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[Diagnostic and therapeutic localized breast biopsy]
U Jacobsen1, P Skaane, T Sauer
1Kirurgisk avdeling Buskerud sentralsykehus, Drammen.
Summary
Preoperative localized mammary biopsy is a valuable diagnostic tool for breast cancer. Its use has shifted towards identifying pathology during breast-conserving surgery, maintaining a favorable malignancy-to-benign ratio.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Preoperative localized mammary biopsy has been a diagnostic standard at Ullevål Hospital since before 1983.
- Procedures were predominantly outpatient, utilizing local anesthesia.
Purpose of the Study:
- To evaluate the utilization and outcomes of preoperative localized mammary biopsy from 1983-1995.
- To assess the role of this biopsy in breast cancer diagnosis and surgical procedures.
Main Methods:
- Prospective data registration in a database since 1988.
- Analysis of biopsy procedures performed between 1983 and 1995.
Main Results:
- A decrease in diagnostic use but an increase in its application for identifying pathology during breast-conserving surgery.
- Consistent surveillance of the malignancy-to-benign ratio, which remained above 0.3.
- The importance of continuous registration of procedure-related parameters for quality assurance.
Conclusions:
- Preoperative localized mammary biopsy remains a relevant procedure, adapting its role in breast cancer management.
- Ongoing data collection is crucial for quality assurance and understanding procedural outcomes.