期刊
BREAST
卷 14, 期 5, 页码 411-414出版社
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.breast.2004.11.001
关键词
breast carcinoma; FNAC; core biopsy
Introduction: Core biopsy (CB) has now largely replaced fine needle aspiration cytology (FNAC) in the pre-operative assessment of breast cancer. We studied the contribution of FNAC, when done as an adjunct to CB, in cancer patients presenting symptomatically. Patients: 112 patients had both CB and FNAC pre-operatively and subsequently had surgery (wide local excision or mastectomy). CB Et FNAC were done clinically in half the patients and under ultrasound guidance in the majority of others. Results: The complete sensitivity of FNAC was 90% and that of CB was 99%. Absolute sensitivity was 67% and 94%, respectively. CB was not suspicious of malignancy (131) only in 1 patient in whom FNAC was suspicious (0). In this patient there was a high degree of suspicion of breast cancer clinically Et radiologically so a negative CB would not have been accepted even in the absence of FNAC. Conclusions: FNAC, when performed in addition to CB, does not provide useful additional information in symptomatic breast cancer patients. (c) 2004 Elsevier Ltd. All rights reserved.
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