VALUE OF CORE NEEDLE BIOPSY OF SUSPECTED CALCIFIED BREAST LESIONS UNDER ULTRASONIC GUIDANCE
Main Article Content
Abstract
Objective: Evaluate the value of the core needle biopsy with suspected calcification breast under ultrasound guidance. Subjects and methods: Cross-sectional, prospective study on 71 patients with suspected calcification breast on mammograms who came to K Tan Trieu hospital from August 2022 to August 2023. Results: Average age 50.7 years. The most common morphology is fine pleomorphic 45.1%, amorphous 31%, fine linear 21.1%, coarse heterogeneous 2.8%. The most common distribution is segmental distribution 49.2%, regional distribution 30.9%, cluster distribution 15.5%, linear distribution 4.2%. The average number of pieces containing calcification recovered in the calcification group was 2.7 +- 1.5. The rate of taking 2 or more specimens containing calcifications was 57.7%. Calcified recovery rate: 80.3%. Sensitivity: 94.1%. Specificity: 100%. Positive predictive value: 100%. Negative predictive value: 42.8%. Accuracy calculated by classifying benign and malignant: 94.36%. False negative rate: 5.88%. Conclusion: In cases where calcification are found on ultrasound, ultrasound-guided biopsy gives good results.
Article Details
References

2. Pan HB. The Role of Breast Ultrasound in Early Cancer Detection. J Med Ultrasound. 2016;24(4): 138-141. doi:10.1016/j.jmu. 2016.10.001


3. Soo MS, Baker JA, Rosen EL. Sonographic Detection and Sonographically Guided Biopsy of Breast Microcalcifications. Am J Roentgenol. 2003; 180(4): 941-948. doi: 10.2214/ajr.180.4. 1800941


4. Leong SPL, Shen ZZ, Liu TJ, et al. Is breast cancer the same disease in Asian and Western countries? World J Surg. 2010;34(10):2308-2324. doi:10.1007/s00268-010-0683-1


5. Logullo AF, Prigenzi KCK, Nimir CCBA, Franco AFV, Campos MSDA. Breast microcalcifications: Past, present and future (Review). Mol Clin Oncol. 2022;16(4):81. doi:10. 3892/mco.2022.2514


6. Bae S, Yoon JH, Moon HJ, Kim MJ, Kim EK. Breast Microcalcifications: Diagnostic Outcomes According to Image-Guided Biopsy Method. Korean J Radiol. 2015;16(5):996-1005. doi:10. 3348/kjr.2015.16.5.996


7. Yi J, Lee EH, Kwak JJ, Cha JG, Jung SH. Retrieval Rate and Accuracy of Ultrasound-Guided 14-G Semi-Automated Core Needle Biopsy of Breast Microcalcifications. Korean J Radiol. 2014; 15(1):12-19. doi:10.3348/kjr.2014.15.1.12

