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  Vol. 131 No. 10, October 1996 TABLE OF CONTENTS
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Usefulness of Ultrasound-Guided, Fine-needle Aspiration Biopsy for Palpable Breast Tumors

Takuya Hatada, MD; Ikuji Aoki, MD; Kaoru Okada, MD; Toru Nakai, MD; Joji Utsunomiya, MD

Arch Surg. 1996;131(10):1095-1098.


Abstract

Objective
To investigate whether ultrasound (US) guidance improves the sensitivity of fine-needle aspiration biopsy (FNAB) in patients with palpable breast tumors.

Design
A retrospective study.

Setting
A university hospital.

Patients
A total of 107 patients with breast tumors (114 lesions) underwent US-guided FNAB and 138 patients (143 lesions) underwent FNAB guided by palpation (standard FNAB).

Main Outcome Measures
The diagnoses obtained by FNAB were compared with the surgical findings and the diagnostic value of US-guided FNAB was evaluated.

Results
The sensitivity of US-guided FNAB was 89.3%, the specificity was 82.9%, and the accuracy was 86.9%. In contrast, the sensitivity of standard FNAB was 61.1%, the specificity was 73.3%, and the accuracy was 65.0%. For breast tumors 2.0 cm or less in diameter, the sensitivity and accuracy of US-guided FNAB were significantly higher than those of standard FNAB.

Conclusion
Ultrasound-guided FNAB can improve the preoperative diagnosis of breast cancer, especially in patients with tumors that are 2 cm or less in diameter.

Arch Surg. 1996;131:1095-1098



Author Affiliations

From the Second Department of Surgery, Hyogo College of Medicine, Nishinomiya, Japan (Drs Hatada, Okada, and Utsunomiya), and the Department of Surgery, Kobe-Kaisei Hospital, Kobe, Japan (Drs Aoki and Nakai).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The role of laboratory processing in determining diagnostic conclusiveness of breast fine needle aspirations: conventional smearing versus a monolayer preparation
Wauters et al.
J. Clin. Pathol. 2009;62:931-934.
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Palpable Breast Masses: Is There a Role for Percutaneous Imaging-Guided Core Biopsy?
Liberman et al.
Am. J. Roentgenol. 2000;175:779-787.
ABSTRACT | FULL TEXT  

A Prospective Analysis of Office-Based Breast Ultrasound
Hieken and Velasco
Arch Surg 1998;133:504-508.
ABSTRACT | FULL TEXT  





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