Radiological review of specimen radiographs after breast localisation biopsy is not always necessary

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
N J CoombsC Yiangou

Abstract

The use of specimen radiographs to confirm the presence of the radiological abnormality in a breast specimen after localisation biopsy is standard practice. This study aims to show that a trained surgeon may assess breast specimen radiographs with similar efficacy as a radiologist. This retrospective study assessed all patients who had localisation breast surgery using wire or ultrasound (US) techniques between January 2002 and March 2003. Histopathological records and mammographic details were recorded from the hospital notes. A consultant radiologist and surgeon reviewed the specimen radiographs, identifying mammographic abnormalities and assessing margins. Localisation surgery was performed on 101 patients with US used to localize 68. The median specimen weight was 64g. A malignant diagnosis was made in 86 patients. In 23, the histological resection margins were considered to be close or involved by tumour and re-excision was performed in eight patients. Sixty-one specimen radiographs were reviewed. The radiologist identified every mammographic abnormality, and the surgeon identified the lesion in 58. The positive predictive value of specimen radiographs to identify histologically involved margins was 75 and 74% by the radio...Continue Reading

References

Jan 1, 1994·AJR. American Journal of Roentgenology·R A GrahamT J Smith
Sep 12, 2000·Archives of Surgery·D N BimstonL D Wagman

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Citations

Feb 2, 2012·International Journal of Breast Cancer·Jonathan WhiteMark Lansdown
Mar 23, 2010·European Journal of Radiology·P D BrittonA Goud
Jan 27, 2015·BMJ Case Reports·Donna Taylor
May 17, 2017·Journal of Medical Imaging and Radiation Oncology·Vinicius Carraro do Nascimento, Anita G Bourke

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