Comparison between Radiological and Invasive Diagnostic Modalities in Diagnosis of Breast Cancer

Onur, Gulcin Ozkan; Tarcan, Ercument; Onur, Asim; Can, Huseyin; Atahan, Murat Kemal; Yigit, Seyran Ceri; Cakalagaoglu, Fulya

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자료유형: 학술저널

저자정보: Onur, Gulcin Ozkan (Karakavak Family Medicine Center) Tarcan, Ercument (Izmir Katip Celebi University Ataturk Education and Research Hospital, General Surgery Clinic) Onur, Asim (Department of General Surgery, Medical Faculty, Inonu University) Can, Huseyin (Family Medicine Clinic, Izmir Katip Celebi University Ataturk Education and Research Hospital) Atahan, Murat Kemal (Izmir Katip Celebi University Ataturk Education and Research Hospital, General Surgery Clinic) Yigit, Seyran Ceri (Pathology Clinic, Izmir Katip Celebi University Ataturk Education and Research Hospital) Cakalagaoglu, Fulya (Pathology Clinic, Izmir Katip Celebi University Ataturk Education and Research Hospital)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제16권 제10호

발행연도: 2015.1

수록면: 4,323 - 4,328 (6page)

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Background: Breast cancer is the most common cause of deaths of cancer in women. Nowadays, following completion of imaging methods, mainly fine needle aspiration biopsy (FNAB) and core biopsy methods have been used for establishing cytopathological diagnosis although discussions regarding superiority continue. Materials and Methods: Those with a complaint of "mass in breast" along with those diagnosed to have a mass as a result of routine physical examination among all patients applying to our clinic between 01.01.2009 and 31.12.2011 were retrospectively assessed. Totals of 146 and 64 patients with complete radiological observation who had undergone FNAB and core biopsies, respectively, were evaluated. Postoperative pathological results of patients of both groups receiving surgery were also taken into consideration. All results were compared in terms of false positivity/negativity, sensitivity/specifity, surgery types and distribution of postoperative results with regard to diagnoses along with those of malignant/benign masses with regard to quadrants determined. Results: Diagnostic malignancy power of mammographic BIRADS classification was 87.3%. However, the value was 75% in the core biopsy group. Sensitivity and specifity following comparison of FNAB and postoperative pathology results of those receiving surgery were 85.4% and 92.9% while they were 93.5% and 100% in the core biopsy group. Diagnostic malignancy power, calculated by determining AUC in ROC analysis, of FNAB was 89.1% while that of core biopsy was 96.7%. Conclusions: It was shown that core biopsy is superior to FNAB in terms of sensitivity, specificity and accurate histopathological classification. However; quick, cheap and basic diagnosis by means of FNAB should not be ignored. Sensitivity of FNAB is rather high in experienced hands and furthermore it would be expected to be lower than with core biopsy.

#Breast cancer #FNAB #core biopsy #sensitivity #specificity #comparison

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