Diagnostic Usefulness of Tru-Cut Biopsy in the Diagnosis of Breast Lesions

Objective: To evaluate the usefulness of Tru-Cut biopsy (TCB) in the diagnosis of breast lesions.Methods: An observational non-interventional cross-sectional review was performed of all TCB reports of a mass or lesion observed in patients admitted between January 2008 and December 2010, at King Khal...

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Main Authors: Ammar Rikabi, Sufia Hussain
Format: Article
Language:English
Published: Oman Medical Specialty Board 2013-03-01
Series:Oman Medical Journal
Subjects:
Online Access:http://www.omjournal.org/fultext_PDF.aspx?DetailsID=356&type=fultext
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author Ammar Rikabi
Sufia Hussain
author_facet Ammar Rikabi
Sufia Hussain
author_sort Ammar Rikabi
collection DOAJ
description Objective: To evaluate the usefulness of Tru-Cut biopsy (TCB) in the diagnosis of breast lesions.Methods: An observational non-interventional cross-sectional review was performed of all TCB reports of a mass or lesion observed in patients admitted between January 2008 and December 2010, at King Khalid University Hospital, Riyadh, Saudi Arabia.Results: A total of 275 trucut biopsies were performed during the study period. Histopathology showed 92 (33.5%) malignant lesions, 177 (64.3%) benign lesions and 6 (2.2%) suboptimal or suspicious lesions. Repeat trucut biopsies were done in 29 (16.4%) of the benign cases, 12 (13%) of the malignant cases, and for 6 inconclusive specimens which showed 4 of the 29 benign cases to be malignant lesions, and 5 of the 6 inconclusive cases were also malignant lesions. All 12 malignant cases that had repeat trucut biopsy had a confirmed diagnosis of malignancy. Trucut biospy had a sensitivity of 95.1%, specificity of 100%, positive predictive value of 100%, negative predictive value of 97.2%, and an overall diagnostic accuracy of 98.2%.Conclusion: Trucut biopsy is an accurate alternative to fine needle aspiration cytology in the diagnosis of breast lesions with a high diagnostic accuracy of 98.2%.
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spelling doaj.art-6041e9a58aab4c26b8632d713b4a1b632022-12-21T23:43:38ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042013-03-01282125127Diagnostic Usefulness of Tru-Cut Biopsy in the Diagnosis of Breast LesionsAmmar RikabiSufia HussainObjective: To evaluate the usefulness of Tru-Cut biopsy (TCB) in the diagnosis of breast lesions.Methods: An observational non-interventional cross-sectional review was performed of all TCB reports of a mass or lesion observed in patients admitted between January 2008 and December 2010, at King Khalid University Hospital, Riyadh, Saudi Arabia.Results: A total of 275 trucut biopsies were performed during the study period. Histopathology showed 92 (33.5%) malignant lesions, 177 (64.3%) benign lesions and 6 (2.2%) suboptimal or suspicious lesions. Repeat trucut biopsies were done in 29 (16.4%) of the benign cases, 12 (13%) of the malignant cases, and for 6 inconclusive specimens which showed 4 of the 29 benign cases to be malignant lesions, and 5 of the 6 inconclusive cases were also malignant lesions. All 12 malignant cases that had repeat trucut biopsy had a confirmed diagnosis of malignancy. Trucut biospy had a sensitivity of 95.1%, specificity of 100%, positive predictive value of 100%, negative predictive value of 97.2%, and an overall diagnostic accuracy of 98.2%.Conclusion: Trucut biopsy is an accurate alternative to fine needle aspiration cytology in the diagnosis of breast lesions with a high diagnostic accuracy of 98.2%.http://www.omjournal.org/fultext_PDF.aspx?DetailsID=356&type=fultextBreast CancerTru-Cut BiopsySaudi Arabia.
spellingShingle Ammar Rikabi
Sufia Hussain
Diagnostic Usefulness of Tru-Cut Biopsy in the Diagnosis of Breast Lesions
Oman Medical Journal
Breast Cancer
Tru-Cut Biopsy
Saudi Arabia.
title Diagnostic Usefulness of Tru-Cut Biopsy in the Diagnosis of Breast Lesions
title_full Diagnostic Usefulness of Tru-Cut Biopsy in the Diagnosis of Breast Lesions
title_fullStr Diagnostic Usefulness of Tru-Cut Biopsy in the Diagnosis of Breast Lesions
title_full_unstemmed Diagnostic Usefulness of Tru-Cut Biopsy in the Diagnosis of Breast Lesions
title_short Diagnostic Usefulness of Tru-Cut Biopsy in the Diagnosis of Breast Lesions
title_sort diagnostic usefulness of tru cut biopsy in the diagnosis of breast lesions
topic Breast Cancer
Tru-Cut Biopsy
Saudi Arabia.
url http://www.omjournal.org/fultext_PDF.aspx?DetailsID=356&type=fultext
work_keys_str_mv AT ammarrikabi diagnosticusefulnessoftrucutbiopsyinthediagnosisofbreastlesions
AT sufiahussain diagnosticusefulnessoftrucutbiopsyinthediagnosisofbreastlesions