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The Impact on Subsequent Surgical Excisions

Darrell N. Smith, MD; Roger Christian, MD; Jack E. Meyer, MD

Arch Surg. 1997;132(3):256-259.

Abstract
Objective
To compare the subsequent surgical therapy for women with nonpalpable breast cancers diagnosed by large-core needle biopsy (LCNB) vs those diagnosed by surgical excision after wire localization.

Design
Retrospective review of cases and results.

Setting
Secondary referred care.

Patients
A total of 677 women diagnosed as having breast cancer by LCNB (n=67) or by surgical excision after wire localization (n=610).

Results
Women in the LCNB group underwent an average of 1.25 surgical procedures and women whose breast cancers were diagnosed by surgical excision after preoperative wire localization underwent an average of 2.01 surgical procedures (P<.001).

Conclusions
Large-core needle biopsy decreases the number of surgical procedures in women diagnosed as having nonpalpable breast cancers. Increased implementation of this technique will substantially decrease the costs of surgical therapy in these patients.

Arch Surg. 1997;132:256-259

Author Affiliations
From the Departments of Radiology (Drs Smith and Meyer) and Surgery (Dr Christian), Brigham and Women's Hospital, Boston, Mass.

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