Friday, 19 December 2008

Predictive value of needle core biopsy diagnoses of lesions of uncertain malignant potential (B3) in abnormalities detected by mammographic screening

Predictive value of needle core biopsy diagnoses of lesions of uncertain malignant potential (B3) in abnormalities detected by mammographic screening
M E El-Sayed, E A Rakha, J Reed, A H S Lee, A J Evans, I O Ellis
Histopathology 2008, 53, 650–657

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Approximately 20% of needle core biopsy of screen-detected breast lesions classified as B3 are malignant on excision, and the likelihood of malignancy varies substantially between different histological subtypes
Lobular neoplasia: Core needle breast biopsy underestimation of malignancy in relation to radiologic and pathologic features
Viviana Londero, Chiara Zuiani, Anna Linda, Elena Vianello, Alessandro Furlan, Massimo Bazzocchi
The Breast 17 (2008) 623 - 630

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Purpose: to assess the positive predictive value (PPV) for malignancy of core needle biopsy (CNB) demonstrating lobular neoplasia.
Underestimation of malignancy was more likely in cases of LCIS, US-guided CNB, and lesions that were large and suspicious on imaging.

The value of a combination of wire localization and ultrasound-guided vacuum-assisted breast biopsy for clustered microcalcifications

The value of a combination of wire localization and ultrasound-guided vacuum-assisted breast biopsy for clustered microcalcifications
Ki Seok Choo, Hee Suk Kwak, Young Tae Bae, Jee-Yeon Lee, Seung Ju Lee, Hyoung Il Seo, Su Bong Nam
The Breast 17 (2008) 611 - 616

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Purpose: to introduce and evaluate the usefulness of the combination of wire localization and ultrasound (US)-guided, vacuum-assisted breast biopsy (VAB) to histologically diagnose mammographically detected clustered microcalcifications in the absence of sonographic and clinically palpable masses. Appears to be an accurate and useful method for diagnosing mammographically detected, clustered microcalcifications

Pain during vacuum-assisted breast biopsy: Are there any predictors?

Pain during vacuum-assisted breast biopsy: Are there any predictors?
George C. Zografos, Flora Zagouri, Theodoros N. Sergentanis, Afrodite Nonni, Philip Domeyer, Dimitra Koulocheri, Ioannis Flessas, Effrosyni Panopoulou, Dimosthenis Chrysikos, John Bramis
The Breast 17 (2008) 592e595

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Pain can be reduced by increased experience of the operator (shorter procedure times) and the avoidance of the luteal phase - timing is everything!

Lower recurrence risk through mammographic screening reduces breast cancer treatment costs

Lower recurrence risk through mammographic screening reduces breast cancer treatment costs
Lea Kauhava, Pirjo Immonen-Räihä, Ilmo Parvinen, Kaija Holli, Liisa Pylkkänen, Anne Kaljonen, Hans Helenius, Pauliina Kronqvist, Pekka J. Klemi
The Breast 17 (2008) 550–554

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The high risk and high costs of breast cancer recurrence are reasons why interventions should be developed that can prevent or delay disease recurrence and reduce the costs of breast cancer care. The present study showed that screening saves costs by early detection of breast cancer with reduced risk of recurrence

Management of lesions of uncertain malignant potential on breast core needle histology: an alternative to surgery in selected cases

Management of lesions of uncertain malignant potential on breast core needle histology: an alternative to surgery in selected cases
S.L. Tennant, A. Evans, L.J. Hamilton, J. James, A.H.S. Lee, Z. Hodi, I.O. Ellis, E.A. Rakha, A.R.M. Wilson
The Breast 17 (2008) 546–549

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Something we all aspire to do - not overtreat borderline lesions which could possibly be followed, after adequate Vacuum Assisted Biopsy. This is a sensible way to go, with adequate multidiscipinary discussion of the case, and close follow up


Management of lesions of uncertain malignant potential on breast core needle histology: Vacuum-assisted excision as an alternative to surgical excisio

Management of lesions of uncertain malignant potential on breast core needle histology: Vacuum-assisted excision as an alternative to surgical excision (EDITORIAL)
The Breast 17 (2008) 543–544

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Editorial comment on the Nottingham paper