ; Mammary gland diseases ; Mammography ; Medical sciences ; Palpation ; ROC Curve ; Tumors</subject><ispartof>American journal of roentgenology (1976), 1994-01, Vol.162 (1), p.33-36</ispartof><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c355t-db3064bf121ec18b2b4e8d93bfa265e0944dfed4ef94bd283813c333c1b8a5e53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>310,311,315,782,786,791,792,4052,4053,4122,23937,23938,25147,27931,27932</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3909928$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8273685$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Graham, RA</creatorcontrib><creatorcontrib>Homer, MJ</creatorcontrib><creatorcontrib>Sigler, CJ</creatorcontrib><creatorcontrib>Safaii, H</creatorcontrib><creatorcontrib>Schmid, CH</creatorcontrib><creatorcontrib>Marchant, DJ</creatorcontrib><creatorcontrib>Smith, TJ</creatorcontrib><title>The efficacy of specimen radiography in evaluating the surgical margins of impalpable breast carcinoma</title><title>American journal of roentgenology (1976)</title><addtitle>AJR Am J Roentgenol</addtitle><description>The purpose of this study was to determine if the presence or absence of tumor at the surgical margin in cases of impalpable breast carcinoma could be predicted accurately with specimen radiography.
We obtained single-view radiographs of 119 consecutive surgical biopsy specimens of impalpable invasive or in situ ductal carcinoma. Radiographic lesions were classified as a mass with moderately well defined margins, a mass with poorly defined margins, or microcalcifications without an associated mass. The radiographic appearance of the impalpable cancer, the margin as judged from the specimen radiograph, the tumor's histologic appearance, and the histologic appearance of the tumor margin were then correlated.
Specimen radiographs showed tumor at the surgical margin in 63 cases; 62 of these were confirmed histologically (positive predictive value, 98%). Specimen radiographs showed tumor-free surgical margins in 56 cases; 18 of these were confirmed histologically (negative predictive value, 32%). These results were independent of the radiographic appearance of the lesion or the tumor's histologic appearance.
Decisions based on findings on specimen radiographs were valid only if the radiographs showed tumor at the margin of the specimen.</description><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Breast Neoplasms - diagnostic imaging</subject><subject>Breast Neoplasms - pathology</subject><subject>Carcinoma in Situ - diagnostic imaging</subject><subject>Carcinoma in Situ - pathology</subject><subject>Carcinoma, Ductal, Breast - diagnostic imaging</subject><subject>Carcinoma, Ductal, Breast - pathology</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>In Vitro Techniques</subject><subject>Mammary gland diseases</subject><subject>Mammography</subject><subject>Medical sciences</subject><subject>Palpation</subject><subject>ROC Curve</subject><subject>Tumors</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEuLFDEURoMoY9v6A1wIWai7anOTeqSWMviCATcjuAs3qZvuDPUyqbLpf2-GLsZVAvd8X3IPY29BHKSE8hM-xAPU8gAHLRtV6-oZ20FV1oWCEp6znVA1FFqo3y_Zq5QehBCNbpsbdrPhO-bvT8TJ--DQXfjkeZrJhYFGHrEL0zHifLrwMHL6i_2KSxiPfMmRtMZjzvR8wHwZ02M0DDP2M9qeuI2EaeEOowvjNOBr9sJjn-jNdu7Zr69f7m-_F3c_v_24_XxXOFVVS9FZJerSepBADrSVtiTdtcp6lHVFoi3LzlNXkm9L20mtNCinlHJgNVZUqT37eO2d4_RnpbSYISRHfY8jTWsyTa1kAxVkEK6gi1NKkbyZY8i7XAwI8-jWZLcmuzVgNlk5824rX-1A3VPi__z9NseU1fiIowvpCVOtaNv85z37cMVO4Xg6h0gmDdj3uRTM-Xy-vpmX-geW0JEC</recordid><startdate>19940101</startdate><enddate>19940101</enddate><creator>Graham, RA</creator><creator>Homer, MJ</creator><creator>Sigler, CJ</creator><creator>Safaii, H</creator><creator>Schmid, CH</creator><creator>Marchant, DJ</creator><creator>Smith, TJ</creator><general>Am Roentgen Ray Soc</general><general>American Roentgen Ray Society</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>19940101</creationdate><title>The efficacy of specimen radiography in evaluating the surgical margins of impalpable breast