Needle-localized mammographic lesions: Results and evolving treatment strategy Journal Article


Authors: Alexander, H. R.; Candela, F. C.; Dershaw, D. D.; Kinne, D. W.
Article Title: Needle-localized mammographic lesions: Results and evolving treatment strategy
Abstract: From January 1981 to December 1987, 932 needle-localization breast biopsies were performed at our institution for mammographically detected abnormalities. We reviewed 531 needle-localization breast biopsy procedures performed during two periods (January 1981 to June 1984, n=311; and January to August 1987, n = 220) to compare results and treatment patterns, and to determine the prevalence of the missed lesions. Mammographic abnormalities detected on routine screening accounted for a larger proportion of needle-localization breast biopsies in the later series (94 [30%] of 311 vs 94 [43%] of 220). However, the rate at which carcinoma was identified remained constant at 29% as did the percentage of cancers that were invasive (46% vs 51 %). Overall, the rate of malignant diagnoses after needle-localization breast biopsy was lowest in asymptomatic women undergoing routine screening mammography (44 [24%] of 188) and significantly higher in women undergoing mammographic follow-up of the contralateral breast after treatment for breast cancer (28 [43%] of 65). There were seven missed lesions in 531 needle-localization breast biopsies, necessitating a second procedure in six and interval mammograms in one. © 1990, American Medical Association. All rights reserved.
Keywords: major clinical study; methodology; tumor localization; breast cancer; breast; breast neoplasms; mammography; biopsy, needle; breast tumor; needle; human; female; priority journal; article
Journal Title: Archives of Surgery
Volume: 125
Issue: 11
ISSN: 0004-0010
Publisher: American Medical Association  
Date Published: 1990-11-01
Start Page: 1441
End Page: 1444
Language: English
DOI: 10.1001/archsurg.1990.01410230035006
PUBMED: 2241554
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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  1. D David Dershaw
    223 Dershaw
  2. David Kinne
    64 Kinne