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首页> 外文期刊>South African medical journal = >Evaluation and correlation of mammographically suspicious lesions with histopathology at Addington Hospital, Durban
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Evaluation and correlation of mammographically suspicious lesions with histopathology at Addington Hospital, Durban

机译：德班阿丁顿医院乳房X线可疑病变的评估与组织病理学的关联

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BACKGROUND: Stereotactic core-needle biopsies (SCNBs) are a reliable alternative to surgical biopsy for microcalcifications. The positive predictive value (PPV) of SCNB has been shown to be reproducible in several studies using the Breast Imaging Reporting and Data System (BIRADS) classification, which is the current gold standard in mammographic reporting. At this stage, no study has been done in KwaZulu-Natal to assess local outcomes against BIRADS. The current standard of care utilises vacuum-assisted breast biopsy, but is not available in a resource-constrained environment such as ours. The need, therefore, is for constant evaluation of existing practice to ensure that it is optimised for the challenges and limitations facing local radiologists. OBJECTIVE: To assess the PPV of SCNB in Addington Hospital, and to compare it with that of BIRADS. MATERIAL AND METHODS: Mammographically detected lesions were assigned to 3 categories: benign, indeterminate and suspicious. A retrospective review of 67 SCNBs was performed for lesions falling within the suspicious category, and the PPV and rates of ductal carcinoma in situ (DCIS) were determined. RESULTS: Our study demonstrated a PPV of 20.9%. This correlated well with international studies for BIRADS 4 and 5 lesions. DCIS accounted for 21.4% of detected malignancies, which is in keeping with current literature. CONCLUSION: Despite resource limitations, local outcomes were comparable with those of BIRADS. Given our fairly general categorisation of lesions, however, it should be emphasised that BIRADS allows better organisation, consistency and clarity in breast imaging reporting, as well as accurate data comparison between centres facing limitations similar to our own.
机译：背景：立体定向穿刺活检（SCNB）是微钙化手术活检的可靠替代方法。在使用乳房成像报告和数据系统（BIRADS）分类的几项研究中，SCNB的阳性预测值（PPV）已被证明是可再现的，这是乳房X线照片报告中的当前金标准。在此阶段，尚未在夸祖鲁-纳塔尔省进行任何研究来评估针对BIRADS的局部结果。当前的护理标准采用真空辅助的乳房活检，但在我们这样的资源有限的环境中不可用。因此，需要不断评估现有做法，以确保针对当地放射科医生面临的挑战和局限性进行优化。目的：评估阿丁顿医院SCNB的PPV，并将其与BIRADS进行比较。材料与方法：乳房X线检查发现的病变分为3类：良性，不确定性和可疑。回顾性检查了67个SCNB是否属于可疑病变，并确定了PPV和导管原位癌率（DCIS）。结果：我们的研究显示PPV为20.9％。这与BIRADS 4和5病变的国际研究很好地相关。 DCIS占检测到的恶性肿瘤的21.4％，与当前文献一致。结论：尽管资源有限，但局部结果与BIRADS相当。但是，鉴于我们对病变的分类相当普遍，应该强调的是，BIRADS可以使乳腺成像报告更好地组织，保持一致性和清晰性，并且可以在面临与我们类似局限性的中心之间进行准确的数据比较。

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