"Closed Biopsy" - A logical step in the diagnosis of Breast Lump. | Medical Channel: Journal of Modern Dental and Medical Sciences 2004

Author(s)

Gulshan Ali Memon Peoples Medical College, Nawabshah, Pakistan

Roshan Ali Solangi Peoples Medical College, Nawabshah, Pakistan

Qaisar Hussain Naqvi Peoples Medical College, Nawabshah, Pakistan

Sikander A. Yousifani Peoples Medical College, Nawabshah, Pakistan

Anwar Ali Akhund Peoples Medical College, Nawabshah, Pakistan

Abstract

OBJECTIVE: How precise and reliable is Closed (FNA + Tru-Cut) Biopsy in the diagnosis of breast Lump. METHODS: Between March 1996 to June 2003, 120 patients with palpable breast lump who underwent with two methods of closed (FNA + Tru-Cut) biopsy were studied prospectively . These two methods were assessed for pre-operative diagnostic reliability. Procedural modes and diagnostic codes were designed comprehensively with acceptable standards. RESULTS: The reliability of Tru-Cut Needle Biopsy in making a definitive diagnosis of carcinoma was (92.10%) in over all 76 patients having malignant lump. While FNAC had an accuracy of (65.78%) in the same patients. The cumulative sensitivity of both was (96.73%). The results showed that Tru-Cut Needle Biopsy is significantly better rewarding than FNAC in providing a definitive diagnosis of malignancy. Both methods produced no false positive diagnosis of malignancy in any patient having benign breast disease. CONCLUSION: These two methods of Closed Biopsy are sufficiently valuable to Justify the expenditure of time, effort and cost. While Tru-Cut Needle Biopsy is More reliable in obtaining an accurate pre-operative diagnosis. However any un-satisfactory, suboptimal, suspicious or atypical changes on Closed Biopsy should be followed by an Open Biopsy.

Publication Details

Page(s) 35-38

DOI DOI not available

Published Journal: Medical Channel: Journal of Modern Dental and Medical Sciences, Volume: 10, Issue: 3, Year: 2004

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