Comparison of the accuracy of US-guided biopsy of breast masses performed with 14-gauge, 16-gauge and 18-gauge automated cutting needle biopsy devices, and review of the literature
Comparison of the accuracy of US-guided biopsy of breast masses performed with 14-gauge, 16-gauge and 18-gauge automated cutting needle biopsy devices, and review of the literature
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DOI：
10.1007/s00330-016-4651-5
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发表时间：
2017-07-01
影响因子：
5.9
通讯作者：
Fornage, Bruno D.
中科院分区：
文献类型：
--
作者：
Huang, Monica L.;Hess, Kenneth;Fornage, Bruno D.
为比较超声引导下14号针、16号针和18号针在乳腺肿块穿刺术中的诊断准确性，我们回顾了1112例超声引导下14号针、16号针和18号针乳腺肿块穿刺针活检的临床资料。包括接受手术切除或至少2年的影像随访的病例。计算样本不足、与手术或影像表现不一致以及DCIS升级为浸润性癌或高风险病变为原位癌或浸润性癌的比率。研究包括703个CNBS：14号针203个，16号针235个，18号针265个。14针、16针和18针在标本不良率(分别为0%、0.4%和1.9%)、手术不一致性(2.6%、2.9%和3.8%)、影像不一致性(0%、0%和2%)(P=0.084)、影像不一致性(0%、0%和2%)等方面差异无统计学意义(P=0.05)；DCIS升级(43%、43%和36%)(p=1.00)或高危病变升级(38%、25%和55%)(p=0.49)。超声引导下使用14号、16号和18号针进行乳腺肿块的诊断准确率没有统计学差异。a欧洲分图像引导下经皮乳腺核心针活检(CNB)是护理的标准。a欧洲14号针头的欧洲乳腺CNB，16号针和18号针具有相似的诊断准确率。一欧分较小口径的针可以放心地用于超声引导下的乳房CNB。
To compare the diagnostic accuracy of ultrasound (US)-guided core needle biopsy (CNB) of breast masses performed with 14-gauge, 16-gauge and 18-gauge needles.We retrospectively reviewed the charts of 1,112 patients who underwent US-guided breast CNB with 14-gauge, 16-gauge and 18-gauge needles. Cases with surgical excision or a minimum of 2 years of imaging follow-up were included. Rates of sample inadequacy, discordance with surgical or imaging findings and upgrade of DCIS to invasive cancer or high-risk lesion to in situ or invasive cancer were computed for each needle size.The study included 703 CNBs: 203 performed with 14-gauge, 235 with 16-gauge and 265 with 18-gauge needles. There were no significant differences between 14-gauge, 16-gauge and 18-gauge needles in rates of specimen inadequacy (0 %, 0.4 % and 1.9 %, respectively) (p = 0.084); surgical discordance (2.6 %, 2.9 % and 3.8 %) (p = 0.76); imaging discordance (0 %, 0 % and 2 %) (p = 1.0); DCIS upgrade (43 %, 43 % and 36 %) (p = 1.00) or high-risk lesion upgrade (38 %, 25 % and 55 %) (p = 0.49).There was no statistically significant difference in diagnostic accuracy of US-guided CNB of breast masses performed with 14-gauge, 16-gauge and 18-gauge needles.aEuro cent Percutaneous image-guided breast core needle biopsy (CNB) is the standard of care.aEuro cent Breast CNB with 14-gauge, 16-gauge and 18-gauge needles has similar diagnostic accuracy.aEuro cent Smaller gauge needles can be confidently used for ultrasound-guided breast CNB.