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THEO NATIONAL CONGRESOVIETNAMESE SOCIETY OF UTRAQUND I MEDIC

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NOIDUNG

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UTERUS CEA ee no

TULA

> Voi citi cia cng nh may SA phn gi ca i ha in

va phn loa tn hong Vi ng céngtt hon,

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dieu tr,

> Sin tit 16 in tưới hướng tấn $iêu âm gdp chan dogn i độ

chinh xéc cao, la thi thuét nhe nfinvga an toan,

IWt

Ceniop) ws introduced in the nial

only for clinically silent lesions, However, it rapidly be-

van replacing fine-needle biopsy", This method owes
its growing popularity not only to its accuracy in the ci
agnosis of benign lesions, but mostly to it

comale versus core-needle biopsy - which one to choose in preoperative assessment of foal
breasts? Literature review

CHI DINKYHTH-UAT

chin

-Tonthucngngnhgi

«Cin chin docn GPB,

-Kichthe>=:Lom,

Kj thud:

Lun di kim song song

kim ty dng va ban ty dong,

Site kim: 14-186,

CACLOAIKIM SINATHET

ORIGINAL ARTICLE

Validity of needle core biopsy in the histological

characterisation of mammary lesions

Calogero Cipolla’, Salvatore Fricano, Salvatore Vieni, Carmela Amato,

Liborio Napoli, Giuseppa Graceffa, Stefania Latteri, Mario Adelfio Latter

Division of General and Oncological Surgery, Department of Oncology, University of Palermo,
Palermo, Italy

Rovelved 17 July 2004; accepted6 January 2005

KEYWORDS Summary Over the last few yeas, there has been an enormous increase inthe 6ê

Core biopsy of needle core biopsy (CB) for the Hstopathologcal characterisation ƒÿẾĐ

Breast cancer; |§iffWffilffffff The :In ofthis study was to verify the clagnostlc reliably of
li: CBby comparing the histological results obtained with the use ofthis technique with
those obtained from the whole of the surglcally resected specimen, We studed 198
ut of bypatints with clinically and/or radiologically suspect breast lesions, We
found correspondence between the histological examination of the whole of the
excised specimen and that of the CB in 94.9 of the cases of inftrating carcinoma
And in 71.4% of those involving dicul ardtoma Ít. [IEDTWWW@fWfE

GS98.DA SENSI MASDGATN and SpeCfcy/93,9%, These results confirmed that

(Bis an entreely etal dans tol inthe defo of res esos,

(2005 Elsevier Lt. All rights reserved.

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ULTRASONOGRAPHY Vian Yungean Pa, ta

Aut Sal ara gnnnagoi) gly gains
Ato nye pcvanes beast ips ae at i Oe a oa danas,

‘cule tale to exon bs, sampling err mar Suds fae shown that a mininu of lothrs

posible tation and can rutin a beegatie Gags esa cin adn ass wih US qed (8 bu

Pilg vndresinaon telat uy 1.38) Laue ls wth aalons ma ee moe sanpls 23,52)

Used CNB case nal 11 Feneatie aes the most Anita spin tata Miri lngh and

saps as of ea sn wee ised ye ede, adhe Loto hen tia alisn os alge

te eis vee col ing att dat ag BW aed)

ising be iar ith the BERADS csi or al US-uided best ios canbe permed fo suspicious

anal ing most, ato sangle the mst pis mirceiatons detected on US and has atte oe

via (2018)-Lveluating imaging-athology concordance and discordance after ultrasound-guided
st biopsy

HINH MINH HOA

tin minh hoa mau dl the sa sinh tit

Automated Large-Core Needle BioofpSusrgiycally

Removed Breast Lesions: Comparoif sSaompnles

(Obtained with 14, 16, and 18-gauge Needles

xcs iy, RESULT Thesefsr he PURPOSE To detertmheienlee
sie ht woud constenrable tel demonstrates alge
the pathcoorelldono rig a nei
gue core bop) specimens,
MATERANDIMAETLHOSDS: Fy. terol deren patholo tigue er aan WasIM, Mh,and Oh for bopsy
seven ural removmaesdes mussissne, Spl bined with MM and
slo the brat wee sampled wih
Meh _Igepal ada gauge ele fi fol op)and spelen bs =iy formalignancy was100% forall
1! automatboep dgun

wed by ab anda Haugneee,
Samples were evaluated indepen (lo, Recent studs hve shown til up
fe inp ind crip span whan la three needle sizes, All ofthe benign
fiwnerescompared wih hf Automated bos deve ether under
tl dodeals sue romance geass were comely diagnoseidn
NhRhilunliian © samples olined with these
sion biopsy,

