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Related Experiment Videos

Triage for the breast biopsy.

R W Knapp, J T Mullen

    American Journal of Surgery
    |May 1, 1976
    PubMed
    Summary

    This study advocates for using local anesthesia for breast mass diagnosis as a primary tool. This approach proved efficient and accurate, significantly reducing the need for general anesthesia biopsies.

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    Area of Science:

    • Oncology
    • Surgical Pathology

    Background:

    • Dominant breast masses require accurate and efficient diagnostic methods.
    • Traditional biopsy procedures often necessitate general anesthesia, increasing costs and risks.

    Purpose of the Study:

    • To evaluate a management plan for dominant breast masses prioritizing local anesthesia biopsy.
    • To assess the efficiency, accuracy, and impact on general anesthesia use.

    Main Methods:

    • A retrospective analysis of 2,492 patients over 114 months.
    • Implementation of a triage system to select patients for local anesthesia biopsy versus immediate general anesthesia biopsy.
    • Analysis of 5-year survival rates for mastectomy-treated patients diagnosed under local anesthesia.

    Main Results:

    • Local anesthesia biopsy demonstrated efficiency and accuracy in diagnosing breast masses.
    • A 72% five-year survival rate was observed in mastectomy patients diagnosed under local anesthesia.
    • The triage method led to a thirteen-fold decrease in general anesthesia use for biopsies.

    Conclusions:

    • Outpatient management of dominant breast masses using local anesthesia is a viable and effective primary diagnostic strategy.
    • This approach significantly reduces the utilization of general anesthesia, improving patient safety and resource allocation.
    • The findings support the widespread adoption of this triage-based diagnostic plan for breast masses.

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