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Related Experiment Videos

Breast biopsy utilization: a population-based study.

Karthik Ghosh1, L Joseph Melton, Vera J Suman

  • 1Division of General Internal Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, Minn 55905, USA.

Archives of Internal Medicine
|July 27, 2005
PubMed
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Breast biopsy rates remained stable in the community despite new imaging technology. Most biopsies revealed benign conditions, highlighting the need for multidisciplinary care and guidelines for appropriate use of breast biopsy procedures.

Area of Science:

  • Oncology
  • Radiology
  • Epidemiology

Background:

  • Breast biopsy is crucial for diagnosing breast abnormalities detected through screening mammography.
  • Limited data exist on the community-level utilization of breast biopsies.
  • This study addresses the need for population-based data on breast biopsy frequency.

Purpose of the Study:

  • To assess the utilization rates of breast biopsies in a community population.
  • To analyze trends in breast biopsy techniques over time.
  • To evaluate the incidence of benign and malignant breast biopsy results.

Main Methods:

  • Utilized the Rochester Epidemiology Project to review medical records of women aged 18+ from 1988-1999.
  • Assessed overall and age-specific breast biopsy utilization rates.

Related Experiment Videos

  • Tracked changes in biopsy techniques, including the introduction of image-guided core-needle biopsy in 1992.

    • Main Results:

    • The annual breast biopsy utilization rate was stable at 62.6 per 10,000 women.
    • Excisional biopsies decreased, while core-needle biopsies increased during the study period.
    • The age-adjusted incidence of benign breast biopsy results was 38.9 per 10,000 women, with a constant benign-malignant ratio.

    Conclusions:

    • Population-based data confirm stable breast biopsy utilization despite technological advancements.
    • The introduction of image-guided core-needle biopsy did not significantly alter overall utilization rates.
    • Multidisciplinary breast practices and established guidelines are essential for optimizing new technology and patient care.