ARISULTS: The ses forthe [gauge neein pdractlice,ebust pre Ll
ln ol 6 algasons ah timindai [it 1! needles except orto samples tat
1 25, olay v0ltl.lztĐutet —- sa đÏÍNUYWEDTVĐÍN,

samples obtained with MM, and
‘Wg des peti biopy nels (1) The purposeof — @›
in ag al 0biop3sy e0d008hatwwouuldwmot 1 CONCLUSION: Biopsy samples ob»
the ellAleothesbeg chiytet pk itaiened witwih a JWflt weep

eases were corey diagnose in > tide ems ue `
ean ane
les xcept or wo sampletast
(i ot ure pes, vara xo eons” which cmelate with the diagnosis
iidlvihìJfgBjt tp: sđekụeapcsigihfashweprla ade w\ kii h tsuhrgictal ehxcisieon bi
CONCLUSION: Bip samploebs

hd tems! cue gs, tio tmppe Tes
which nawtlh thesdlagns orawerle ereated Peo uti 0 dt
trade with he surgi econ bi (wemaig suds, adlograps ol spe exh dey esd
(thi the and ct pt he p> pln, Th hao othe eon was

Evaluation of Needle Size for

Breast Biopsy: Comparison of 4, b,
and 18-Gauge Biopsy Needles

Thomas abi! OBJECTIVET.h purposfeor study was compthrquenty an quay of ise
Mutts hart om reat bp) when wing 1 16, and uae ong throw eds,
Ana! SUBJECTS AND METWHe OfoDrme Sp,pt in 4 pa
Aes wih 6 reat sons, Unde sere uine, pases wee made random order
lu Dep wih acho tthe bpy ede in cache, Samples were mead fou ara
and cored fr thi quay, Al lesions, inci benign and grant sos and eins
Maide Thur wih and without loans, were ana, Findings ft bosy samples were
compared with th ial gn made spl end,
ViteGaln AESULTS nal 6 lesions, 1 gue boy nelson significa age sp
rn 4m 13.14; ne, 96 ra, ga, 64 mo’pS) add
Paik nate scan beter (-pue, 83; 1p, 196; 1g, 7.14
Geng!

GahardH Matec!

the sulle els, The ress fr malignant and benign eon and for lsions with and
without mirocalification were sir but not qu thover sls However, benign
lesions an areas wih miroaatns see to be more problematic for bath smaller ne
lesthan for 1-guge nels,
CONCLUSION, Our rsltsindcae that tqh uantity and quay of bres io pec
rns depend on thneh sie, Of the tre ned ine ested, napa

Annual Trend in Ulrasonography-Guidea aug (or
Needle Biopsy fr Breast Lesions

Inka ung, MD Kuna Han PH Mn Jung Kin, MD Pn Hee Jung Hoon HD, PD’,
Jung Hyun Yoon MD, PA’ Vivian ourgjan Par, MO, PAD! Euneyung Kin, MD, Ph

Department fRaiology and Research Instute of Ratlogical Scene, Severance Hospital Yonsei Univesity Collegeof Meicn, Seoul, Korey
Deparmentof Raiology and Research Institue of adologicl Scene, tới Biomedical Research Intute, Seoul, Nora

jective: To exaine tin ends in ultrsongaphy (US) qudd 14 aug coe ned io (NB) fr breast eons based
cn telson sie, Breast Imaging Reporting and Data System (BI-RADS) tego and pathologic dings,

Vaterals and Methods We etnspectvly reviewed consectv USqided 14-aug CBS peed from Jamar 205 to
December 206 at our instuton, ttl of 22,297 breast sons were included, The ttl numba of bose, tumor le

(610mm to» 0 mn), BRAD category (to), and patholo dns (erg, hgh ik, duct aciama is fC),

Hvasve cance) wer examined analy, andthe malignancy ate was analjed based on the BRAD category,

