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LIU Xia, WEI Shirong. Ultrasound-guided needlebiopsy versus routine ultrasound examination in diagnosis of breast cancer[J]. Journal of Clinical Medicine in Practice, 2020, 24(11): 35-39. DOI: 10.7619/jcmp.202011010
Citation: LIU Xia, WEI Shirong. Ultrasound-guided needlebiopsy versus routine ultrasound examination in diagnosis of breast cancer[J]. Journal of Clinical Medicine in Practice, 2020, 24(11): 35-39. DOI: 10.7619/jcmp.202011010
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Ultrasound-guided needlebiopsy versus routine ultrasound examination in diagnosis of breast cancer

  • 1. Department of Ultrasound Medicine, Baoji City Hospital Affiliated to Xi'an Medical University, Baoji, Shaanxi, 721006;

  • 2. Department of Ultrasound Medicine, Baoji City Maternal and Child Health Hospital, Baoji, Shaanxi, 721000

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  • Received Date: March 08, 2020
  • Available Online: August 27, 2020
    Graphical Abstract
    • Abstract
  • Objective To compare the value of ultrasound-guided needle biopsy(UGCNB)versus routine ultrasound(US)in diagnosis of breast cancer. Methods The clinical data of 82 patients with probable breast cancer diagnosed in our hospital was retrospectively analyzed. All patients underwent US and UGBNB examinations, and the differences in ultrasound findings between benign and malignant breast lesions were observed. The surgical pathology results were taken as gold standards to evaluate the sensitivity(SE), specificity(SP), accuracy(AC), positive predictive value(PPV)and negative predictive value(NPV)of UGCNB and US in diagnosis of breast cancer, and the diagnostic value of two methods was compared. Results Of the 82 patients, 58 cases were diagnosed as breast cancer and 24 cases as benign breast lesions. Ultrasound images of breast cancer were mainly characterized by irregular shape, unclear boundary, coarse and heterogeneous internal echo, posterior echo attenuation, common microcalcification, non-smooth capsule and most blood flow signals of grade Ⅱ~Ⅲ, which showed significant differences when compared to the ultrasound findings of benign breast lesions(P<0.01). The SE, SP, AC, PPV and NPV of UGCNB in the diagnosis of breast cancer were higher than those of US(P<0.05 or P<0.01). Compared with postoperative pathology results, UGCNB showed a higher Kappa value than US. There were statistically significant differences - in the relevance and superiority between US and UGWNB in the diagnosis of breast cancer(P<0.05). Conclusion There are significant differences in ultrasound findings between benign and malignant breast lesions. UGCNB has better diagnostic efficacy than US in the diagnosis of breast cancer, and it is of great significance in improving the diagnostic accuracy of breast cancer.
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  • 袁钦华, 俞士尤, 苏江. 86例乳腺癌骨转移的相关因素分析[J]. 实用癌症杂志, 2018, 33(10): 1717-1720.
    封任冬, 汪华, 丁莹莹, 等. 乳腺癌筛查模式的探讨[J]. 临床放射学杂志, 2016, 35(1): 36-40.
    Durand M A, Hooley R J. Implementation of whole-breast screening ultrasonography[J]. Radiol Clin North Am, 2017, 55(3): 527-539.
    何玉霜, 彭玉兰, 金亚, 等. 实时剪切波弹性成像联合超声BI-RADS诊断乳腺癌的Meta分析[J]. 西部医学, 2016, 28(4): 505-510.
    Takuwa H, Tsuji W, Yamamoto Y, et al. Multidisciplinary treatment for locally advanced breast cancer with internal mammary lymph node metastasis in an elderly patient[J]. Int Cancer Conf J, 2019, 8(1): 1-6.
    Michelow P, Field A S. Spindle cell lesions of the breast on fine-needle aspiration biopsy: a miscellany of masses[J]. Acta Cytol, 2019, 63(4): 328-339.
    耿琛琛, 高晓倩, 杨柳, 等. 乳腺硬化性腺病的超声表现分析[J]. 中国超声医学杂志, 2018, 34(4): 310-313.
    Faguy K. Breast sonography and mammography: complementarity and correlation[J]. Radiol Technol, 2017, 89(1): 45M-64M.
    Imankulov S, Tuganbekov T, Razbadauskas A, et al. HIFU treatment for fibroadenoma-a clinical study at National Scientific Research Centre, Astana, Kazakhstan[J]. J Pak Med Assoc, 2018, 68(9): 1378-1380.
    袁靖, 王绮, 郭海燕. 超声造影在乳腺癌疗效评估中的应用价值[J]. 实用癌症杂志, 2019, 34(3): 494-496.
    Hahn M, Fugunt R, Schoenfisch B, et al. High intensity focused ultrasound(HIFU)for the treatment of symptomatic breast fibroadenoma[J]. Int J Hyperthermia, 2018, 35(1): 463-470.
    秦巧娜, 郑剑. 超声、MRI及其联合在乳腺癌患者诊断效能比较[J]. 中国CT和MRI杂志, 2017, 15(6): 69-71

    , 86.
    杨欢, 彭玉兰. 乳腺癌超声、MRI、X线征象与分子分型的相关性[J]. 中国医学影像技术, 2017, 33(5): 675-678.
    Brennan M E, McKessar M, Snook K, et al. Impact of selective use of breast MRI on surgical decision-making in women with newly diagnosed operable breast cancer[J]. Breast, 2017, 32: 135-143.
    张美恋, 陈瑚, 薛恩生, 等. 乳腺复杂型纤维腺瘤的声像图特征及与浸润性导管癌的鉴别诊断[J]. 中国医学影像学杂志, 2017, 25(5): 365-369.
    Woodard S, Schetter S, Millington K. Diagnosis and imaging characteristics of a juvenile fibroadenoma in a 2-year-old patient: a case report[J]. Radiol Case Rep, 2018, 13(1): 6-10.
    申俊玲, 李婷, 龚业琼, 等. 自动乳腺全容积扫描成像系统对乳腺肿块的诊断价值[J]. 西部医学, 2018, 30(11): 1675-1678

    , 1685.
    Kodera A, Inoue H, Ogura K, et al. Bevacizumab plus paclitaxel therapy was effective for metastatic breast cancer with dysphagia due to mediastinal lymph node metastasis-A case report[J]. Gan To Kagaku Ryoho, 2018, 45(13): 2276-2278.
    张惠, 邓立强, 向素芳, 等. 超声及超声引导下粗针穿刺活检对妊娠期乳腺癌的诊断价值[J]. 实用妇产科杂志, 2016, 32(6): 453-455.
    Field A S, Raymond W A, Rickard M, et al. The international academy of cytology Yokohama system for reporting breast fine-needle aspiration biopsy cytopathology[J]. Acta Cytol, 2019, 63(4): 257-273.
    Fu Y Q, Guo F M, Chen H H, et al. Core needle biopsy promotes lung metastasis of breast cancer: an experimental study[J]. Mol Clin Oncol, 2019, 10(2): 253-260.
    刘慧敏, 曹小丽, 刘瑞华. 超声引导下穿刺活检对乳腺癌前病变的诊断价值[J]. 中国医学影像技术, 2017, 33(5): 670-674.
    Bennett I C, Saboo A. The evolving role of vacuum assisted biopsy of the breast: a progression from fine-needle aspiration biopsy[J]. World J Surg, 2019, 43(4): 1054-1061.
    杨艳, 童林燕, 何以敉, 等. 超声造影引导穿刺活检评价乳腺癌肝转移免疫组化指标的变化[J]. 中国超声医学杂志, 2017, 33(12): 1078-1080.
    Takahashi K. Diagnosis of an extremely rare pleomorphic adenoma of the breast with core needle biopsy: a case report[J]. Ann Med Surg(Lond), 2018, 36: 242-245.
    Farshid G, Buckley E. Meta-analysis of upgrade rates in 3163 radial scars excised after needle core biopsy diagnosis[J]. Breast Cancer Res Treat, 2019, 174(1): 165-177.
    韩丕华, 宋张骏, 杨晓民, 等. 超声造影对乳腺癌腋窝良恶性淋巴结的诊断价值分析[J]. 实用临床医药杂志, 2019, 23(16): 93-96.
    Yeo S H, Kim G R, Lee S H, et al. Comparison of ultrasound elastography and color Doppler ultrasonography for distinguishing small triple-negative breast cancer from fibroadenoma[J]. J Ultrasound Med, 2018, 37(9): 2135-2146.
    Pillay S, Cheddie S, Moodley Y. Fibroadenoma of the breast in a South African population-a pilot study of the diagnostic accuracy of fine needle aspirate cytology and breast ultrasonography[J]. Afr Health Sci, 2018, 18(2): 273-280.
    Nakhlis F, Harrison B T, Giess C S, et al. Evaluating the rate of upgrade to invasive breast cancer and/or ductal carcinoma in situ following a core biopsy diagnosis of non-classic lobular carcinoma in situ[J]. Ann Surg Oncol, 2019, 26(1): 55-61.
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