carcinoma</title><author>Graham, RA ; Homer, MJ ; Sigler, CJ ; Safaii, H ; Schmid, CH ; Marchant, DJ ; Smith, TJ</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c355t-db3064bf121ec18b2b4e8d93bfa265e0944dfed4ef94bd283813c333c1b8a5e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Breast Neoplasms - diagnostic imaging</topic><topic>Breast Neoplasms - pathology</topic><topic>Carcinoma in Situ - diagnostic imaging</topic><topic>Carcinoma in Situ - pathology</topic><topic>Carcinoma, Ductal, Breast - diagnostic imaging</topic><topic>Carcinoma, Ductal, Breast - pathology</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>In Vitro Techniques</topic><topic>Mammary gland diseases</topic><topic>Mammography</topic><topic>Medical sciences</topic><topic>Palpation</topic><topic>ROC Curve</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Graham, RA</creatorcontrib><creatorcontrib>Homer, MJ</creatorcontrib><creatorcontrib>Sigler, CJ</creatorcontrib><creatorcontrib>Safaii, H</creatorcontrib><creatorcontrib>Schmid, CH</creatorcontrib><creatorcontrib>Marchant, DJ</creatorcontrib><creatorcontrib>Smith, TJ</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of roentgenology (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Graham, RA</au><au>Homer, MJ</au><au>Sigler, CJ</au><au>Safaii, H</au><au>Schmid, CH</au><au>Marchant, DJ</au><au>Smith, TJ</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The efficacy of specimen radiography in evaluating the surgical margins of impalpable breast carcinoma</atitle><jtitle>American journal of roentgenology (1976)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>1994-01-01</date><risdate>1994</risdate><volume>162</volume><issue>1</issue><spage>33</spage><epage>36</epage><pages>33-36</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><coden>AAJRDX</coden><abstract>The purpose of this study was to determine if the presence or absence of tumor at the surgical margin in cases of impalpable breast carcinoma could be predicted accurately with specimen radiography.
We obtained single-view radiographs of 119 consecutive surgical biopsy specimens of impalpable invasive or in situ ductal carcinoma. Radiographic lesions were classified as a mass with moderately well defined margins, a mass with poorly defined margins, or microcalcifications without an associated mass. The radiographic appearance of the impalpable cancer, the margin as judged from the specimen radiograph, the tumor's histologic appearance, and the histologic appearance of the tumor margin were then correlated.
Specimen radiographs showed tumor at the surgical margin in 63 cases; 62 of these were confirmed histologically (positive predictive value, 98%). Specimen radiographs showed tumor-free surgical margins in 56 cases; 18 of these were confirmed histologically (negative predictive value, 32%). These results were independent of the radiographic appearance of the lesion or the tumor's histologic appearance.
Decisions based on findings on specimen radiographs were valid only if the radiographs showed tumor at the margin of the specimen.</abstract><cop>Leesburg, VA</cop><pub>Am Roentgen Ray Soc</pub><pmid>8273685</pmid><doi>10.2214/ajr.162.1.8273685</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0361-803X |
| ispartof | American journal of roentgenology (1976), 1994-01, Vol.162 (1), p.33-36 |
| issn | 0361-803X 1546-3141 |
| language | eng |
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| source | American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Biopsy Breast Neoplasms - diagnostic imaging Breast Neoplasms - pathology Carcinoma in Situ - diagnostic imaging Carcinoma in Situ - pathology Carcinoma, Ductal, Breast - diagnostic imaging Carcinoma, Ductal, Breast - pathology Female Gynecology. Andrology. Obstetrics Humans In Vitro Techniques Mammary gland diseases Mammography Medical sciences Palpation ROC Curve Tumors |
| title | The efficacy of specimen radiography in evaluating the surgical margins of impalpable breast carcinoma |
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