Utility of Tru-Cut Biopsy of Breast  Lesions - An Experience in a Regional  Cancer Center of a Developing Country

Samantaray, Sagarika; Panda, Niharika; Besra, Kusumabati; Pattanayak, Lucy; Samantara, Subrat; Dash, Sashibhusan

doi:10.7860/jcdr/2017/23572.9548

Cited by 8 publications

(8 citation statements)

References 11 publications

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“…These results are comparable to results by Shashirekha et al 1 (97.1% and 100%), Rikabi et al 5 (95.1% and 100%), Altintas et al 7 (95.4% and 100%), and Samantara et al 10 (97%). Another local study by Nisar et al 11 conducted at a tertiary hospital of Khyber Pukhtunkhwa showed sensitivity of 81.48% for TCB in the diagnosis of malignant lesions that is far too low as compared to the present study and other international studies.…”

Section: Discussionsupporting

confidence: 89%

“…In the present study, TCB was taken (as an initial test for tissue diagnosis) from selected cases of breast mass that were clinically and radiologically equivocal or suspicious. Samantary et al 10 suggested that TCB should be performed by experienced surgeons so that the biopsy is taken from proper site. In the present study, the TCB in all the patients was performed by the senior and experienced consultants.…”

Section: Discussionmentioning

confidence: 99%

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Trucut biopsy as a first line diagnostic modality for equivocal or suspicious breast masses: an experience from a teaching hospital in Khyber Pukhtunkhwa

et al. 2021

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Background and Objective: Trucut biopsy (TCB) is a commonly used technique for histopathological diagnosis of a clinically and radiologically equivocal or suspicious breast mass. This study aimed to determine the sensitivity and specificity of TCB in the diagnosis of equivocal or suspicious breast masses at local tertiary care hospital in Khyber Pukhtunkhwa. Methods: This descriptive cross-sectional study was conducted at the surgical unit of Mufti Mehmood Memorial Teaching Hospital, Dera Ismail Khan, Pakistan. The study included 80 patients who presented with equivocal or suspicious breast masses from September, 2015 to December, 2020. The patients underwent TCB and after the histopathology report, they were followed by a definitive surgical procedure. The histopathology diagnosis following TCB was compared with the histopathology report of postsurgical specimen to determine the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of TCB taking post-surgery histopathology as a gold standard for diagnosis. Results: Out of the 80 patients, 68 (85%) were found to have a primary breast malignancy, while 12 (15%) patients were diagnosed with non-malignant lesions. There were only two false negative cases. The specificity and PPV of TCB were found to be 100%, while a sensitivity of 97% and a NPV of 85.7% was calculated. Conclusion: TCB is a valid, reliable, and simple first line minimally invasive method to determine the diagnosis of breast masses that are clinically and radiologically (breast imaging-reporting and data system 3 to 5) equivocal or suspicious.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Trucut biopsy as a first line diagnostic modality for equivocal or suspicious breast masses: an experience from a teaching hospital in Khyber Pukhtunkhwa

et al. 2021

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“…[10] [22]- [29]. This report, conducted in a tropical environment, and in a lowincome country, finds the same values regarding the usefulness of ultrasoundguided CNB biopsy in the diagnosis of breast lesions.…”

Section: Usefulness Of Cnbsupporting

confidence: 49%

Ultrasound-Guided Core Needle Biopsy of Breast Lesions: Results and Usefulness in a Low Income Country

Tchaou¹,

Darré²,

Gbande³

et al. 2017

OJRad

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Background: Core needle biopsy (CNB) under ultrasound guidance is an accepted standard of care for the diagnosis of breast lesions. It is safe, cost-effective and minimally invasive compared with surgical excision. Objective: The aim of this study was to evaluate the CNB's results regarding the procedure, complications, histopathological findings and their correlation with the imaging data and surgical histopathological findings. Method: A cross-sectional prospective and descriptive study of a consecutive series of ultrasoundguided CNB of breast lesions in women conduced from January 2015 to December 2016 at the Sylvanus Olympio university hospital of Lomé, in Togo. Results: There were 72 CNB performed under ultrasound guidance in women; from which 54 were retained for the study. The mean age was 44.9 years ± 9.8. 11.1% had a family history of breast cancer. Lesions were most often palpable (90.7%). They were located in the left breast in 54.7%. Lesions were categorized probably malignant or malignant (Birads 4 and 5) in 70.4% and probably benign (Birads 3) in 29.6%. Their mean size was 24.8 mm ± 7.6 at ultrasound. There were no major complications during the procedure. One CNB (1.9%) considered inconclusive was repeated. Histologically, invasive ductal carcinoma (61.1%) was the most common lesion. Fifty-three women underwent surgical procedure and histopathological confirmation. Ultrasound-guided CNB had a sensitivity of 97.5%, specificity of 100%, positive predictive value of 100%, negative predictive value of 92.8%, and an overall diagnostic accuracy of 98.1%. Breast Imaging Reporting and Data System (Birads) categorization had a sensitivity of 94.8%, specificity of 100%, positive predictive value of 100%, negative predictive value of 87.4%, and diagnostic accuracy of 96.2%. Conclusion: Ultrasound guided CNB represent accurate methods for the How to cite this paper: Tchaou, M., Darré, T., Gbandé, P., Dagbé, M., Bassowa, A., Sonhaye, L. and Agoda-Koussema, L.-K.

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“…Trucut Needle Biopsy (TCB) or Core Needle Biopsy (CNB) which was used in our hospital, is a reliable, simple, reproducible, and inexpensive technique which can be adapted even for low-income group of patients and in developing countries [16] .…”

Section: Discussionmentioning

confidence: 99%

A prepubertal giant juvenile fibroadenoma in a 12-year-old girl: Case report and brief literature review

Giannos

Stavrou

Gkali

et al. 2017

International Journal of Surgery Case Reports

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HighlightsGiant juvenile fibroadenomas are very rare and they have very low prevalence in prepubertal period. Although they should not be ruled out in differential diagnosis in premenarchal period.Breast examination in premenarchal girls and adolescents plays a pivotal role in order to prevent these peculiar giant lesions.Another remarkable point is the rapid growth of these breast lesions that should not be ruled out in the diagnostic process of the continuously growth of the adolescent breast.

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Utility of Tru-Cut Biopsy of Breast Lesions - An Experience in a Regional Cancer Center of a Developing Country

Cited by 8 publications

References 11 publications

Trucut biopsy as a first line diagnostic modality for equivocal or suspicious breast masses: an experience from a teaching hospital in Khyber Pukhtunkhwa

Trucut biopsy as a first line diagnostic modality for equivocal or suspicious breast masses: an experience from a teaching hospital in Khyber Pukhtunkhwa

Ultrasound-Guided Core Needle Biopsy of Breast Lesions: Results and Usefulness in a Low Income Country

A prepubertal giant juvenile fibroadenoma in a 12-year-old girl: Case report and brief literature review

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