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Bioptic strategy in breast cancer
S Watt-Boolsen1, U Dyreborg, J A Andersen
1Surgical Department K, Odense University Hospital, Denmark.
Acta Oncologica (Stockholm, Sweden)
|January 1, 1988
Summary
This study on breast cancer biopsy methods found that excisional biopsies and needle biopsies are effective for diagnosis. Recent trends show an increase in needle biopsies and two-stage procedures for better patient outcomes.
Area of Science:
- Oncology
- Surgical Pathology
- Radiology
Background:
- The bioptic strategy for breast cancer diagnosis relies on specific procedural conditions.
- Accurate tissue sampling is crucial for reliable histological examination.
Purpose of the Study:
- To evaluate the application and outcomes of different breast cancer biopsy methods.
- To analyze trends in biopsy techniques and surgical procedures over time.
Main Methods:
- Review of 365 women with operable, primary invasive breast cancer treated between 1982 and 1987.
- Analysis of definitive surgical procedures, predominantly excisional or needle biopsies.
- Observation of procedural shifts towards needle biopsy and two-stage approaches.
Main Results:
- Excisional biopsy (62%) and needle biopsy (24%) were the primary methods for definitive surgery.
- A shift towards increased needle biopsy and two-stage procedures was observed in the final year.
- Core-aspirating needle biopsy, performed synchronously with mammography by radiologists, saw increased utilization.
Conclusions:
- The established bioptic strategy ensures representative tissue sampling for accurate breast cancer diagnosis.
- Patient compliance and histological outcomes have been satisfactory with the employed methods.
- Evolving techniques like synchronous mammography and core-aspirating needle biopsy indicate procedural advancements.