Cargando…
Comparative Accuracy and Complications of Palpation-Guided Versus Ultrasound-Guided Core Needle Biopsy of Palpable Breast Lumps in Ahmadu Bello University Teaching Hospital, Zaria
BACKGROUND: Breast lumps are a common complaint by women. Palpable breast lumps are accessible to core needle biopsy (CNB) with the aim of obtaining tissue for histologic diagnosis. CNB is achievable either by palpation guidance or image guidance. The superiority of either technique in returning an...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204909/ https://www.ncbi.nlm.nih.gov/pubmed/37228884 http://dx.doi.org/10.4103/jwas.jwas_276_22 |
_version_ | 1785045928963473408 |
---|---|
author | Gana, Stephen Gboya Yusufu, Lazarus Abur, Peter Pase Olarinoye-Akorede, Sefiya Adebanke Bello, Nafisa |
author_facet | Gana, Stephen Gboya Yusufu, Lazarus Abur, Peter Pase Olarinoye-Akorede, Sefiya Adebanke Bello, Nafisa |
author_sort | Gana, Stephen Gboya |
collection | PubMed |
description | BACKGROUND: Breast lumps are a common complaint by women. Palpable breast lumps are accessible to core needle biopsy (CNB) with the aim of obtaining tissue for histologic diagnosis. CNB is achievable either by palpation guidance or image guidance. The superiority of either technique in returning an accurate diagnosis has not been demonstrated in our centre. AIM: This study aimed to compare the diagnostic accuracy and complications of palpation-guided versus ultrasound-guided CNB techniques in palpable breast lumps. MATERIALS AND METHODS: This was a randomised, controlled, comparative study. Consenting patients were randomised into either a palpation-guided or an ultrasound-guided group. All patients subsequently had open surgical biopsy, which represented the control group. Data analysis was done using SPSS, version 21. RESULTS: Each CNB group had 40 patients. In the palpation-guided group, 24 (54.55%) lumps were benign and 13 (29.55%) were malignant, whilst seven (15.90%) were inconclusive. In the ultrasound-guided group, 31 (65.96%) lumps were benign and 15 (31.91%) were malignant, whilst one (2.13%) was inconclusive. The sensitivity and specificity for palpation-guided CNB were 92.9% and 100%, respectively. The sensitivity and specificity for ultrasound-guided CNB were 100% each. There was no statistically significant difference in sensitivity between the two groups (P value of 0.4828). One patient (2.5%) in the ultrasound-guided CNB group had a hematoma. CONCLUSIONS: This study has shown that CNB has high diagnostic accuracy and low complications in the management of breast lumps, either by palpation-guided or ultrasound-guided techniques. There was no significant difference in accuracy or complications of CNB using either technique. |
format | Online Article Text |
id | pubmed-10204909 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-102049092023-05-24 Comparative Accuracy and Complications of Palpation-Guided Versus Ultrasound-Guided Core Needle Biopsy of Palpable Breast Lumps in Ahmadu Bello University Teaching Hospital, Zaria Gana, Stephen Gboya Yusufu, Lazarus Abur, Peter Pase Olarinoye-Akorede, Sefiya Adebanke Bello, Nafisa J West Afr Coll Surg Original Article BACKGROUND: Breast lumps are a common complaint by women. Palpable breast lumps are accessible to core needle biopsy (CNB) with the aim of obtaining tissue for histologic diagnosis. CNB is achievable either by palpation guidance or image guidance. The superiority of either technique in returning an accurate diagnosis has not been demonstrated in our centre. AIM: This study aimed to compare the diagnostic accuracy and complications of palpation-guided versus ultrasound-guided CNB techniques in palpable breast lumps. MATERIALS AND METHODS: This was a randomised, controlled, comparative study. Consenting patients were randomised into either a palpation-guided or