Assessment of 1183 screen-detected category 3B, circumscribed masses by cytology and core biopsy with long term follow up data
2008

Assessing 3B Circumscribed Masses in Breast Cancer Screening

Sample size: 1183 publication Evidence: moderate

Author Information

Author(s): Farshid G, Downey P, Gill P G, Pieterse S

Primary Institution: Division of Tissue Pathology, Institute of Medical and Veterinary Science, BreastScreen SA

Hypothesis

Should the assessment of 3B lesions in breast cancer screening be discouraged due to the lack of established survival benefits?

Conclusion

The study supports the use of fine-needle aspiration biopsy for diagnosing 3B masses, as 8.3% of these lesions can be malignant.

Supporting Evidence

  • 8.3% of 3B masses can be malignant, highlighting the need for careful assessment.
  • The study found a recall rate of 6.7% for the first round of screening in South Australia.
  • Fine-needle aspiration biopsy is recommended as a first-line diagnostic tool for 3B lesions.

Takeaway

Some lumps found during breast cancer screening can be cancerous, so it's important to check them carefully instead of ignoring them.

Methodology

The study utilized fine-needle aspiration biopsy and core biopsy to assess screen-detected 3B masses.

Limitations

The study does not provide definitive proof that detecting 3B masses reduces breast cancer mortality.

Participant Demographics

Participants included women with screen-detected 3B masses.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604535

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication