Nondiagnostic stereotaxic core breast biopsy: Results of rebiopsy Journal Article


Authors: Dershaw, D. D.; Morris, E. A.; Liberman, L.; Abramson, A. F.
Article Title: Nondiagnostic stereotaxic core breast biopsy: Results of rebiopsy
Abstract: PURPOSE: To determine the clinical implication of recommendation for repeat biopsy after large-core stereotaxic breast biopsy. MATERIALS AND METHODS: Repeat biopsy was recommended in 56 (18%; mean age, 51.0 years) of 314 consecutive women who underwent stereotaxic core biopsy. Biopsy was performed by using a dedicated prone stereotaxic table and digital imaging. When calcifications were present, specimen radiography was performed. Fifty of the 56 women underwent follow-up biopsy. RESULTS: Repeat biopsy was recommended because of ductal atypia in 30 patients, discordant imaging and histopathologic results in 15, diagnoses for which more tissue was required in 10, and radial scar in one. Twenty-two (39%) of the 56 had carcinoma. Carcinoma was detected in 15 women (50%) with ductal atypia and in seven women (47%) with discordant histopathologic and imaging findings. No other cancer was detected. CONCLUSION: Rebiopsy of those lesions for which results are nonconcordant or with a high incidence of coexistent malignancy is necessary for stereotaxic core biopsy to be optimally effective. Among the 56 patients, 39% had malignancy.
Keywords: human tissue; middle aged; retrospective studies; histopathology; diagnostic accuracy; cytology; breast; breast neoplasms; cost effectiveness analysis; mammography; biopsy, needle; breast tumor; carcinoma in situ; breast biopsy; carcinoma, ductal, breast; carcinoma, lobular; breast calcification; stereotaxic techniques; humans; human; female; priority journal; article; breast neoplasms, diagnosis; breast, biopsy; stereotaxis
Journal Title: Radiology
Volume: 198
Issue: 2
ISSN: 0033-8419
Publisher: Radiological Society of North America, Inc.  
Date Published: 1996-02-01
Start Page: 323
End Page: 325
Language: English
PUBMED: 8596825
PROVIDER: scopus
DOI: 10.1148/radiology.198.2.8596825
DOI/URL:
Notes: Article -- Export Date: 22 November 2017 -- Source: Scopus
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  1. D David Dershaw
    223 Dershaw
  2. Laura Liberman
    176 Liberman
  3. Elizabeth A Morris
    336 Morris