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Article: Is ultrasonography-guided modified coaxial core biopsy of the breast a better technique?

TitleIs ultrasonography-guided modified coaxial core biopsy of the breast a better technique?
Authors
KeywordsBiopsy, fine-needle
Breast neoplasms
Pain measurement
Ultrasonography, mammary
Issue Date2009
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2009, v. 15 n. 4, p. 246-248 How to Cite?
Abstract
Objective: To compare the diagnostic rate, patient comfort, and complications of ultrasonography-guided breast biopsy using a modified coaxial technique with ultrasonography-guided fine needle aspiration and traditional core biopsy. A secondary objective was to describe the use of the coaxial technique for the biopsy of breast lesions and our initial experience. Design: Retrospective study. Setting: A regional hospital in Hong Kong. Patients: Patients, who were referred for ultrasonography-guided fine needle aspiration or biopsy from 23 November 2007 to 19 March 2008, were divided into three groups. For breast lesions of 8 mm or smaller, fine needle aspirations were performed. For breast lesions larger than 8 mm, the patients were randomly divided into groups receiving traditional core biopsies and coaxial biopsies. The pathological reports were reviewed. Main outcome measures: Diagnostic rate, patient comfort assessed in terms of pain, and any procedural complications. Results: A total of 45 ultrasonography-guided fine needle aspirations or biopsies of breast lesions were performed. All core biopsies using the traditional core technique (n=15) and coaxial technique (n=16) were diagnostic. While for fine needle aspirations, three (21%) of 14 were not diagnostic and repeat biopsies were undertaken for the corresponding patients. Except for one breast lesion biopsied with the coaxial technique that revealed invasive ductal carcinoma, all others yielded benign lesions. The average pain score for coaxial biopsies was 2.2, while for traditional core biopsies and fine needle aspirations, average scores were 3.7 and 3.8, respectively (P=0.022). No procedure-related complication was documented with either of the three techniques. Conclusion: Modified coaxial core biopsy of the breast has an optimal diagnostic rate and hence avoids the need for repeat biopsies. It is associated with better patient comfort and no increase in the risk of complications.
Persistent Identifierhttp://hdl.handle.net/10722/124641
ISSN
2013 SCImago Journal Rankings: 0.293
References

 

Author Affiliations
  1. Kwong Wah Hospital
  2. Princess Margaret Hospital Hong Kong
DC FieldValueLanguage
dc.contributor.authorWong, CSen_HK
dc.contributor.authorChu, YCen_HK
dc.contributor.authorWong, KWen_HK
dc.contributor.authorYeung, THen_HK
dc.contributor.authorMa, KFen_HK
dc.date.accessioned2010-10-31T10:45:52Z-
dc.date.available2010-10-31T10:45:52Z-
dc.date.issued2009en_HK
dc.identifier.citationHong Kong Medical Journal, 2009, v. 15 n. 4, p. 246-248en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/124641-
dc.description.abstractObjective: To compare the diagnostic rate, patient comfort, and complications of ultrasonography-guided breast biopsy using a modified coaxial technique with ultrasonography-guided fine needle aspiration and traditional core biopsy. A secondary objective was to describe the use of the coaxial technique for the biopsy of breast lesions and our initial experience. Design: Retrospective study. Setting: A regional hospital in Hong Kong. Patients: Patients, who were referred for ultrasonography-guided fine needle aspiration or biopsy from 23 November 2007 to 19 March 2008, were divided into three groups. For breast lesions of 8 mm or smaller, fine needle aspirations were performed. For breast lesions larger than 8 mm, the patients were randomly divided into groups receiving traditional core biopsies and coaxial biopsies. The pathological reports were reviewed. Main outcome measures: Diagnostic rate, patient comfort assessed in terms of pain, and any procedural complications. Results: A total of 45 ultrasonography-guided fine needle aspirations or biopsies of breast lesions were performed. All core biopsies using the traditional core technique (n=15) and coaxial technique (n=16) were diagnostic. While for fine needle aspirations, three (21%) of 14 were not diagnostic and repeat biopsies were undertaken for the corresponding patients. Except for one breast lesion biopsied with the coaxial technique that revealed invasive ductal carcinoma, all others yielded benign lesions. The average pain score for coaxial biopsies was 2.2, while for traditional core biopsies and fine needle aspirations, average scores were 3.7 and 3.8, respectively (P=0.022). No procedure-related complication was documented with either of the three techniques. Conclusion: Modified coaxial core biopsy of the breast has an optimal diagnostic rate and hence avoids the need for repeat biopsies. It is associated with better patient comfort and no increase in the risk of complications.en_HK
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectBiopsy, fine-needleen_HK
dc.subjectBreast neoplasmsen_HK
dc.subjectPain measurementen_HK
dc.subjectUltrasonography, mammaryen_HK
dc.titleIs ultrasonography-guided modified coaxial core biopsy of the breast a better technique?en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=15&issue=4&spage=246&epage=248&date=2009&atitle=Is+ultrasound-guided+modified+co-axial+core+biopsy+of+the+breast+a+better+technique-
dc.identifier.emailWong, CS:drcswong@hku.hken_HK
dc.identifier.authorityWong, CS=rp01391en_HK
dc.description.naturepublished_or_final_versionen_US
dc.identifier.pmid19652229en_HK
dc.identifier.scopuseid_2-s2.0-70349416533en_HK
dc.identifier.hkuros174661en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-70349416533&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue4en_HK
dc.identifier.spage246en_HK
dc.identifier.epage248en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridWong, CS=24605454100en_HK
dc.identifier.scopusauthoridChu, YC=7403050830en_HK
dc.identifier.scopusauthoridWong, KW=34980167700en_HK
dc.identifier.scopusauthoridYeung, TH=34980070600en_HK
dc.identifier.scopusauthoridMa, KF=23025417700en_HK

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