Naslov
Image-guided fine needle aspiration biopsy of breast lesions presenting with microcalcifications

Autori
Kardum-Skelin, Ika

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Liječnički vjesnik, XIV S.I.S. World Congress on Breast Diseases and III Croatian Senologic Congress / Anić, Branimir - Zagreb, 2006

Skup
XIV S.I.S. World Congress on Breast Diseases and III Croatian Senologic Congress

Mjesto i datum
Zagreb, Hrvatska, 18.05.2006. - 21.05.2006

Vrsta sudjelovanja
Pozvano predavanje

Vrsta recenzije
Nije recenziran

Ključne riječi
Breast lesions; breast microcalcification; ultrasound (US) guided and stereotactic FNAC;
(Breast lesions; breast microcalcification; ultrasound (US) guided and stereotactic FNAC)

Sažetak
It is known that a number of breast disorder may result in calcifications, most of which are benign. Of note, ever, is that one of the early signs of ductal carcinoma in situ (DC IS) is calcification of the ducts. Aim of the study: 1) To show the proportion of calcifications in breast lesions ; 2) To determine whether high-frequency ultrasound may be used to reliably localize breast microcalcification ; 3) To evaluate the cytologic fr of ultrasound (US) guided and stereotactic fine needle aspiration (FNA) in patients with microcalcifications the breast.Patients and Methods: A total of 4208 (96, 7%) US-guided and 143 stereotactic (3, 3%) FNAs" analyzed. Results: Mammographic calcifications were found in 176/4351 breast lesions. In 90 patients, fOl to have microcalcifications at mammography, US was able to visualize the calcified particles. Out of 176 aspirates with calcifications, carcinoma was present in 31 (17, 6%): 24/90 US-guided and 7/86 stereotactic. For the 145 benign lesions cytology revealed fibrocystic changes, fibroadenomas and atypical hyperplasia. One patient diagnosed as having benign lesion in stereotactic FNA, with suspicious microcalcifications, was advised to undergo core biopsy. Pathohistological diagnosis was carcinoma. Conclusion: FNA is a reliable minimally invasive diagnostic method for the final diagnosis in patients with mammographic calcifications. However, if malignancy is proven an US-guided or stereotactic core biopsy or open biopsy is necessary.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA