An analysis of fine needle aspiration versus core needle biopsy in clinically palpable breast lesions: a report on the predictive values and a cost comparison

被引：27

作者：

Nagar, Sapna ^{[1
]}

Iacco, Anthony ^{[1
]}

Riggs, Thomas ^{[2
]}

Kestenberg, William ^{[1
]}

Keidan, Richard ^{[1
]}

机构：

[1] William Beaumont Hosp, Dept Gen Surg, Royal Oak, MI 48072 USA

[2] William Beaumont Hosp, Res Inst, Royal Oak, MI 48072 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2012年 / 204卷 / 02期

关键词：

Breast cancer; Fine-needle aspiration; Core-needle biopsy; HISTOPATHOLOGIC CORRELATION; PREOPERATIVE DIAGNOSIS; CYTOLOGY; CARCINOMA; MANAGEMENT; MASSES; FNAC;

D O I：

10.1016/j.amjsurg.2011.10.018

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: Although fine-needle aspiration (FNA) is an established tool in the biopsy of breast masses, there has been a trend toward using core-needle biopsy (CNB). The aim of this study was to determine whether FNA has comparable predictive value with CNB and whether FNA is more cost effective. METHODS: A retrospective review was conducted on 162 patients who underwent either FNA or CNB of palpable breast lesions and had histologic confirmation with surgical biopsy in calendar year 2005. RESULTS: There were no false-positives or false-negatives in either group. The sensitivity, specificity, and positive predictive value for FNA were 89%, 98%, and 94%, respectively. CNB had sensitivity, specificity, and positive predictive value of 100%, 90%, and 93%, respectively. The cost to perform FNA was $166.34, compared with $477.92 for CNB. CONCLUSIONS: FNA and CNB had comparable predictive value, with FNA being more cost effective. (C) 2012 Elsevier Inc. All rights reserved.

引用

页码：193 / 198

页数：6

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