an ultrasound-guided group. All patients subsequently had open surgical biopsy, which represented the control group. Data analysis was done using SPSS, version 21. RESULTS: Each CNB group had 40 patients. In the palpation-guided group, 24 (54.55%) lumps were benign and 13 (29.55%) were malignant, whilst seven (15.90%) were inconclusive. In the ultrasound-guided group, 31 (65.96%) lumps were benign and 15 (31.91%) were malignant, whilst one (2.13%) was inconclusive. The sensitivity and specificity for palpation-guided CNB were 92.9% and 100%, respectively. The sensitivity and specificity for ultrasound-guided CNB were 100% each. There was no statistically significant difference in sensitivity between the two groups (P value of 0.4828). One patient (2.5%) in the ultrasound-guided CNB group had a hematoma. CONCLUSIONS: This study has shown that CNB has high diagnostic accuracy and low complications in the management of breast lumps, either by palpation-guided or ultrasound-guided techniques. There was no significant difference in accuracy or complications of CNB using either technique. Wolters Kluwer - Medknow 2023 2023-03-20 /pmc/articles/PMC10204909/ /pubmed/37228884 http://dx.doi.org/10.4103/jwas.jwas_276_22 Text en Copyright: © 2023 Journal of the West African College of Surgeons https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Gana, Stephen Gboya Yusufu, Lazarus Abur, Peter Pase Olarinoye-Akorede, Sefiya Adebanke Bello, Nafisa Comparative Accuracy and Complications of Palpation-Guided Versus Ultrasound-Guided Core Needle Biopsy of Palpable Breast Lumps in Ahmadu Bello University Teaching Hospital, Zaria |
title | Comparative Accuracy and Complications of Palpation-Guided Versus Ultrasound-Guided Core Needle Biopsy of Palpable Breast Lumps in Ahmadu Bello University Teaching Hospital, Zaria |
title_full | Comparative Accuracy and Complications of Palpation-Guided Versus Ultrasound-Guided Core Needle Biopsy of Palpable Breast Lumps in Ahmadu Bello University Teaching Hospital, Zaria |
title_fullStr | Comparative Accuracy and Complications of Palpation-Guided Versus Ultrasound-Guided Core Needle Biopsy of Palpable Breast Lumps in Ahmadu Bello University Teaching Hospital, Zaria |
title_full_unstemmed | Comparative Accuracy and Complications of Palpation-Guided Versus Ultrasound-Guided Core Needle Biopsy of Palpable Breast Lumps in Ahmadu Bello University Teaching Hospital, Zaria |
title_short | Comparative Accuracy and Complications of Palpation-Guided Versus Ultrasound-Guided Core Needle Biopsy of Palpable Breast Lumps in Ahmadu Bello University Teaching Hospital, Zaria |
title_sort | comparative accuracy and complications of palpation-guided versus ultrasound-guided core needle biopsy of palpable breast lumps in ahmadu bello university teaching hospital, zaria |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204909/ https://www.ncbi.nlm.nih.gov/pubmed/37228884 http://dx.doi.org/10.4103/jwas.jwas_276_22 |
work_keys_str_mv | AT ganastephengboya comparativeaccuracyandcomplicationsofpalpationguidedversusultrasoundguidedcoreneedlebiopsyofpalpablebreastlumpsinahmadubellouniversityteachinghospitalzaria AT yusufulazarus comparativeaccuracyandcomplicationsofpalpationguidedversusultrasoundguidedcoreneedlebiopsyofpalpablebreastlumpsinahmadubellouniversityteachinghospitalzaria AT aburpeterpase comparativeaccuracyandcomplicationsofpalpationguidedversusultrasoundguidedcoreneedlebiopsyofpalpablebreastlumpsinahmadubellouniversityteachinghospitalzaria AT olarinoyeakoredesefiyaadebanke comparativeaccuracyandcomplicationsofpalpationguidedversusultrasoundguidedcoreneedlebiopsyofpalpablebreastlumpsinahmadubellouniversityteachinghospitalzaria AT bellonafisa comparativeaccuracyandcomplicationsofpalpationguidedversusultrasoundguidedcoreneedlebiopsyofpalpablebreastlumpsinahmadubellouniversityteachinghospitalzaria |