Failure of stereotactic core needle biopsy in women recalled for suspicious calcifications at screening mammography: frequency, causes, and final outcome in a multi-institutional, observational follow-up study.
Breast cancer
Core needle biopsy
Screening mammography
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
received:
16
12
2021
accepted:
08
04
2022
revised:
20
03
2022
pubmed:
30
4
2022
medline:
19
11
2022
entrez:
29
4
2022
Statut:
ppublish
Résumé
We determined the failure rate of stereotactic core needle biopsy (SCNB) and its causes and final outcome in women recalled for calcifications at screening mammography. We included a consecutive series of 624,039 screens obtained in a Dutch screening region between January 2009 and July 2019. Radiology reports and pathology results were obtained of all recalled women during 2-year follow-up. A total of 3495 women (19.6% of 17,809 recalls) were recalled for suspicious calcifications. SCNB was indicated in 2818 women, of whom 12 had incomplete follow-up and another 12 women refused biopsy. DCIS or invasive cancer was diagnosed in 880 of the remaining 2794 women (31.5%). SCNB failed in 62 women (2.2%, 36/2794). These failures were mainly due to a too posterior (n = 30) or too superficial location (n = 17) of the calcifications or calcifications too faint for biopsy (n = 13). Of these 62 women, 10 underwent surgical biopsy, yielding one DCIS (intermediate grade) and two invasive cancers (one intermediate grade and one high grade) and another two women were diagnosed with DCIS (both high grade) at follow-up. Thus, the malignancy rate after SCNB failure was 8.1% (5/62). Calcifications were depicted neither at SCNB specimen radiography nor at pathology in 16 women after (repeated) SCNB (0.6%, 31/2732). None of them proved to have breast cancer at 2-year follow-up. The failure rate of SCNB for suspicious calcifications is low but close surveillance is warranted, as breast cancer may be present in up to 8% of these women. • The failure rate of stereotactic core needle biopsy (SCNB) for calcifications recalled at screening mammography was 2.2%. • Failures were mainly due to calcifications that could not be reached by SCNB or calcifications too faint for biopsy. • The management after failed SCNB was various. At least, close surveillance with a low threshold for surgical biopsy is recommended as breast cancer may be present in up to 8% of women with SCNB failure.
Identifiants
pubmed: 35486173
doi: 10.1007/s00330-022-08806-3
pii: 10.1007/s00330-022-08806-3
doi:
Types de publication
Multicenter Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
7420-7429Informations de copyright
© 2022. The Author(s), under exclusive licence to European Society of Radiology.
Références
Dibden A, Offman J, Duffy SW, Gabe R (2020) Worldwide Review and meta-analysis of cohort studies measuring the effect of mammography screening programmes on incidence-based breast cancer mortality. Cancers 12:976. https://doi.org/10.3390/cancers12040976
doi: 10.3390/cancers12040976
Sankatsing VDV, van Ravesteyn NT, Heijnsdijk EAM et al (2017) The effect of population-based mammography screening in Dutch municipalities on breast cancer mortality: 20 years of follow-up. Int J Cancer 141:671–677
doi: 10.1002/ijc.30754
Tabar L, Dean PB, Chen TH et al (2019) The incidence of fatal breast cancer measures the increased effectiveness of therapy in women participating in mammography screening. Cancer 125:515–523
doi: 10.1002/cncr.31840
Luiten JD, Voogd AC, Luiten EJT et al (2020) Recall and outcome of screen-detected microcalcifications during two decades of mammography screening in the Netherlands National Breast Screening Program. Radiology 294:528–537
doi: 10.1148/radiol.2020191266
Fischer U, Baum F, Obenauer S et al (2002) Comparative study in patients with microcalcificatons: full-field digital mammography vs screen-film mammography. Eur Radiol 12:2679–2683
doi: 10.1007/s00330-002-1354-x
Weber RJP, Nederend J, Voogd AC, Strobbe LJ, Duijm LEM (2015) Screening outcome and surgical treatment during and after the transition from screen-film to digital screening mammography in the south of the Netherlands. Int J Cancer 137:135–143
doi: 10.1002/ijc.29354
Jackman RJ, Marzoni FA Jr (2003) Stereotactic histologic biopsy with patients prone: technical feasibility in 98% of mammographically detected lesions. AJR Am J Rontgenol 180:785–794
doi: 10.2214/ajr.180.3.1800785
Yu YH, Liang C, Yuan XZ (2010) Diagnostic value of vacuum-assisted breast biopsy for breast carcinoma: a meta-analysis and systematic review. Breast Cancer Res Treat 120:469–479
doi: 10.1007/s10549-010-0750-1
American College of Radiology (2003) Breast Imaging Reporting and Data System (BIRADS), 4th edn. American College of Radiology, Reston
American College of Radiology. BI-RADS Committee (2013) ACR BI-RADS atlas : breast imaging reporting and data system, 5th edn. American College of Radiology, Reston
Brennan SB, D’Alessio D, Liberman L, Giri D, Brogi E, Morris EA (2014) Cancelled stereotactic biopsy of calcifications not seen using the stereotactic technique: do we still need to biopsy? Eur Radiol 24:907–912
doi: 10.1007/s00330-013-3055-z
Del Turco MR, Mantellini P, Ciatto S et al (2007) Full-field digital versus screen-film mammography: comparative accuracy in concurrent screening cohorts. AJR Am J Roentgenol 189:860–866
doi: 10.2214/AJR.07.2303
Bahl M, Maunglay M, D’Alessandro HA, Lehman CD (2019) Comparison of upright digital breast tomosynthesis-guided versus prone stereotactic vacuum-assisted breast biopsy. Radiology 290:298–304
doi: 10.1148/radiol.2018181788
Kuhl CK, Schrading S, Bieling HB et al (2007) MRI for diagnosis of pure ductal carcinoma in situ: a prospective observational study. Lancet 370:485–492
doi: 10.1016/S0140-6736(07)61232-X
Jeffries DO, Neal CH, Noroozian M et al (2015) Surgical biopsy is still necessary for BI-RADS 4 calcifications found on digital mammography that are technically too faint for stereotactic core biopsy. Breast Cancer Res Treat 154:557–561
doi: 10.1007/s10549-015-3640-8
Lomoschitz FM, Helbich TH, Rudas M et al (2004) Stereotactic 11-gauge vacuum-assisted breast biopsy: influence of number of specimens on diagnostic accuracy. Radiology 232:897–903
doi: 10.1148/radiol.2323031224
Liberman L, Smolkin JH, Dershaw DD, Morris EA, Abramson AF, Rosen PP (1998) Calcification retrieval at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy. Radiology 208:251–260
doi: 10.1148/radiology.208.1.9646821
Jackman RJ, Rodriguez-Soto J (2006) Breast microcalcifications: retrieval failure at prone stereotactic core and vacuum breast biopsy – frequency, causes, and outcome. Radiology 239:61–70
doi: 10.1148/radiol.2383041953
Margolin FR, Kaufman L, Jacobs RP, Denny SR, Schrumpf JD (2004) Stereotactic core breast biopsy of malignant calcifications: diagnostic yield of cores with and cores without calcifications on specimen radiographs. Radiology 233:251–254
doi: 10.1148/radiol.2331031680