Results Both the total number f US cas and US.quided (NBs inceaed whe the proportion of US quid CNB to the

total umber ofS cans decreased sgnfcanty, The number of topsis asi basedon the tumor si, BI-RADS catego,
And pathologic ndings al increased oer tin, exept for BI-RADS categories 2 and category3 odds ati [OR «0.951

per yea, 5% confidence inten [I 0.902 1.002 ands rato = 0.979, 95% CL: 0.470 488; respecte), oth the
unadjusted and adjusted total malignancy ates andthe DCI ate increased signal overtime Bl: RADS catego 4,
4, and 4 stowed a significant ineaig trend inte total malignancy at and DCS rate,

Kevwords Beast cane Utaorogapy nage quid ip Tends

ual Trends in Utrasonography-Guided 14-Gauge Core Needle Biopsy for Breast Lesions

The appropriate number of preoperative core
needle biopsy specimens for analysis in breast

cancer

Tao San, MO Harner Zang, MOP, Wei ao, MO, (eng Yang, WO, PaO”

Abstract

hrasound (US) quided cored biopsy (ON) has bon recoyriaedas crud dagnotiotolobreastcancr, However, here
16 alk of quan for Noga thal ano equine wth ade US, Tha of his sy was 10 asses th sr),

specandiex)per,ience of feehanded CNBinthe otpalent department, and to ceernine the rrimum number ftssua sos
requred to olan oonoadance fr estrogen recep (ER progesterone ecto (PR hunan endl ont aco repo 2
(HER, and tumor yal wh the exo specimen,

A prospective study was paormad on 96 paler undergo CN and subsequent sural procedures The ety f
‘rmnunohsocheica assexsmerts fhe palo ype, anor gad, EP, PR, andl HER? ls in CN was compared wih

thao! sgl spacers, Concordance blwoan th CN and sual samples wa esmald as apercntag arama, and

anced using ltlt test A P< 05 was considered sige,

The concorde ates OER, PR, and HERO las ar! uno gad sas betes CNS and sual 010990601619

We10 97%, 91.6%, 82.1%, and 84.2%, regpctve, The reality faking 2tsue sins wa Sa otha of akg sue

Stips nding magancy Rom benignancy, and dein th ptcogal type without the ad FL Fur tssue tps
lla by CNB showed! gd accuracy comparable 0 0g de) 2 pacman asses ER, PA, and HERZ

Slelus and mor grade,

Tots (8 Ragiss:

‘corm ca or coro of pata ores

Abbrevatons: CB core ned boy, = etn ea, SH = resco nt yan HERD =human

Eglo growth factor ragp2, HO = [tulll0eherl), PR = 0tr0 t0), Š = (0900,
Keywobearstdnescgl:as, core noodle biopsy, inmunchistochonshy

ULTRASONOGRAPHY inlutettui

Aeqate Sangin arasenn ina Fi 2, ent ad ij ocr
Although imaye-uied percutaneous beast bogs are an fave ao ten societal bit dans

Acute aera to exasionl is, sampling err mor —Suceshave shown tha & minimum offur fe ces 2

posible lintation and an result in a abe-egavedgnoss o necesto can adn cgnss wih US-qied CN but

litttcutgihiit aaa stuf 1.382 gage sons wth calinty eoqure mre samples 83,2526)

(S.quided CB cases, nal 11 fakenegatve cases, the most An tac specimen tat tala! inntuptedlengh and

Supius aes ofeach ein were med ty thened, anddo ttehte bottom when put into saline Mi

the eons were consieted inagngpatolgy ướt | s| aa clhips

isimpotant to be aniaith the BLRADS csc foal US-quided rest bony canbe peromed for suspicious

aval imaging moclies, and to sample the most suspicus micrcalcication detected on US and has atantages over

inagng-pathology concordance and discordance after ultrasound guided breast biopsy

‘th

{core 77.9%;

2 cores, 93.7%,

Scores, 96.8%;
4cores, 98.9%)
5 cores, 98.9%;

and 6 cores, 98.9%

‘eam eos Scores exes Senet Goxns

smn*_e fond 1y

or HBR oq
compl concordance

Figura 1, Cult senstty cf he cove need bie (NBs,

numberof preoperative core neelebiosy specimens fr anayisin breast

MRM UAB

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viém w,

bénh ido tig ding

vi sarcoidosis

pathology concordance and clscodance after utraound guided breast biopsy

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ULTRASONOGRAPHY ttÍ

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pathology concordance and clscodance after utraound guided breast biopsy