Application value of ultrasound-guided needle biopsy in diagnosis of non-mass breast lesions

doi:10.3877/cma.j.issn.1672-6448.2020.11.016

Abstract

Abstract:

Objective

To assess the diagnostic value of ultrasound-guided needle biopsy in non-mass breast lesions.

Methods

Ninety-three patients with 93 non-mass breast lesions that were classified as Breast Imaging Report and Data System (BI-RADS) 4a and above at the Department of Ultrasound, Hangzhou First People's Hospital were selected from January 2017 to December 2018. All lesions underwent ultrasound-guided needle biopsy and were confirmed by surgical pathology. The fourfold table was used to assess the diagnostic value of ultrasound-guided needle biopsy in non-mass breast lesions.

Results

The surgical pathology results showed that there were 47 malignant lesions and 46 benign lesions. In contrast, the results of ultrasound-guided needle biopsy showed 43 malignant lesions and 50 benign lesions. Four malignant lesions were missed by biopsy, which were classified as BI-RADS 4b by ultrasound but finally confirmed as ductal carcinoma in situ in three cases and invasive carcinoma in one case by surgical pathology. The sensitivity of ultrasound-guided needle biopsy was 91.4% (43/47), the specificity was 100% (46/46), the false negative rate was 8.6% (4/47), and the diagnostic accuracy rate was 95.7% (89/93).

Conclusion

Although ultrasound-guided needle biopsy has a certain false negative rate in the diagnosis of non-mass breast lesions, it has appreciated diagnostic value with regard to a relatively high specificity, sensitivity, and diagnostic accuracy rate.

Key words: Breast diseases, Ultrasonography, interventional, Biopsy, needle

Chuanghua Chen, Jianhua Fang, Chenke Xu, Wei Wang, Fanlei Kong, Hong Sun. Application value of ultrasound-guided needle biopsy in diagnosis of non-mass breast lesions[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17(11): 1142-1144.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2020.11.016

https://chaosheng.cma-cmc.com.cn/EN/Y2020/V17/I11/1142

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References 10

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