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Needle localization breast biopsy: a model for multidisciplinary quality assurance
J R Howe1, B Monsees, J Destouet
1Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Journal of Surgical Oncology
|April 1, 1995
Summary
Needle Localization Breast Biopsy (NLBB) is a safe and effective method for diagnosing nonpalpable breast lesions. This quality assurance audit confirmed NLBB
Area of Science:
- Oncology
- Radiology
- Surgical Pathology
Background:
- Quality assurance is crucial for cancer care centers.
- Institutional audits evaluate the efficacy of diagnostic procedures.
Purpose of the Study:
- To conduct an institutional audit of Needle Localization Breast Biopsy (NLBB).
- To assess the safety and effectiveness of NLBB for nonpalpable breast lesions.
Main Methods:
- Review of mammographic, operative, and pathology reports.
- Analysis of 370 consecutive patient cases over 34 months.
Main Results:
- 28% of patients diagnosed with carcinoma; 27% of these were noninvasive.
- 73% of patients had Stage 0 or Stage I disease.
- Mastectomy performed in 61% of malignancy cases; 39% received conservation therapy.
Conclusions:
- NLBB is a safe and effective tool for identifying early-stage breast cancer.
- Centers performing NLBB should periodically audit results for quality improvement.