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Accuracy and cost of needle localization breast biopsy
L W Norton1, B E Zeligman, N W Pearlman
1Department of Surgery, University of Colorado School of Medicine, Denver 80262.
Archives of Surgery (Chicago, Ill. : 1960)
|August 1, 1988
Summary
Needle localization biopsy (NLB) under general anesthesia offers higher success rates for breast lesion removal compared to local anesthesia, despite increased costs. Patient comfort and technical ease also favor general anesthesia for this outpatient procedure.
Area of Science:
- Surgical Oncology
- Radiology
- Outpatient Procedures
Background:
- Needle localization biopsy (NLB) is a common procedure for diagnosing breast lesions.
- Comparison of NLB outcomes under local versus general anesthesia is crucial for optimizing patient care and resource allocation.
Purpose of the Study:
- To compare the success rates, complication incidence, and costs of NLB performed under local anesthesia versus general anesthesia.
- To determine if the increased expense of general anesthesia for NLB is justified by improved outcomes.
Main Methods:
- A longitudinal study comparing 81 NLB procedures under local anesthesia (group 1) with 36 NLB procedures under general anesthesia (group 2).
- Data collected included lesion removal success, complication rates (wound infection), and total procedure costs.
Main Results:
- Successful lesion removal was higher in group 2 (92%) compared to group 1 (78%).
- Carcinoma detection rates were 17% in group 1 and 22% in group 2.
- Total cost for group 1 was $775, while group 2 cost $1960, with general anesthesia accounting for $1260 of the difference.
Conclusions:
- NLB under general anesthesia demonstrates superior success rates for breast lesion removal.
- The higher cost associated with general anesthesia is justifiable due to improved efficacy, patient comfort, and procedural ease.
- Further evaluation of patient comfort and technical ease supports the use of general anesthesia for NLB.