Diagnostic accuracy of large-core needle biopsy for nonpalpable breast disease: a meta-analysis
2000

Diagnostic Accuracy of Large-Core Needle Biopsy for Non-Palpable Breast Disease

Sample size: 5 publication Evidence: moderate

Author Information

Author(s): Verkooijen H M, Peeters P H M, Buskens E, Koot V C M, Rinkes I H M Borel, Mali W P ThM

Primary Institution: University Hospital Utrecht

Hypothesis

The study evaluates the diagnostic accuracy of large-core needle biopsy for non-palpable breast disease.

Conclusion

The study found that large-core needle biopsy has a high sensitivity rate and is a promising alternative to traditional methods.

Supporting Evidence

  • The sensitivity rate of large-core needle biopsy for breast cancer diagnosis was found to be 97%.
  • The reclassified agreement rate between core biopsy and subsequent surgical biopsy was 94%.
  • In the US, the risk of breast cancer despite a benign result is less than 1%.
  • In Europe, the risk of breast cancer despite a benign result is 4-6%.

Takeaway

This study shows that a special needle test for breast lumps that can't be felt is very good at finding cancer.

Methodology

A meta-analysis of five cohort studies was conducted to evaluate the diagnostic accuracy.

Potential Biases

A benign diagnosis in high prevalence areas should be interpreted with caution.

Limitations

Additional research is needed to explore the limiting factors of the technique.

Participant Demographics

Women referred after screening for breast cancer.

Digital Object Identifier (DOI)

10.1054/bjoc.1999.1036

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