Comparison between fine needle aspiration cytology (FNAC) and core needle biopsy (CNB) in the diagnosis of breast lesions

被引：27

作者：

Moschetta, M. ^{[1
]}

Telegrafo, M. ^{[1
]}

Carluccio, D. A. ^{[1
]}

Jablonska, J. P. ^{[1
]}

Rella, L. ^{[1
]}

Serio, G. ^{[1
]}

Carrozzo, M. ^{[1
]}

Ianora, A. A. Stabile ^{[1
]}

Angelelli, G. ^{[1
]}

机构：

[1] Univ Bari, Sch Med, Bari, Italy

来源：

GIORNALE DI CHIRURGIA | 2014年 / 35卷 / 7-8期

关键词：

Breast; Fine-needle aspiration cytology; Core needle biopsy; FNAC; CNB;

D O I：

10.11138/gchir/2014.35.7.171

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Aim. To compare the diagnostic accuracy of fine-needle aspiration cytology (FNAC) and core needle biopsy (CNB) in patients with USdetected breast lesions. Patients and methods. Between September 2011 and May 2013, 3469 consecutive breast US examinations were performed. 400 breast nodules were detected in 398 patients. 210 FNACs and 190 CNBs were performed. 183 out of 400 (46%) lesions were surgically removed within 30 days form diagnosis; in the remaining cases, a six month follow up US examination was performed. Sensitivity, specificity, diagnostic accuracy, positive predictive (PPV) and negative predictive (NPV) values were calculated for FNAC and CNB. Results. 174 out of 400 (43%) malignant lesions were found while the remaining 226 resulted to be benign lesions. 166 out of 210 (79%) FNACs and 154 out of 190 (81%) CNBs provided diagnostic specimens. Sensitivity, specificity, diagnostic accuracy, PPV and NPV of 97%, 94%, 95%, 91% and 98% were found for FNAC, and values of 92%, 82%, 89%, 92% and 82% were obtained for CNB. Sensitivity, specificity, diagnostic accuracy, PPV and NPV of 97%, 96%, 96%, 97% and 96% were found for FNAC, and values of 97%, 96%, 96%, 97% and 96% were obtained for CNB. Conclusion. FNAC and CNB provide similar values of diagnostic accuracy.

引用

页码：171 / 176

页数：6

共 30 条

[1] A comparision of aspiration cytology and core needle biopsy according to tumor size of suspicious breast lesions [J].