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KMID : 0376119940210010091
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Medical Journal of the Red Cross Hospital
1994 Volume.21 No. 1 p.91 ~ p.96
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The Diagnostic Value of Ultrasound-Guided Fine-Needle Aspiration Biopsy in Breast Masses
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Abstract
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Real-time ultrasound-guided fine-needle aspiration biosy in 137 solid breast masses was performed. Sonographic findings were catergorized into three groups and asiprtes were categorized into benign masses (cytologic group 1) in 71 cases (52%),
malignant
masses (Cytologic group 2 and 3) in 44 cases (32%) and insufficient specimens in 22 cases(16%). Insufficient specimens were treated as benign masses. Excisional biopsy in 44 malignant masses and 3 benign masses according to cytologic results,
clinical
findings and follow up study was performed. The results was reported 41 malignant masses and 6 benign masses. Based on cytologic criteria, sensitivity for detection of malignancy was 93% and specificity was 94%. In conclusion, the high
specificity
provided by ultrasound-guided fine-needle aspiration biopsy could markedly reduce unnecessary surgical excisions for benign masses and it should be routinely performed, since it can give physical and emotional benefits to patients and led to
earlier and
cost effective diagnosis of breast cancer.
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KEYWORD
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